Health Condition 1: G822- Paraplegia Health Condition 2: G825- Quadriplegia Health Condition 3: G811- Spastic hemiplegia
Conditions
Interventions
Intervention1: tracheostomy: early tracheostomy at day 4
Control Intervention1: tracheostomy: late tracheostomy at day 10
Sponsors
Dr Nitin Kumar
Eligibility
Inclusion criteria
Inclusion criteria: Age group 18 years and above. GCS less than equal to 8 or Bulbar palsy (primarily involving cranial nerves IX and X). The patients with Non-traumatic cerebrovascular disease. Severe acute ischemic stroke (e.g. large hemispheric stroke, space-occupying cerebellar stroke, basilar thrombosis, and brain stem infarction), large or brain stem, intracerebral hemorrhage, and intraventricular hemorrhage. SETscore for tracheostomy more than 8
Exclusion criteria
Exclusion criteria: Patients intubated outside AIIMS, Rishikesh. The patients who have already developed aspiration pneumonia, hospital acquired/ventilator associated pneumonia before study enrolment. Artificial ventilation for more than 4 days. Need for a permanent surgical tracheostomy. High oxygenation requirements: Positive end-expiratory pressure > 12, or fraction of inspired oxygen > 0.6). Pregnancy. Participation in any other interventional trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine the effectiveness of early and late tracheostomy in reducing 30 days mortality among stroke patients at medicine ICU.Timepoint: it will be evaluated on 30th day from day of intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| secondary outcome- To estimate the proportion of ventilator associated pneumonia, ventilator free days, and length of ICU stay (in days) in early and late tracheotomised patients.Timepoint: alternate day from day of tracheostomy till 30th day or discharge or demise | — |
Countries
India
Contacts
Public ContactNitin Kumar
AIIMS RISHIKESH
Outcome results
None listed