using ultrasound to predict development of breathing difficulty following extubation in children with trauma

Not Applicable

Completed

• Conditions: Health Condition 1: V99- Unspecified transport accident

• Registration Number: CTRI/2019/11/022042
• Lead Sponsor: PGIMER

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 22 January 2024

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

All children 1-14 years of age admitted to Trauma Intensive Care Unit (TICU) for mechanical ventilation of more than 24 hours will be included in the study, after taking a written informed consent from the parents / guardians of children

Exclusion Criteria

-Age > 14 years

-Patients with airway trauma

-Patients intubated for vocal cord paralysis or upper airway obstruction

-Patients receiving mechanical ventilation via a tracheostomy tube

-Patients not extubated

-Patients with C-spine injury

-Active lesions on the skin at the site of ultrasound probe placement

-Patients on systemic corticosteroids

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The predictive value of ultrasound guided laryngeal air column width ratio to diagnose post-extubation stridor in childrenTimepoint: 1. Immediately following intubation <br/ ><br>2. Prior to start of steroid therapy <br/ ><br>3. Before extubation

Secondary Outcome Measures

Name	Time	Method
1.The predictive value of ultrasound guided laryngeal air column width difference to diagnose post-extubation stridor in children <br/ ><br>2.Effect of steroid therapy on ultrasound guided laryngeal air column width difference and ratio <br/ ><br>3.To evaluate the accuracy of cuff leak test (CLT) in predicting post-extubation stridor in children <br/ ><br>4.To compare the predictive value of LACWD and LACWR with the CLT for diagnosing post-extubation stridor in children <br/ ><br>Timepoint: Laryngeal air column width (LACW) will be measured initially on the day of receiving the patient in TICU, immediately following intubation. Following this, the measurements will be taken prior to start of steroid therapy and before extubation. Cuff leak test will also be measured prior to start of steroid therapy and before extubation.