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Application of Early Bundle Management of Mechanical Ventilation to Prevent Ventilator Dependence in Children

Application of Early Bundle Management of Mechanical Ventilation to Prevent Ventilator Dependence in Children

Recruiting
28-18 years
All
Phase N/A

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Overview

This study is based on the risk factors of previous studies to formulate a bundle treatment plan to prevent ventilator dependence in children, in order to reduce the proportion of ventilator dependence in children and provide a theoretical basis for reasonable intervention of children with mechanical ventilation.

Participants will receive intensive rehabilitation, nutrition, and tracheotomy at different time periods.

Researchers will compare the control group to see whether it can reduce the incidence of ventilator dependence

Eligibility

Inclusion Criteria:

(1)All stable children receiving mechanical ventilation

        (1)Stable condition: respiratory rate does not exceed 20% of the basic respiratory rate,
        PEEP< 8. 60%, VIS score< 20, there is no hypotension (70mmHg+ age ×2, 70mmHg under one year
        old), no higher than the P95 of the same sex and age
        Exclusion Criteria:
          1. Status epilepticus
          2. Active intracranial hemorrhage
          3. Intracranial hypertension
          4. Unstable fracture of the spine
          5. Spinal cord injury
          6. There are injuries that affect the implementation of rehabilitation
          7. Acute surgery was performed on the same day.
          8. Body temperature over 40℃
          9. Brain function failure

Study details
    Prolonged Mechanical Ventilation

NCT06125210

Children's Hospital of Fudan University

26 January 2024

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