Tracheostomized patients in the ICU can have excessive tracheal secretions due to various causes as hyperactive airway, irritation of the mucus producing cells and inhibition of the ciliary functions. Excessive secretions will necessitate frequent suctions which carries the risk of tracheostomy tube obstruction if not managed properly. Excessive tracheal secretions may prolong the ICU stay, increase the nurses workload and increase patients morbidity and mortality. This clinical trial hypothesizes that the use of glycopyrrolate may decrease the tracheal secretions and hence avoid such complications.
Patients fulfilling the inclusion criteria will be randomly assigned into one of 2 groups: Group G (Intervention group): Patients will receive Glycopyrrolate 0.2 mg IV every 8 hours. Group C (Control group): Patients will receive 2 mL Normal saline every 8 hours. Both injections will be labelled as drug A and drug B in the satellite pharmacy . Both the attending physician, nurse and data collector will be blinded to the injection given. Measurements data will be collected and recorded daily in the pre-prepared CRF during the study period.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
80
injections
normal saline
Security Forces Hospital
Riyadh, Saudi Arabia
Number of suctions per day
Number of suctions per day
Time frame: 6 days
The duration of ICU days
the total days the patient will spend in ICU
Time frame: 90 days
Fio2
Fio2 on mechanical ventilation every 4 hours daily
Time frame: 6 days
Mean airway pressure
Mean airway pressure will be recorded every 4 hours on the mechanical ventilator
Time frame: 6 days
Positive end expiatory pressure PEEP
PEEP will be recorded every 4 hours on the mechanical ventilator
Time frame: 6 days
The duration of mechanical ventilation days
Total days spent on mechanical ventilation
Time frame: 90 days
Side effects of Glycopyrrolate
Episodes of tachycardia if heart rate reach 120 beats / minute
Time frame: 6 days
Fluid intake
Fluid balance calculated daily
Time frame: 6 days
Total leukocyte count
Total leukocyte count daily
Time frame: 6 days
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