Endotracheal Extubation
Conditions
Brief summary
Comparing extubation of endotracheal tube in children after general anaesthesia by applying suctioning to the endotracheal tube versus applying positive pressure to the endotracheal tube.
Detailed description
Extubation after general anaesthesia involves removal of the endotracheal tube. This is done by either applying suctioning or applying positive pressure to the endotracheal tube. My study aims at identifying which technique is superior to the other.
Interventions
PROCEDUREEndotracheal extubation with suctioning
General anestheisa is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying suctioning.
PROCEDUREEndotracheal extubation with positive pressure
General anesthesia is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying positive pressure.
Sponsors
Pakistan Navy Station Shifa Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* ASA I/II patients * either sex * consent given
Exclusion criteria
* not meeting the inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endotracheal extubation | 3 months | The intervention will try to identify which technique is better to extubate the patient after general anesthesia. In literature/anesthesia practice there is no scale, parameter or questionnaire to indicate extubation. However the aim is universally accepted that is to extubate the patient when he/she is hemodynamically stable and able to maintain a patent airway and oxygen saturation while spontaneously breathing and awake. In my trial, half the number of participants will be extubated by applying suctioning to the endotracheal tube and the remaining will be extubated by applying positive pressure to the endotracheal tube at the end of general anesthesia. Patients heart rate, blood pressure, oxygen saturation, the need for clearing secretions from the airway, and the need for supplemental oxygen at the time of extubation and 3 minutes after extubation will be compared to identify which technique is better in terms of patients airway management. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Airway suctioning | 3 months | Number of times suctioning required to clear airway secretions |
| Blood pressure | 3 months | Blood pressure in millimetre of mercury |
| Supplemental oxygen | 3 months | Supplemental oxygen in liters per min |
| Pulse | 3 months | Heart rate in beats per minute |
| Oxygen saturation | 3 months | Oxygen saturation in percentage |
Countries
Pakistan
Outcome results
None listed