Measurement of the respiratory strength of the intubated patients by using respiratory pressure meter in ICU in tertiary care hospital in western Maharashtra..a one of the tool to extubate the patient
- Conditions
- Health Condition 1: J99- Respiratory disorders in diseasesclassified elsewhere
- Registration Number
- CTRI/2020/12/029905
- Lead Sponsor
- Rajani Pagare
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 0
1- Stable cardiovascular status.
2- Age > 18 years.
3- Tidal volume >5 cc/kg on a spontaneous mode.
4- Heart rate <120 and >60 beats per minute.
5- Respiratory rate <30 and >6 breaths per minute.
6- Systolic blood pressure 90-160mm of Hg.
7- Adequate oxygenation >92% on Fio2 <0.4
8- Positive end expiratory pressure- less than or equal to 5cms of H2O.
9- Glasgow coma scale >10 only for subjects with Endotracheal tube.
10- No substantial respiratory acidosis PH >7.30.
11- Candidates for extubation should be able to open their eyes and track an object visually.
12- They should be able to grasp their examinerââ?¬•s hand, stick out their tongue, and lift their head off the bed.
13- Audible cuff leak during positive pressure inhalation when the endotracheal tube (ETT) cuff is deflated.
1- Delirium.
2- Cognitive dysfunction.
3- Visual and hearing deficit.
4- Spinal and thoracic deformities.
5- Refusal to participate/Un-cooperative individuals.
6- Haemodynamic instability.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Measurement of maximum inspiratory pressure measurement used Micro RPM (respiratory pressure meter)Timepoint: one time assessment of maximum inspiratory pressure just before the extubation
- Secondary Outcome Measures
Name Time Method screening the patient for re-intubation less than or equal to 48 hours.Timepoint: Once after 48 hours