Dysphagia, Dysphagia Rehabilitation
Conditions
Keywords
post-extubation dysphagia, post-extubation laryngospasm
Brief summary
Post- extubation complications delay the complete recovery of critically ill patient. The clinical pathway is one strategies that help to manage and control these complications.
Detailed description
The presence of endotracheal tube is associated with various fatal complications which are diagnosed mainly in post- extubation time. Those complications include laryngeal edema, laryngospasm, and post-extubation dysphagia which delay the complete recovery of critically ill patient. The clinical pathway is one of the excellent strategies that help the critical care staff to manage and control these complications
Interventions
COMBINATION_PRODUCTETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we
cough augmentation, larson maneuver, swallowing rehabilitation
Sponsors
Damanhour University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Masking description
post-extubation complications outcomes (laryngospasm, laryngeal edema and dysphagia)
Intervention model description
non- clinical pathway group and clinical pathway group
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adult (\>18 years) * orally intubated patients for the first time attached with MV for less than two weeks * with Glasgow coma scale (GCS) from 13-15.
Exclusion criteria
* patients admitted with high risk for laryngeal edema, * difficult intubation, * ETT/anterior-posterior diameter ˃45%, * self-extubation, and * planned for tracheostomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevention of laryngeal edema | 72 hours after extubation | measured by respiratory distress observation score that it ranges from 0-16. the high score indicates sever respiratory distress |
| laryngospasm | 72 hours after extubation | measured by four point scale. it composed from 4 grades, grade 0 indicates no laryngospasm, grade 3 indicates severe degree of laryngospasm. |
| dysphagia | 72 hours after extubation | measured by Gugging Swallowing Screen scale that it ranges from 0 -20. the high score indicates severe dysphagia |
Countries
Egypt
Contacts
Primary Contactheba attia effect of adult intubated CP on post-extubation complications
Outcome results
None listed