Clinical trial NCT04019236: Nursing Care for Breathing Discomfort Among Mechanically Ventilated Patients
Official title: Effect of Implementing Nursing Care on Breathing Discomfort and Its Outcomes Among Mechanically Ventilated Patients
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Dyspnea
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2019-07-15
Enrollment: 90
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: FACTORIAL
Intervention model description: Researcher will provide patients with suitable care for relieving dyspnea and record the outcomes
Primary purpose: SUPPORTIVE_CARE

Brief summary: Breathing discomfort (dyspnea) during mechanical ventilation in the ICU may complicate care.

Detailed description: Patients on ventilators experience a variety of discomforts: symptoms (dyspnea ,fatigue , pain ) ,emotions (depression, anxiety ,panic) and feeling of lack to control .Patients may or may not express this discomfort outwardly with agitation ,restlessness ,grimacing or increase in the vital signs (heart rate ,blood pressure ,breathing frequency).The aim of the present study is to assess the prevalence of dyspnea among mechanically ventilated patients, Describe interventions that may alleviate breathing discomfort and examine its impact on clinical outcomes.

Eligibility criteria: Inclusion Criteria:

* Intubated or tracheostomized patients who were mechanically ventilated for \>24 hrs.
* Age : 18-60 yrs
* Patients with Respiratory diseases
* Patients during spontaneous breathing trial

Exclusion Criteria:

* • Patients with acidosis, anemia ,drug poisoning,psychogenic disorders or neuro-muscular disorders

  * (non invasive ventilation)NIV

Primary outcomes:
measure: Prevalence of breathing discomfort among Mechanically ventilated patients
timeFrame: 1year
measure: Effect of nursing intervention on patient and ICU
timeFrame: 1year
Secondary outcomes:
Other outcomes:
Locations:
city: Assiut
country: Egypt
facility: Faculty of nursing
Study officials:
References:
citation: Persichini R, Gay F, Schmidt M, Mayaux J, Demoule A, Morelot-Panzini C, Similowski T. Diagnostic Accuracy of Respiratory Distress Observation Scales as Surrogates of Dyspnea Self-report in Intensive Care Unit Patients. Anesthesiology. 2015 Oct;123(4):830-7. doi: 10.1097/ALN.0000000000000805.
citation: Zhuang Q, Yang GM, Neo SH, Cheung YB. Validity, Reliability, and Diagnostic Accuracy of the Respiratory Distress Observation Scale for Assessment of Dyspnea in Adult Palliative Care Patients. J Pain Symptom Manage. 2019 Feb;57(2):304-310. doi: 10.1016/j.jpainsymman.2018.10.506. Epub 2018 Nov 2.
citation: Puntillo K, Nelson JE, Weissman D, Curtis R, Weiss S, Frontera J, Gabriel M, Hays R, Lustbader D, Mosenthal A, Mulkerin C, Ray D, Bassett R, Boss R, Brasel K, Campbell M. Palliative care in the ICU: relief of pain, dyspnea, and thirst--a report from the IPAL-ICU Advisory Board. Intensive Care Med. 2014 Feb;40(2):235-248. doi: 10.1007/s00134-013-3153-z. Epub 2013 Nov 26.
citation: Campbell ML. Dyspnea. Crit Care Nurs Clin North Am. 2017 Dec;29(4):461-470. doi: 10.1016/j.cnc.2017.08.006. Epub 2017 Sep 23.