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Study aim
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Comparing the effects of mint and cuminum extract on residual volume and abdominal distention in patients under mechanical ventilation
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Design
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A randomized clinical trial with 3 groups(peppermint, cuminum and control), without blinding, phase II, conducted on 114 patients. Randomization will be performed using sequentially numbered, sealed envelopes.
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Settings and conduct
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This study will be conducted on mechanically ventilated patients in Ghaem and Imam Reza hospitals in Mashhad. Eligible patients will be enrolled in the study after assessment of the inclusion criteria and obtaining informed consent from the patient or their legal representative. participants will be randomly assigned to 3 groups: peppermint, cuminum and control groups. The intervention groups will receive peppermint or cuminum extract according to the study protocol, and the control group will receive routine care of the ward. GRV and abdominal distention will be measured and recorded at the predetermined times according to the study protocol.
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Participants/Inclusion and exclusion criteria
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Inclusion criteria: Under mechanical ventilation, Age18 years or older, At least24 hours have passed since admission, Hemodynamically stable, Receiving enteral nutrition via NGT, Informed consent from the patient or their legal representative; Exclusion criteria: allergy to peppermint or cuminum, pregnant or breastfeeding, hypothyroidism, active GI bleeding or peptic ulcer, gallstone or liver failure
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Intervention groups
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In this study, there will be 3 groups: peppermint, cuminum and control groups. The peppermint group will receive peppermint extract according to the study protocol, the cuminum group will receive cuminum extract according to the study protocol. The control group will receive routine care of the ward and will not receive the herbal intervention.
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Main outcome variables
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Gastric residual volume; abdominal distention