scholarly journals Is it necessary to have a dentist within an intensive care unit team? Report of a randomised clinical trial

2018 ◽  
Vol 68 (6) ◽  
pp. 420-427 ◽  
Author(s):  
Wanessa Teixeira Bellissimo-Rodrigues ◽  
Mayra Gonçalves Menegueti ◽  
Gilberto Gambero Gaspar ◽  
Hayala Cristina Cavenague de Souza ◽  
Maria Auxiliadora-Martins ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomised Clinical Trial ◽  
Intensive Care Unit Team

scholarly journals The effect of using Richmond agitation and sedation scale on hospital stay, ventilator dependence, and mortality rate in ICU inpatients: a randomised clinical trial

2020 ◽  
Vol 25 (8) ◽  
pp. 734-746
Author(s):  
Mahbobeh Rashidi ◽  
Shahram Molavynejad ◽  
Nasser Javadi ◽  
Mohammad Adineh ◽  
Assad Sharhani ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Glasgow Coma Scale ◽  
Hospital Stay ◽  
Glasgow Coma Scale Score ◽  
Randomised Clinical Trial ◽  
Sedation Scale ◽  
Coma Scale ◽  
Hospital Stay Duration

Background Managing the amount of use of sedatives due to their high side effects in the intensive care unit is essential. Sedation-agitation protocols may play an important role in this regard. However, they have not been practically applied in Iran. Aims This study aimed to evaluate the effect of using the Richmond agitation and sedation scale on hospital stay duration and dependency rate on the intensive care unit ventilator system in Ahwaz City, Iran, in 2016–2017. Methods This randomised clinical trial was conducted on 74 patients. The subjects were selected by a stratified sampling method and divided into the experimental ( n = 32) and control ( n = 32) groups. Sedation and agitation levels were managed by the Richmond agitation and sedation scale as soon as the samples were anxious and agitated, and every 6 hours in the intervention group. However, the control group received routine care. The data obtained were analysed by the Statistical Package for the Social Sciences (SPSS). Results There was no significant difference between the two groups in terms of demographic variables, such as age, gender, admission diagnosis and Glasgow coma scale scores on admission. However, they differed in terms of hospital stay duration and ventilator connection ( P < 0.001), Glasgow coma scale score at the separation time from the device ( P < 0.001), Glasgow coma scale score at the discharge time from the intensive care unit ( P < 0.02) and intensive care unit death rate ( P < 0.001). In all cases mentioned previously, the intervention group’s condition was better. Conclusions Based on the results of this study, as well as the approval of validation and reliability of the Richmond agitation and sedation scale in different studies, this protocol can be very effective in optimising the use of sedatives in the intensive care unit.

Scandinavian glutamine trial: a pragmatic multi-centre randomised clinical trial of intensive care unit patients

2011 ◽  
Vol 55 (7) ◽  
pp. 812-818 ◽  
Author(s):  
J. WERNERMAN ◽  
T. KIRKETEIG ◽  
B. ANDERSSON ◽  
H. BERTHELSON ◽  
A. ERSSON ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Randomised Clinical Trial

Comparing Vitamin A and Moist Chamber in Preventing Ocular Surface Disorders

2017 ◽  
Vol 27 (6) ◽  
pp. 714-729 ◽  
Author(s):  
Hassan Babamohamadi ◽  
Monir Nobahar ◽  
Jalaladin Razi ◽  
Raheb Ghorbani
Keyword(s):  
Clinical Trial ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Vitamin A ◽  
Ocular Surface ◽  
Slight Reduction ◽  
Moist Chamber ◽  
Icu Patients ◽  
Schirmer’S Test

The present study was conducted to determine the effectiveness of vitamin A eye ointment (VAEO) and moist chamber (MC) in preventing ocular surface disorders (OSD) in intensive care unit (ICU) patients. A total of 38 eligible patients were selected for participation in the present clinical trial. All the patients were randomly administered VAEO in one eye every 6 hr for 5 days and had a polyethylene cover (PC) placed on their other eye to create an MC that was replaced every 12 hr as well. The results of Schirmer’s test also increased by 2.06 mm in the VAEO group ( p < .001), while they showed a slight reduction by 0.15 mm in the MC group ( p = .669). VAEO was more effective in preventing OSD in ICU patients than MC and is, therefore, recommended to be used as a method of preventing OSD.

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