Endotracheal Extubation With Suctioning Versus Positive Pressure in Children After General Anaesthesia.

Not Applicable

Completed

• Conditions: Endotracheal Extubation
• Interventions: Procedure: Endotracheal extubation with positive pressure; Procedure: Endotracheal extubation with suctioning

• Registration Number: NCT05489809
• Lead Sponsor: Pakistan Navy Station Shifa Hospital

Brief Summary

Comparing extubation of endotracheal tube in children after general anaesthesia by applying suctioning to the endotracheal tube versus applying positive pressure to the endotracheal tube.

Detailed Description

Extubation after general anaesthesia involves removal of the endotracheal tube. This is done by either applying suctioning or applying positive pressure to the endotracheal tube. My study aims at identifying which technique is superior to the other.

Study Timeline

• Study Start: 2022-04-01
• Primary Completion: 2022-06-30
• Study Completion: 2022-07-15
• Study First Submitted: 2022-07-26
• Status Verified: 2022-08
• Study First Submitted QC: 2022-08-03
• Last Update Submitted: 2022-08-03
• Study First Posted: 2022-08-05
• Last Update Posted: 2022-08-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• ASA I/II patients
• either sex
• consent given

Exclusion Criteria

• not meeting the inclusion criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Endotracheal extubation with positive pressure	Endotracheal extubation with positive pressure	Positive pressure is applied to the endotracheal tube while removing it.
Endotracheal extubation with suctioning	Endotracheal extubation with suctioning	Suctioning is applied to the endotracheal tube while removing it.

Primary Outcome Measures

Name	Time	Method
Endotracheal extubation	3 months	The intervention will try to identify which technique is better to extubate the patient after general anesthesia.; In literature/anesthesia practice there is no scale, parameter or questionnaire to indicate extubation. However the aim is universally accepted that is to extubate the patient when he/she is hemodynamically stable and able to maintain a patent airway and oxygen saturation while spontaneously breathing and awake.; In my trial, half the number of participants will be extubated by applying suctioning to the endotracheal tube and the remaining will be extubated by applying positive pressure to the endotracheal tube at the end of general anesthesia.; Patients heart rate, blood pressure, oxygen saturation, the need for clearing secretions from the airway, and the need for supplemental oxygen at the time of extubation and 3 minutes after extubation will be compared to identify which technique is better in terms of patients airway management.

Secondary Outcome Measures

Name	Time	Method
Supplemental oxygen	3 months	Supplemental oxygen in liters per min
Pulse	3 months	Heart rate in beats per minute
Blood pressure	3 months	Blood pressure in millimetre of mercury
Oxygen saturation	3 months	Oxygen saturation in percentage
Airway suctioning	3 months	Number of times suctioning required to clear airway secretions

Trial Locations

Locations (1)

PNS Shifa Hospital; 🇵🇰 Karachi, Sind, Pakistan