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

Not Applicable

Recruiting

• Conditions: Dysphagia; Dysphagia Rehabilitation

• Registration Number: NCT07081399
• Lead Sponsor: Damanhour University

Brief Summary

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

Study Timeline

• Study Start: 2024-08-08
• Study First Submitted: 2025-01-02
• Primary Completion: 2025-03-08
• Status Verified: 2025-07
• Study First Submitted QC: 2025-07-22
• Last Update Submitted: 2025-07-22
• Study First Posted: 2025-07-23
• Last Update Posted: 2025-07-23
• Study Completion: 2025-08-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 80

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
prevention of laryngeal edema	72 hours after extubation	measured by respiratory distress observation score that it ranges from 0-16. the high score indicates sever respiratory distress
laryngospasm	72 hours after extubation	measured by four point scale. it composed from 4 grades, grade 0 indicates no laryngospasm, grade 3 indicates severe degree of laryngospasm.
dysphagia	72 hours after extubation	measured by Gugging Swallowing Screen scale that it ranges from 0 -20. the high score indicates severe dysphagia

Trial Locations

Locations (1)

Faculty of Nursing, Damanhour University; 🇪🇬 Damanhūr, Egypt