Health Condition 1: T175- Foreign body in bronchus Health Condition 2: J09X- Influenza due to identified novelinfluenza A virus Health Condition 3: I279- Pulmonary heart disease, unspecified Health Condition 4: A419- Sepsis, unspecified organism
Conditions
Interventions
Intervention1: Not Applicable: Not Applicable
Control Intervention1: Not Applicable: Not Applicable
Sponsors
Jawaharlal Institute of Postgraduate Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Children aged between 1 year to 11 years intubated with microcuff endotracheal tube and requiring mechanical ventilation at least for 24 hours will be included in this study.
Exclusion criteria
Exclusion criteria: Following children will be excluded from this study: 1. Children requiring reintubation due to any cause after extubation 2. Children with known airway anomalies 3. Children with a diagnosis of croup / TB / suppurative focus in the head and neck prior to intubation. 4. Children who undergo tracheostomy while on ventilator 5. Children with subcutaneous emphysema of the neck 6. Children with chronic CNS disease like cerebral palsy, neuro regression etc 7. Children with superior mediastinal syndrome
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| To determine the duration in days in which the cuff of the microcuff endotracheal tube is positioned at the level of the cricoid during the entire period of mechanical ventilation in the recruited childrenTimepoint: USG imaging of the position of the cuff will be studied once every day from day 2 of mechanical ventilation till 7 days or till extubation;To study the proportion of children with upper limit of cuff at the levels of 1st, 2nd and 3rd tracheal ringsTimepoint: USG imaging of the position of the cuff will be studied once every day from day 2 of mechanical ventilation till 7 days or till extubation;To compare the Proportion of children with extubation failure (defined as reintubation within 48 hours) between the children in whom the microcuff is positioned at the level of cricoid for at least 24 hours during mechanical ventilation with those in whom the cuff was never positioned at the level of cricoid for 24 hours.Timepoint: From the time of extubation till 48 hours after extubation;To compare the frequency of occurrence of stridor (as assessed by Wesley stridor score) between the children in whom the micro cuff is positioned at the level of cricoid for at least 24 hours during mechanical ventilation with those in whom the cuff was never positioned at the level of cricoid for 24 hours.Timepoint: from the time of extubation till 48 hours after extubation;To compare the frequency of occurance of airway oedema between the children in whom the micro cuff is positioned at the level of cricoid for at least 24 hours during mechanical ventilation with those in whom the cuff was never positioned at the level of cricoid for 24 hours.Timepoint: From the time of extubation till 7 days after extubation;To determine the duration in days in which the cuff of the micro cuff endotracheal tube is positioned at the level of the cricoid during the entire period of mechanical ventilation in the recruited children Timepoint: USG imaging of the position of the cuff will be studi | — |
Primary
| Measure | Time frame |
|---|---|
| To determine the proportion of children (age 1-11 years) on mechanical ventilation who have the cuff of microcuff endotracheal tube positioned at the level of the cricoid for at least 24 hours during the period of mechanical ventilationTimepoint: USG imaging of the position of the cuff will be studied once every day from day 2 of mechanical ventilation till 7 days or till extubation | — |
Countries
India
Contacts
Public ContactDr Senthilnathan Muthapillai
Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry
Outcome results
None listed