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

Damanhour University

Status and phase: Enrolling; Early Phase 1

Conditions: Dysphagia; Dysphagia Rehabilitation

Treatments: Combination Product: ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we

Study type: Interventional

Funder types: Other

Identifiers

NCT07081399

1a2b3c4d5e6f7g8h9i10j11k12l13m

Details and patient eligibility

About

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.

Full 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

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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80 participants in 2 patient groups

non-clinical pathway group

No Intervention group

Description:

non-clinical pathway group who received the routine hospital care.

clinical pathway group

Experimental group

Description:

the clinical pathway group who recieved the CP interventions such as: ETTcuff pressure measurement, ETT suctioning, measures to prevent laryngeal edema, swallowing rehabilitation, maneuvers to prevent laryngospasm