Peppermint Aroma and Physiological Parameters

Alexandria University106 enrolled

Overview

Three drops of peppermint oil will be dropped on a cotton ball that will be fixed in the patient's collar. In the placebo group, peppermint oil will be replaced with water.

Mechanical ventilathetion increases the anxiety of critically ill patients. The physiological parameters of those patients are affected by stress. Peppermint inhalation reduces stress and improves physiological parameters in many studies, but none of these studies used peppermint inhalation on mechanically ventilated patients. Patients who are conscious on mechanical ventilation via endotracheal via tube will be randomly assigned to two groups. Patients will be kept intubated and mechanically ventilated. Nothing will be changed in patients' mechanical ventilation data. The intervention group will receive peppermint inhalation intervention, and the placebo group received water inhalation intervention. Patients in both groups will be assessed for their smell ability by Sniffin Sticks-test before starting the interventions. Three drops of undiluted peppermint oil will be dropped on a cotton ball. Then it will be placed about 20 cm from the patient's nose. It will be fixed on the patient's collar. In the placebo group, the cotton ball will be soaked in water. Then, patients will be monitored for one hour.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

106

Conditions

Mechanical Ventilation Complication

Interventions

AromatherapyOTHER

Peppermint aroma inhalation

PlaceboOTHER

Water inhalation

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: Patients with * (1) endotracheal tube (ETT) * (2) mechanical ventilation with spontaneous breathing modes which are CPAP, PIPAP and PSV * (3) FOUR score equal to or more than 13, * (4) RASS score from -1 to +4. Exclusion Criteria: Patients with * (1) respiratory asthma * (2) chronic obstructive pulmonary disease * (3) acute respiratory distress syndrome, * Sniffin' Sticks-test score of smell less than 17

Locations (1)

Alexandria University, Faculty of nursing

Alexandria, Egypt

Outcomes

Primary Outcomes

Heart rate

The number of heart beats in one minute. It will be reported in beat per minute.

Time frame: Change from baseline heart rate at one hour.

Respiratory rate

The number of breaths in one minute. It will be reported in breath per minute.

Time frame: Change from baseline respiratory rate at one hour.

Mean blood pressure

Mean blood pressure equal diastolic blood pressure + 1/3 \[systolic blood pressure - diastolic blood pressure\]. It will be reported in millimeters of mercury (mmHg).

Time frame: Change from baseline mean blood pressure at one hour.

Pain score

It will be measured using non verbal pain assessment scale. It consists of five categories; face, movement, guarding, physiology, and respiratory items. It will be reported in score. The maximum score of the scale is 10 which means extremely sever pain, and the minimum score is zero which means no pain.

Time frame: Change from baseline pain score at one hour.

Data from ClinicalTrials.gov

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