the Effect of Adult Intubated Patient Clinical Pathway on Post-extubation Complications Prevention
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- prevention of laryngeal edema
研究概览
简要总结
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.
详细描述
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
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
盲法说明
post-extubation complications outcomes (laryngospasm, laryngeal edema and dysphagia)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •patients admitted with high risk for laryngeal edema,
- •difficult intubation,
- •ETT/anterior-posterior diameter ˃45%,
- •self-extubation, and
- •planned for tracheostomy.
结局指标
主要结局
prevention of laryngeal edema
时间窗: 72 hours after extubation
measured by respiratory distress observation score that it ranges from 0-16. the high score indicates sever respiratory distress
laryngospasm
时间窗: 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
时间窗: 72 hours after extubation
measured by Gugging Swallowing Screen scale that it ranges from 0 -20. the high score indicates severe dysphagia
次要结局
未报告次要终点
研究者
Heba.Attia@nur.dmu.edu.eg
assistant lecturer critical care and emergency nursing
Damanhour University