the Effect of Adult Intubated Patient Clinical Pathway on Post-extubation Complications Prevention
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we.
- Who it may be relevant to
- Registry conditions: Dysphagia, Dysphagia Rehabilitation. Basic parameters: 18 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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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.
Detailed description
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
Interventions
- Combination product ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we
cough augmentation, larson maneuver, swallowing rehabilitation
Primary outcome measures
- prevention of laryngeal edema [Time frame: 72 hours after extubation]
- laryngospasm [Time frame: 72 hours after extubation]
- dysphagia [Time frame: 72 hours after extubation]
Eligibility criteria
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.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Non-randomized
- Model
- Parallel assignment
- Masking
- Quadruple blind
- Primary purpose
- Supportive care
Study locations
Egypt · 1 center
- Faculty of Nursing, Damanhour University — Damanhūr
Identifiers
NCT: NCT07081399 · 1a2b3c4d5e6f7g8h9i10j11k12l13m