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There is no accepted standard for the frequency of monitoring endotracheal tube cuff pressures (ETCP). the investigators plan on comparing two strategies for monitoring ETCP in mechanically ventilated patients.
Nowadays ETCP is evaluated once every 24 hours. Next, the investigator want to conduct training for medical and nursing staff. After the training, ETCP will be measured every 8 hours.
The aim of the study is to prove that more frequent pressure control (3 times a day) reduces the occurrence of abnormal ETCP.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| once a day | Active Comparator | Cuff pressure checks once a day. |
|
| three times a day | Active Comparator | Cuff pressure checks three times a day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| traning seminar | Other | There will be provided 30 min training seminar on the function of endotracheal cuff and cuff pressure. |
|
| Measure | Description | Time Frame |
|---|---|---|
| monitoring of cuff pressures | The effectiveness of pressure monitoring in various time intervals | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| preventing complications of incorrect pressure in tracheal cuff | preventing of an VAP or airway damage | 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital | Krakow | 31-501 | Poland |
We are undecided on this point.
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The study will include patients staying in the intensive care unit, requiring ventilation of the artificial airways in the form of endotracheal or tracheostomy tube. Patients will be over 18 years of age.
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| ID | Term |
|---|---|
| D012140 | Respiratory Tract Diseases |
| D012141 | Respiratory Tract Infections |
| D053717 | Pneumonia, Ventilator-Associated |
| D055397 | Ventilator-Induced Lung Injury |
| ID | Term |
|---|---|
| D007239 | Infections |
| D000077299 | Healthcare-Associated Pneumonia |
| D003428 | Cross Infection |
| D011014 | Pneumonia |
| D008171 | Lung Diseases |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D055370 | Lung Injury |
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