Mechanical Ventilation Complication
Conditions
Brief summary
Conventional mechanical ventilation is a core feature of intensive care. Weaning and removal of endotracheal tube are crucial processes, which often account for a considerable part of Conventional mechanical ventilation total time. Unsuccessful extubation has been noted to be associated with an increase of both morbidity and mortality in adult and pediatric patients
Detailed description
The documented rate of failed extubations ranges from 4.1 to 14% in pediatric intensive care units.Therefore, strategies preventing the need for reintubation are needed. Non invasive ventilation has been proposed as useful therapy to wean patients after unsuccessful weaning trials and to avoid reintubation in adults, though controversy exists at this concern. This technique is increasingly being used in pediatric patients over the last years. The objective of the present study was to determine post extubation Non invasive ventilation characteristics and to identify risk factors of post extubation Non invasive ventilation failure in children
Interventions
DEVICEnon invasive mechanical ventilation in pediatrics
use of non invasive mechanical ventilation in pediatrics after successful weaning from invasive mechanical ventilation
DEVICEoxygen mask
use of oxygen mask after successful weaning from invasive mechanical ventilation
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
all the patients with successful weaning from invasive mechanical ventilation
Exclusion criteria
1. Maxillofacial trauma 2. Gastrointestinal obstruction 3. Severe lung secretion 4. Irreversible organ failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| risk of respiratory failure after non invasive ventilation use | one week after successful weaning from invasive mechanical ventilation | The patients will be evaluated to determine any manifestation of respiratory failure |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complications of non invasive mechanical ventilation in pediatrics | one week after use of non invasive ventilation | monitor any complications from use of Non Invasive Ventilation |
| length of hospital stay after non invasive ventilation use | one month after use of non invasive ventilation | the duration of hospital stay for all patients will be recorded |
Contacts
Primary ContactMaher Mokhtar, professor
Backup Contactmohamed amer fathy, professor
Outcome results
None listed