Visual Cue as Prevention of Pulmonary Infection Under Mechanical Ventilation

Pulmonary Infection Clinical Trial

— PREVIP  

Official title:

Visual Cue as Prevention of Pulmonary Infection Under Mechanical Ventilation

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT03687177
• Other study ID #: 6793
• Status: Recruiting
• Phase: N/A
• Start date: September 20, 2018
• Est. completion date: October 22, 2019

Study information

• Verified date: September 2018
• Source: University Hospital, Strasbourg, France
• Contact: Sylvie L'HOTELLIER
• Phone: 03.88.12.79.14
• Email: sylvie.l'hotellier[@]chru-strasbourg.fr
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 180
• Est. completion date: October 22, 2019
• Est. primary completion date: October 22, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

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

Exclusion Criteria:

• Pregnancy

• Spinal trauma

• Brain trauma

Related Conditions & MeSH terms

• Communicable Diseases
• Infection
• Pulmonary Infection

Intervention

Other:
• With visual cue and nurses informed
Using visual cue or no visual cue with to estimate the angle of elevation of the head of intubated patients with prevention of nurse
• Without visual cue and nurses informed
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

Locations

Country	Name	City	State
France	Hôpitaux Universitaires de Strasbourg	Strasbourg

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Strasbourg, France

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Measurement of the angle of elevation of the head of patients with invasive mechanical ventilation		3 times a day