ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we
ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we: cough augmentation, larson maneuver, swallowing rehabilitation
Study 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.
Eligibility
Sex
ALL
Min age
18 Years
Max age
60 Years
Healthy volunteers
No
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.
Primary outcome measure(s)
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
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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