{"id":5766,"date":"2023-10-02T12:35:28","date_gmt":"2023-10-02T10:35:28","guid":{"rendered":"https:\/\/bsicos-dev.i3a.es\/?p=5766"},"modified":"2023-10-02T12:35:29","modified_gmt":"2023-10-02T10:35:29","slug":"effects-of-an-early-neurocognitive-intervention-on-patient-ventilator-interaction-and-stress-in-critically-ill-patients-receiving-mechanical-ventilation-pvi-ans-ncog","status":"publish","type":"post","link":"https:\/\/bsicos.i3a.es\/es\/effects-of-an-early-neurocognitive-intervention-on-patient-ventilator-interaction-and-stress-in-critically-ill-patients-receiving-mechanical-ventilation-pvi-ans-ncog\/","title":{"rendered":"Effects of an early neurocognitive intervention on patient-ventilator interaction and stress in critically ill patients receiving mechanical ventilation (PVI-ANS-NCOG)"},"content":{"rendered":"<p><style>\/*! elementor - v3.5.5 - 03-02-2022 *\/<br \/>\n@media (min-width:768px){.elementor-widget-icon-box.elementor-position-left .elementor-icon-box-wrapper,.elementor-widget-icon-box.elementor-position-right .elementor-icon-box-wrapper{display:-webkit-box;display:-ms-flexbox;display:flex}.elementor-widget-icon-box.elementor-position-left .elementor-icon-box-icon,.elementor-widget-icon-box.elementor-position-right .elementor-icon-box-icon{display:-webkit-inline-box;display:-ms-inline-flexbox;display:inline-flex;-webkit-box-flex:0;-ms-flex:0 0 auto;flex:0 0 auto}.elementor-widget-icon-box.elementor-position-right .elementor-icon-box-wrapper{text-align:right;-webkit-box-orient:horizontal;-webkit-box-direction:reverse;-ms-flex-direction:row-reverse;flex-direction:row-reverse}.elementor-widget-icon-box.elementor-position-left .elementor-icon-box-wrapper{text-align:left;-webkit-box-orient:horizontal;-webkit-box-direction:normal;-ms-flex-direction:row;flex-direction:row}.elementor-widget-icon-box.elementor-position-top .elementor-icon-box-img{margin:auto}.elementor-widget-icon-box.elementor-vertical-align-top .elementor-icon-box-wrapper{-webkit-box-align:start;-ms-flex-align:start;align-items:flex-start}.elementor-widget-icon-box.elementor-vertical-align-middle .elementor-icon-box-wrapper{-webkit-box-align:center;-ms-flex-align:center;align-items:center}.elementor-widget-icon-box.elementor-vertical-align-bottom .elementor-icon-box-wrapper{-webkit-box-align:end;-ms-flex-align:end;align-items:flex-end}}@media (max-width:767px){.elementor-widget-icon-box .elementor-icon-box-icon{margin-left:auto!important;margin-right:auto!important;margin-bottom:15px}}.elementor-widget-icon-box .elementor-icon-box-wrapper{text-align:center}.elementor-widget-icon-box .elementor-icon-box-title a{color:inherit}.elementor-widget-icon-box .elementor-icon-box-content{-webkit-box-flex:1;-ms-flex-positive:1;flex-grow:1}.elementor-widget-icon-box .elementor-icon-box-description{margin:0}<\/style><\/p>\n\n\n<div id=\"pl-gb5766-69e95655ceb81\"  class=\"panel-layout\" ><div id=\"pg-gb5766-69e95655ceb81-0\"  class=\"panel-grid panel-has-style\" ><div class=\"siteorigin-panels-stretch panel-row-style panel-row-style-for-gb5766-69e95655ceb81-0\" data-stretch-type=\"full-width-stretch\" ><div id=\"pgc-gb5766-69e95655ceb81-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655ceb81-0-0-0\" class=\"so-panel widget widget_sow-hero panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-hero so-widget-sow-hero-default-93415d0e2dbf-5766 so-widget-fittext-wrapper\"\n\t\t\t data-fit-text-compressor=\"0.85\"\n\t\t>\t\t\t\t<div class=\"sow-slider-base\" style=\"display: none\" tabindex=\"0\">\n\t\t\t\t\t<ul\n\t\t\t\t\tclass=\"sow-slider-images\"\n\t\t\t\t\tdata-settings=\"{&quot;pagination&quot;:true,&quot;speed&quot;:800,&quot;timeout&quot;:8000,&quot;paused&quot;:false,&quot;pause_on_hover&quot;:false,&quot;swipe&quot;:true,&quot;nav_always_show_desktop&quot;:&quot;&quot;,&quot;nav_always_show_mobile&quot;:&quot;&quot;,&quot;breakpoint&quot;:&quot;780px&quot;,&quot;unmute&quot;:false,&quot;anchor&quot;:null}\"\n\t\t\t\t\t\t\t\t\t\tdata-anchor-id=\"\"\n\t\t\t\t>\t\t<li class=\"sow-slider-image\" style=\"visibility: visible;;background-color: #1e73be\" >\n\t\t\t\t\t<div class=\"sow-slider-image-container\">\n\t\t\t<div class=\"sow-slider-image-wrapper\">\n\t\t\t\t<h3 style=\"text-align: center\"><a href=\"..\/all-projects\/\">Proyectos<\/a><\/h3>\n<h1 class=\"entry-title\" style=\"text-align: center\"><strong>Effects of an early neurocognitive intervention on patient-ventilator interaction and stress in critically ill patients receiving mechanical ventilation (PVI-ANS-NCOG)\n<\/strong><\/h1>\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<\/li>\n\t\t<\/ul>\t\t\t\t<ol class=\"sow-slider-pagination\">\n\t\t\t\t\t\t\t\t\t\t\t<li><a href=\"#\" data-goto=\"0\" aria-label=\"mostrar diapositiva 1\"><\/a><\/li>\n\t\t\t\t\t\t\t\t\t<\/ol>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-next\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"next\" aria-label=\"diapositiva siguiente\" data-action=\"next\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-right\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\n\t\t\t\t<div class=\"sow-slide-nav sow-slide-nav-prev\">\n\t\t\t\t\t<a href=\"#\" data-goto=\"previous\" aria-label=\"diapositiva anterior\" data-action=\"prev\">\n\t\t\t\t\t\t<em class=\"sow-sld-icon-thin-left\"><\/em>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div><\/div><\/div><\/div><\/div><\/div><\/div>\n\n<div id=\"pl-gb5766-69e95655cf71c\"  class=\"panel-layout\" ><div id=\"pg-gb5766-69e95655cf71c-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb5766-69e95655cf71c-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655cf71c-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>Fecha de inicio<\/strong><\/p>\n<p style=\"text-align: center;\">2015<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb5766-69e95655cf71c-0-1\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655cf71c-0-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>Fecha de finalizaci\u00f3n<\/strong><\/p>\n<p style=\"text-align: center;\">2017<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb5766-69e95655cf71c-0-2\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655cf71c-0-2-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>Coordinador<\/strong><\/p>\n<p style=\"text-align: center;\">Raquel Bail\u00f3n<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-gb5766-69e95655cf71c-0-3\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655cf71c-0-3-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p style=\"text-align: center;\"><strong>Funding agency<\/strong><\/p>\n<p style=\"text-align: center;\">CIBER &#8211; ISCIII<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><div id=\"pg-gb5766-69e95655cf71c-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-gb5766-69e95655cf71c-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-gb5766-69e95655cf71c-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<hr \/>\n<section class=\"kc-elm kc-css-683516 kc_row\">\n<div class=\"kc-row-container kc-container\">\n<div class=\"kc-wrap-columns\">\n<div class=\"kc-elm kc-css-158099 kc_col-sm-12 kc_column kc_col-sm-12\">\n<div class=\"kc-col-container\">\n<div class=\"kc-elm kc-css-693042 kc_text_block\">\n<p>Critically ill patients with acute respiratory failure (ARF) often need mechanical ventilation (MV) as a vital support tool, even though its adverse effects such as patient-ventilator asynchronies, dyspnea or air hunger. These MV effects, along with other ICU stay variables, may increase the stress levels of the critically ill patients. In fact, these stress levels may influence, and even perpetuate, patient-ventilator uncoupling. Stress is a physiological response of the autonomous nervous system (ANS) experienced on encountering a threatening situation. Stress resulting in an increase in respiratory rate, heart rate and blood pressure and it can directly affects cognition by the activation of the hypothalamic\u2013pituitary\u2013adrenal (HPA) axis and release of glucocorticoid stress hormones. Moreover, stress can worsen patient-ventilator interaction (PVI). Cognitive and psychopathological impairments are extremely common in survivors of critical illness, suggesting that approximately one third of patients or more will develop chronic neurocognitive impairment. The consequences of this long-term cognitive deficit contribute to a decreased ability to perform activities of daily living, a decreased quality of life, increased medical costs and the inability to return to work. The personal and economic costs related to cognitive and psychopathological impairments in ICU survivors highlight the need to develop new ICU patients\u2019 management techniques which could prevent the cognitive and psychopathological impairment. However, measuring stress in ICU patients may result complicated due to the variability of diagnosis, patients\u2019 clinical characteristics and managements required. An appropiate stress measure as well as an adecuated registre of patient-ventilator asynchronies will allow to demostrate the effect of an early intervention in ICU patients.<\/p>\n<p>The aim of the present project is to study the effect of an early neurcognitive intervention on decreasing stress levels and ameliorating patient-ventilator interaction during ICU patients\u2019 stay. Furthermore, we pretend to explore the impact of these effects in the short- and long-term cognitive and psychopathological outcome of the ICU survivors.<\/p>\n<p>A randomized clinical trial will be performed in 80 critically ill patients with ARF undergoing MV without previous neurological and\/or psychiatry disease. Demographic and physiological variables (cardiac, hemodynamic and respiratory scalars) will be constantly monitored and registered in participants during all ICU stay. An early neurocognitive intervention based in relaxation and low cognitive load exercises will be administered to the experimental group. A comprehensive neurocognitive and psychopathological assessment will be performed at hospital discharge and 3 months follow-up.<\/p>\n<p>Participants receiving the early neurocognitive intervention are expected to decrease PVI and reduce stress levels related to MV during ICU stay and to maintain cognitive and psychopathological status comparing with the control group.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section class=\"kc-elm kc-css-384056 kc_row\">\n<div class=\"kc-row-container kc-container\">\n<div class=\"kc-wrap-columns\">\n<div class=\"kc-elm kc-css-669673 kc_col-sm-12 kc_column kc_col-sm-12\">\n<div class=\"kc-col-container\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[267,266,276,264,275],"tags":[],"class_list":["post-5766","post","type-post","status-publish","format-standard","hentry","category-autonomic-nervous-system-finished","category-lines-finished","category-national-projects-finished","category-projects-finished","category-respiratory-system-finished"],"_links":{"self":[{"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/posts\/5766","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/comments?post=5766"}],"version-history":[{"count":1,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/posts\/5766\/revisions"}],"predecessor-version":[{"id":5767,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/posts\/5766\/revisions\/5767"}],"wp:attachment":[{"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/media?parent=5766"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/categories?post=5766"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsicos.i3a.es\/es\/wp-json\/wp\/v2\/tags?post=5766"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}