the Effect of Adult Intubated Patient Clinical Pathway on Post-extubation Complications Prevention

Early Phase 1RecruitingNCT07081399

Damanhour University80 enrolled

Overview

Post- extubation complications delay the complete recovery of critically ill patient. The clinical pathway is one strategies that help to manage and control these complications.

The presence of endotracheal tube is associated with various fatal complications which are diagnosed mainly in post- extubation time. Those complications include laryngeal edema, laryngospasm, and post-extubation dysphagia which delay the complete recovery of critically ill patient. The clinical pathway is one of the excellent strategies that help the critical care staff to manage and control these complications

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

QUADRUPLE

Enrollment

Conditions

Dysphagia Dysphagia Rehabilitation

Interventions

ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg weCOMBINATION_PRODUCT

cough augmentation, larson maneuver, swallowing rehabilitation

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult (\>18 years) * orally intubated patients for the first time attached with MV for less than two weeks * with Glasgow coma scale (GCS) from 13-15. Exclusion Criteria: * patients admitted with high risk for laryngeal edema, * difficult intubation, * ETT/anterior-posterior diameter ˃45%, * self-extubation, and * planned for tracheostomy.

Locations (1)

Faculty of Nursing, Damanhour University

Damanhūr, Egypt, Egypt

RECRUITING

Outcomes

Primary Outcomes

prevention of laryngeal edema

measured by respiratory distress observation score that it ranges from 0-16. the high score indicates sever respiratory distress

Time frame: 72 hours after extubation

laryngospasm

measured by four point scale. it composed from 4 grades, grade 0 indicates no laryngospasm, grade 3 indicates severe degree of laryngospasm.

Time frame: 72 hours after extubation

dysphagia

measured by Gugging Swallowing Screen scale that it ranges from 0 -20. the high score indicates severe dysphagia

Time frame: 72 hours after extubation

Central Contacts

heba attia effect of adult intubated CP on post-extubation complications

CONTACT

045 01274855242 heba.attia@nur.dmu.edu.eg

Data from ClinicalTrials.gov

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