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Oxygen Supplementation and Ventilator Hyperinflation in the Endotracheal Suction (OSVHES)
Sponsor: Universidade Federal de Sao Carlos
Summary
This is a double crossover study where all patients are randomly allocated to one of two treatment sequences associated with endotracheal aspiration.The first treatment (A) uses two suctioning methods for each patient: one involving hyperoxygenation with administration of 100% oxygen 1 minute before and after suction (intervention I), and the other hyperoxygenation with oxygen supply to 20% above basal offer (Intervention II) in the same way.The second treatment (B) uses a technique of hyperinflation with the mechanical ventilator (PEEP-ZEEP) associated with hyperoxygenation. The intervention I, uses PEEP-ZEEP offering 20% above basal oxygenation and intervention II uses the PEEP-ZEEP with basal oxygen supply in the same way. All subjects were randomly allocated using sealed envelopes to a treatment sequence A or B on Day 1. Patients received two treatments, at least four hours apart. The first treatment is in the morning and the alternate treatment is performed in the afternoon. On Day 2 the order of the treatments was reversed using the same patient position sequence.The interventions I and II are performed at least 4 hours apart to minimize any carryover effect.
Official title: Effects of Low Oxygen Supplementation and Ventilator Hyperinflation in the Endotracheal Suction of Mechanically Ventilated Patients
Key Details
Gender
All
Age Range
18 Years - 95 Years
Study Type
INTERVENTIONAL
Enrollment
78
Start Date
2013-06
Completion Date
2030-12
Last Updated
2022-08-15
Healthy Volunteers
No
Conditions
Interventions
Hyperoxygenation 100% FiO2
Endotracheal suction associated with Hyperoxygenation involved supplying 100% oxygen.
Hyperoxygenation 20% FiO2
Endotracheal suction associated with Hyperoxygenation involved supplying 20% oxygen above FiO2 basal.
Hyperinflation (PEEP- ZEEP) Basal FiO2
Endotracheal suction associated ventilator hyperinflation (PEEP-ZEEP maneuver) and involved no hyperoxygenation, keeping the oxygen already offered to the patient.
Hyperinflation (PEEP- ZEEP) 20% FiO2
Endotracheal suction associated ventilator hyperinflation (PEEP-ZEEP maneuver) and hyperoxygenation involved supplying 20% oxygen.
Locations (1)
The ICU of Hospital Santa Casa de Misericordia of Batatais
Batatais, São Paulo, Brazil