Health Condition 1: V99- Unspecified transport accident
Conditions
Interventions
None listed
Sponsors
PGIMER
Eligibility
Inclusion criteria
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
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The predictive value of ultrasound guided laryngeal air column width ratio to diagnose post-extubation stridor in childrenTimepoint: 1. Immediately following intubation 2. Prior to start of steroid therapy 3. Before extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The predictive value of ultrasound guided laryngeal air column width difference to diagnose post-extubation stridor in children 2. Effect of steroid therapy on ultrasound guided laryngeal air column width difference and ratio 3. To evaluate the accuracy of cuff leak test (CLT) in predicting post-extubation stridor in children 4. To compare the predictive value of LACWD and LACWR with the CLT for diagnosing post-extubation stridor in children 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. | — |
Countries
India
Contacts
Public ContactNidhi Bhatia
PGIMER, Chandigarh
Outcome results
None listed