Mechanically ventilated children.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 4 weeks - 4 years; 2. Intubated > 24 hours; 3. Informed consent.
Exclusion criteria
Exclusion criteria: 1. Known with one of the following diseases: a. peptic ulcus; b. diabetes mellitus; c. osteoporosis; d. adrenal insufficiency; e. hypertension; f. systemic yeast infection; g. tuberculosis; h. sepsis; 2. Glucocorticoid use the week before detubation; 3. Intubation for laryngotracheal infection; 4. Mechanical ventilation for upper airway obstruction; 5. Down syndrome.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detubation failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Use of other therapies to reduce upper airway obstruction (epinephrin, beclomethasone); 2. Croup score; 3. Supplemental oxygen; 4. Adverse effects of dexamethason: hypertension, Gatro-intestinal tract bleeding, hyperglycaemia. | — |
Contacts
VU University Medical Center, Department of Pediatric Intensive Care, P.O. Box 7057