Health Condition 1: G729- Myopathy, unspecified
Conditions
Interventions
Control Intervention1: nil: nil
Sponsors
CCM department
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age > 18 years 2.48 hours to 96 hours post extubation after prolonged intubation 3.All tracheostomized patients who are already on oral feeds or in whom initiation of oral feeds is planned 4.Conscious and able to follow verbal commands [GCS at least E4 VT M6 (10T)] 5. Hemodynamically stable patients
Exclusion criteria
Exclusion criteria: 1. Presence of pre-existing dysphagia 2. Severe agitation and possible inability to cooperate with the examination 3. Bilateral obstruction of the nasal passages 4.Pre-existing neurological conditions, such as stroke and neuromuscular disease like myasthenia gravis, Lambert-Eaton myasthenic syndrome [LEMS] 5. Conditions affecting anatomic structures of the swallowing tract 6.History of recent trauma to the nasal cavity or surrounding tissue 7. Recent MI 8. Pre-existing congestive heart failure 9. Cardiac disorder with acute risk of vasovagal episode and bradycardia 10. Severe bleeding disorders and/or recent severe epistaxis (nosebleed) 11. Requiring oxygen more than 5lt/min 12.Recent trans-oesophageal echocardiography 13. Head and neck or oropharyngeal cancer
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To identify the prevalence of swallowing dysfunction in post extubated and tracheostomised patients without pre-existing dysphagia 2. To identify the risk factors associated with the development of dysphagia 3. To correlate between the severity of dysphagia and the its effects on patient outcomes Timepoint: At the time of bronchoscopic assessment of swallowing | — |
Secondary
| Measure | Time frame |
|---|---|
| â?¢Need for reintubation, development of hospital-acquired pneumonia (HAP) â?¢Incidence of in-hospital mortality â?¢Length of ICU and hospital stay â?¢Patients discharged with feeding tube Timepoint: From the day of test to day of discharge or death | — |
Countries
India
Contacts
Public ContactDeepika Shree
Sanjay Gandhi Post Graduate Institute Of Medical Sciences
Outcome results
None listed