This is a randomized clinical trial to measure the effect of tidal volume (group 6 ml/kg vs 10 ml/kg) on diaphragm dysfunction on mechanically ventilated critical patient.
Patient was enrolled in the first day receiving mechanical ventilation in ICU. Patient was included to group A or group B. Group A patient will receive tidal volume of 6 ml/kg and group B patient will receive tidal volume of 10 ml/kg. The assignment was randomized. Followed for 3 days. After 24, 48, and 72 hours, patient blood will be collected to measure the interleukin value, and diaphragm dysfunction will be observed by the use of ultrasonography by expert doctor from radiology department. Data will be analyzed statistically if there is an effect of tidal volume difference on diaphragm dysfunction and interleukin-6 as marker of inflammation. The minimal sample of patient is 44 patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
44
Tidal volume is defined as the amount of air that moves in or out of the lungs with each respiratory cycle, given by the mechanical ventilator.
Tidal volume is defined as the amount of air that moves in or out of the lungs with each respiratory cycle, given by the mechanical ventilator.
Dr Cipto Mangunkusumo Hospital
Jakarta Pusat, DKI Jakarta, Indonesia
DD-24
Diaphragm dysfunction 24 hours after mechanical ventilation assessed by ultrasound.
Time frame: 24 hours after mechanical ventilation
DD-48
Diaphragm dysfunction 48 hours after mechanical ventilation assessed by ultrasound.
Time frame: 48 hours after mechanical ventilation
DD-72
Diaphragm dysfunction 72 hours after mechanical ventilation assessed by ultrasound.
Time frame: 72 hours after mechanical ventilation
IL-6-24
Blook interleukin 6 24 hours after mechanical ventilation
Time frame: 24 hours after mechanical ventilation
IL-6-48
Blook interleukin 6 48 hours after mechanical ventilation
Time frame: 48 hours after mechanical ventilation
IL-6-72
Blook interleukin 6 72 hours after mechanical ventilation
Time frame: 72 hours after mechanical ventilation
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