Impact of Early Mobilization on SAH Patients Physiological Parameters
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: lung ultrasound, Transcranial Doppler, near-infrared spectroscopy (NIRS), clinical examination.
- Кому может быть актуально
- Состояния в реестре: Subarachnoid Hemorrhage. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Франция
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Impact of Early Out-of-bed Mobilization on Physiological Parameters of Patients Admitted to Intensive Care for Subarachnoid Hemorrhage
Обзор
The aim of the study is to evaluate the physiological response to out-of-bed mobilization in patients admitted to the intensive care unit for subarachnoid hemorrhage. More specifically, the aim is to measure the impact on cerebral perfusion, lung aeration, cardiovascular and respiratory parameters.
Подробное описание
In patients with subarachnoid hemorrhage, the mobilization strategy has been little studied. Several studies have already evaluated the consequences of mobilization in bed. Because of the deleterious consequences of prolonged bed rest, and in line with recommendations, practices have evolved towards early out-of-bed mobilization, which has shown benefits. However, the physiological consequences of out-of-bed mobilization have not yet been assessed. The aim of this study is to measure the impact of early out-of-bed mobilization of patients admitted for SAH on neuro-cardio-pulmonary physiological parameters.
Вмешательства
- Устройство lung ultrasound
Used to diagnose and monitor pulmonary aeration in the context of prolonged decubitus disorders (atelectasis) via the lung ultrasound score (LUS). - Устройство Transcranial Doppler
Non-invasive, bedside method of measuring cerebral blood flow. - Устройство near-infrared spectroscopy (NIRS)
Non-invasive, bedside method of cerebral oximetry that requires no advanced expertise. - Устройство clinical examination
clinical examination
Первичные конечные точки
- Impact on lung aeration [Срок оценки: at T0 before initiation of out-of-bed mobilization, and 15 minutes after moving to the chair.]
Вторичные конечные точки (7)
- Impact on cerebral blood flow [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on cerebral tissue oxygenation [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on heart rate [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on arterial pressure [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on Saturation [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on neurological examination [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
- Impact on patient comfort [Срок оценки: At T0 before initiation of out-of-bed mobilization, immediately after moving to the edge the bed, immediately after moving to the chair.]
Критерии участия
Критерии включения
Age ≥ 18 years
- Aneurysmal SAH
- Severity score World Federation Neurological Surgeons I to IV
- Secured aneurysm
- Eligible for their first early mobilization
Критерии исключения
- Sedated patient
- Disturbed alertness, coma
- Unsecured aneurysm
- Patients under legal protection (guardianship, curatorship, safeguard of justice)
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Франция · 1 центр
- Adéla FOUDHAÏLI — Paris
Идентификаторы
NCT: NCT06286683 · APHP231706