Health Condition 1: - Health Condition 2: R060- Dyspnea
Conditions
Interventions
Intervention1: HFNC: Group A will receive high flow nasal cannula (HFNC) following extubation .High
flow nasal oxygen will be delivered continuously for upto 48 hours following extubation
Control Int
Sponsors
Sir Ganga Ram Hospital
Eligibility
Inclusion criteria
Inclusion criteria: age more than or equal to 18 years
Exclusion criteria
Exclusion criteria: 1.Do not reintubate orders at extubation. 2. Facial anomalies or facial trauma. 3.Traumatic brain injury patients. 4.Accidental extubation 5.History of long-term treatment with noninvasive ventilation or continuous positive airway pressure at home 6. History of chronic neuromuscular disease (myopathy or myasthenia gravis) 7.Patient refusal to take part in the study 8.Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reintubation rate during the first 72 hours following extubation in HFNC and NIV groups in critically ill patients at high risk of extubation failure.Timepoint: Reintubation rate during the first 72 hours following extubation in HFNC and NIV groups in critically ill patients at high risk of extubation failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient comfort using 0-100mm unmarked visual analogue scale at 2, 6,12, 24 and 48 hours in both groupsTimepoint: ;Reintubation rate due to post extubation respiratory failure during the first 72 hours following extubation in both groups.Timepoint: Reintubation rate due to post extubation respiratory failure during the first 72 hours following extubation in both groups.;Length of ICU stay ( in days) in both groupsTimepoint: Length of ICU stay ( in days) in both groups;28 days mortality rates in both groupsTimepoint: 28 days mortality rates in both groups | — |
Countries
India
Contacts
Public ContactDr Rahul Kumar
Sir Ganga Ram Hospital
Outcome results
None listed