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Breathing discomfort (dyspnea) during mechanical ventilation in the ICU may complicate care.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| " interventional " | Other | New other than Routine nursing care will be used. |
|
| " Control group " | No Intervention | Routine care only will be done for this group |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| visual analogue scale (VAS),Respiratory distress observational scale (RDOS) and other Nursing care | Other | Distressed patient will be assessed by visual analogue scale(VAS) or respiratory distress observational scale.Nursing interventions will be done according to its causes as giving supplemental O2 therapy, pharmacologic therapy ,initiating positive pressure ventilation or change Ventilator settings (TV, PEEP, Inspiratory pressure ), Improve inspiratory muscle function by Nutrition, positioning or by minimizing use of steroids , clearing airway by Suctioning, Check O2 saturation level frequently and maintain O2 saturation between 95-100%, ,Raising the HOB (Head of the Bed), high Fowler's ,Give pain medications as prescribed or diuretics as ordered and If thick secretions increase oral fluids intake |
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of breathing discomfort among Mechanically ventilated patients | visual analogue scale "VAS" for conscious patients and respiratory observational distress scale "RDOS" for unconscious patients | 1year |
| Effect of nursing intervention on patient and ICU | Clinical outcomes "length of stay,type of discharge or other morbidities" | 1year |
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Inclusion Criteria:
Exclusion Criteria:
• Patients with acidosis, anemia ,drug poisoning,psychogenic disorders or neuro-muscular disorders
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eman Mamdouh Aziz, assit.lecturer | Contact | 01286512550 | emanmamdouh@aun.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of nursing | Recruiting | Asyut | 71515 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26259140 | Background | 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. | |
| 30391404 | Background |
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| ID | Term |
|---|---|
| D004417 | Dyspnea |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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Researcher will provide patients with suitable care for relieving dyspnea and record the outcomes
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| 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. |
| 24275901 | Background | 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. |
| 29107308 | Background | 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. |
| D013568 | Pathological Conditions, Signs and Symptoms |