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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.
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| non-clinical pathway group | No Intervention | non-clinical pathway group who received the routine hospital care. | |
| clinical pathway group | Experimental | the clinical pathway group who recieved the CP interventions such as: ETTcuff pressure measurement, ETT suctioning, measures to prevent laryngeal edema, swallowing rehabilitation, maneuvers to prevent laryngospasm |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ETT cuff pressure monitoring, ETT suctioning, cough augmentation technique, swallowing exercises,: Nebulized budesonide 1mg and IV methylprednisolone 40 mg we | Combination Product | cough augmentation, larson maneuver, swallowing rehabilitation |
| Measure | Description | Time Frame |
|---|---|---|
| prevention of laryngeal edema | measured by respiratory distress observation score that it ranges from 0-16. the high score indicates sever respiratory distress | 72 hours after extubation |
| laryngospasm | measured by four point scale. it composed from 4 grades, grade 0 indicates no laryngospasm, grade 3 indicates severe degree of laryngospasm. | 72 hours after extubation |
| dysphagia | measured by Gugging Swallowing Screen scale that it ranges from 0 -20. the high score indicates severe dysphagia | 72 hours after extubation |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| heba attia effect of adult intubated CP on post-extubation complications | Contact | 045 01274855242 | heba.attia@nur.dmu.edu.eg |
| Name | Affiliation | Role |
|---|---|---|
| sahar youness effect of adult intubated CP on post-extubation complications | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Nursing, Damanhour University | Recruiting | Damanhūr | Egypt | Egypt |
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non- clinical pathway group and clinical pathway group
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post-extubation complications outcomes (laryngospasm, laryngeal edema and dysphagia)
| ID | Term |
|---|---|
| D003680 | Deglutition Disorders |
| ID | Term |
|---|---|
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010608 | Pharyngeal Diseases |
| D010038 | Otorhinolaryngologic Diseases |
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| ID | Term |
|---|---|
| D008775 | Methylprednisolone |
| ID | Term |
|---|---|
| D011239 | Prednisolone |
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
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