Health Condition 1: G00-G99- Diseases of the nervous system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosed head injury requiring Neuro ICU On invasive mechanical ventilation via tracheostomy tube for more than or equal to 48 hours Clinical suspicion of lower respiratory tract infection
Exclusion criteria
Exclusion criteria: Hemodynamic instability or recent cardiac arrest where the procedure is unsafe Severe hypoxemia or severe bronchospasm at the time of planned sampling Uncorrected coagulopathy or platelet count less than 50000 Upper airway anatomical abnormalities preventing safe catheter advancement Respiratory specimen already collected within the previous 24 hours for clinical purposes Severe immunosuppression where additional procedures are deemed high risk
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the diagnostic accuracy of mini bronchoalveolar lavage cultures and tracheal aspirate cultures for identifying lower respiratory tract infection in mechanically ventilated head injury patients in Neuro ICUTimepoint: 1 time | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the safety of mini bronchoalveolar lavage and tracheal aspirate with reference to procedure related complication (desaturation, bleeding, respiratory rate and heart rate).Timepoint: 1 time | — |
Countries
India
Contacts
AIIMS , New Delhi