Health Condition 1: T600- Toxic effect of organophosphate and carbamate insecticides
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with confirmed Organophosphate poisoning with age greater or equal to 18 years, Patients requiring invasive mechanical ventilation, Patients undergoing spontaneous breathing trial prior to extubation, Provision of informed consent by legally acceptable representative, Excessive secretions.
Exclusion criteria
Exclusion criteria: Patients aged less than 18 years. Pregnant patients. Patients with pre-existing neuromuscular disease affecting diaphragmatic function. Patients with known diaphragmatic paralysis or chronic respiratory failure. Patients with significant chest wall deformity. Patients with cervical spinal cord injury. Patients with poor ultrasonographic window preventing adequate diaphragm visualization. Patients extubated accidentally or self-extubated. Patients refusing consent. ARDS, Morbid obesity, Burns, Trauma, Post operative.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the weaning outcome at Forty eight hours categorized as either successful extubation remaining free from any type of mechanical ventilatory support or Extubation failure which includes reintubation, non invasive positive pressure ventilation and death.Timepoint: Forty eight hours post extubation, patient is to be observed for primary outcome. | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of diaphragmatic thickness fraction with Rapid Shallow Breathing Index & Maximal Inspiratory Pressure for prediction of extubation success. To find out an Optimal cutoff value of diaphragmatic thickness fraction for predicting successful extubation. To explore association between Pre extubation Diaphragmatic Thickness Fraction & Duration of mechanical ventilation, ICU length of stay, total hospital stay. Timepoint: Fourteen Days | — |
Countries
India
Contacts
Postgraduate Institute of Medical Education and Research, Chandigarh