Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: High flow nasal cannula: High flow nasal cannula for weaning patients from mechanical ventilation . Duration of high flow nasal cannula will be from extubation till adequate recovery a
Sponsors
King George medical college
Eligibility
Inclusion criteria
Inclusion criteria: All mechanically ventilated patients, aged 18 years to 65 years, who are ventilated for more than 48 hours and their underlying pathology has either resolved or improving and they meet the weaning criteria
Exclusion criteria
Exclusion criteria: A) cardiac arrest,acute coronary syndrome or life threatening arrhythmia B)failure of more than 2 organs C) recent trauma or burns of neck and face D) contraindications of high flow nasal cannula ( abnormalities of face , nose, airway or pneumothorax, recent cranial surgery, severe bulbous lung disease) E) unplanned or self extubation F)APACHE score more than 25 G) once failed weaning trial H) tracheostomised patient I) neuromuscular disorder J) non cooperation K) pregnancy L) refusal of treatment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the effectiveness of high flow nasal cannula as a weaning method compared to conventional weaning in mechanically ventilated patients in critical care unit, in terms of need for reintubationTimepoint: At time of extubation and at time of discharge from critical care unit | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare two methods with respect to: A) number of days on ventilator and high flow nasal cannula B) number of days in intensive care unit C) incidence of ventilator associated pneumoniaTimepoint: At time of extubation and discharge from critical care unit | — |
Countries
India
Contacts
Public ContactGAURI ARORA
King George medical college
Outcome results
None listed