Health Condition 1: - Health Condition 2: J00-J99- Diseases of the respiratory system
Conditions
Interventions
Intervention1: Nasal Intubation: Intubation via nasal route
Control Intervention1: Endotracheal intubation: Intubation via endo-tracheal route
Sponsors
PGIMER Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: All intubated cases admitted to PICU or who require intubation during PICU stay
Exclusion criteria
Exclusion criteria: Tracheostomized cases Raised ICP Severe ARDS Cases with refractory septic shock Cases requiring re-intubation after one episode of mechanical ventilation Anticipated intubation Known bleeding disorder Recent nasal surgery or trauma or burns Previous history of epistaxis Chronic lung disease Congenital heart disease Nasal and other facial malformation, where nasal intubation is difficult
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of post-extubation airway obstruction (PEAO)Timepoint: 48 hours post extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Intubation duration Number of attempts for intubation Complications during intubation (hypoxemia, bradycardia, hypotension, cardiac arrest) Accidental extubation Repeated intubations Tube malposition/displacement Endotracheal tube blockade Ventilator associated pneumonia Skin trauma related to endotracheal tube (injury to skin, nares, nasal septum, lip, or tongue) Extubation failure Duration of PICU stay Survival or deathTimepoint: Till discharge from PICU | — |
Countries
India
Contacts
Public ContactSuresh Kumar
PGIMER, Chandigarh
Outcome results
None listed