Visual Cue as Prevention of Pulmonary Infection Under Mechanical Ventilation

NCT03687177 | Unknown

• 1 other identifier: 6793
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

Nosocomial pneumonia is the third causes of nosocomial infection. In intensive care unit, their incidence is even higher, of the order of 10 to 30% in patients with invasive mechanical ventilation (IMV). One of the main mechanisms behind VAP (Ventilator-Associated Pneumonia) is the passage of germs colonizing the oropharynx to the subglottic airways. The presence of a nasogastric tube, immobilization, and strict dorsal decubitus increase the risk of colonization of the tracheobronchial tree and pneumonia in these patients. To reduce the incidence of VAP, several strategies have been developed in intensive care to try to control these different risk factors. These sets of measures, also called "bundle" systematically include the control of the elevation of the patient's head more than 30 °. Nevertheless, the strict and permanent control of the elevation of the patient's head is difficult to obtain. One of the reasons that may explain the difficulty of ensuring a correct elevation is the absence of visual cues that are easy to obtain on the beds of patients. An easily identifiable visual cue at the head of the bed would probably provide a satisfactory elevation (greater than 30 °) in patients intubated in intensive care. Our hypothesis is that the addition to the head of the patient's bed of a visible mark that is easily visible and easily interpretable by all the nurses will improve the elevation of the head of the patients in intensive care.

Conditions

Pulmonary Infection

Outcome Measures

Primary Outcomes (1)

• Measurement of the angle of elevation of the head of patients with invasive mechanical ventilation

  3 times a day

Study Arms (2)

Control group

OTHER

Nurses from intensive care informed on the prevention of VAP and without visual cue to estimate the angle of elevation of the head of intubated patients

Other: Without visual cue and nurses informed

Experimental group

OTHER

Nurses from intensive care informed on the prevention of VAP with visual cue to estimate the angle of elevation of the head of intubated patients.

Other: With visual cue and nurses informed

Interventions

With visual cue and nurses informed OTHER

Using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Experimental group

Without visual cue and nurses informed OTHER

Not using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse

Control group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Patient admitted to intensive care with invasive mechanical ventilation more than two days

You may not qualify if:

• Pregnancy
• Spinal trauma
• Brain trauma

Sponsors & Collaborators

• University Hospital, Strasbourg, France: lead

Study Sites (1)

Hôpitaux Universitaires de Strasbourg

Strasbourg, 67000, France

RECRUITING

Central Study Contacts

Sylvie L'HOTELLIER

CONTACT

03.88.12.79.14; sylvie.l'hotellier@chru-strasbourg.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 25, 2018
• First Posted: September 27, 2018
• Study Start: September 20, 2018
• Primary Completion: October 22, 2019
• Study Completion: October 22, 2019
• Last Updated: September 27, 2018

Record last verified: 2018-09

Locations

FR (1)