Cancer of Head and Neck Clinical Trial
Official title:
Study to Compare the Effect of Two Different Types of Humidifier on the Endotracheal Tube Patency
60 post operative patients who are kept intubated overnight & are spontaneously breathing
will be either supplied humidified oxygen Heated Humidifier(HH) or conventional mist
nebulizer.
Temperature of inspired gas at the Y piece will be measured.
Sterile water will be used for HH & Mist nebuliser.
The suctioning of endotracheal tube (ETT) will be done once every 2 hourly by nurse/
doctor/trained personnel and additional suctioning if required.
60 post operative patients who are kept intubated overnight & are spontaneously breathing
will be selected in Tata Memorial Hospital (TMH), Mumbai. 30 patients will be supplied
through humidified oxygen using FISHER & PAYKEL MR 370 Heated Humidifier(HH) & 30 patients
through conventional mist nebulizer.
Temperature of inspired gas at the Y piece will be measured as surrogate marker for quality
of humidification. Continuous monitoring of temperature will be done using standard monitor.
The reusable HH will be subjected to disinfection between patients. Sterile water will be
used for HH & Mist nebuliser.
The suctioning of endotracheal tube (ETT) will be done once every 2 hourly by nurse/
doctor/trained personnel.
Based on patient's clinical condition , additional suctioning will be done. Frequency of
additional suctioning , reason for suctioning will be noted.
Information regarding the age, sex, type of surgery of the patient, co-morbidity if any size
of ETT, the time of commencement of humidification , duration of use of humidifier, time of
extubation, any complication leading to discontinuation of humidifier, frequency of refilling
of nebulizer chamber, volume of ETT before intubation etc. will be noted.
The amount of Endotracheal tube blockade caused by secretion will be measured immediately
following extubation.
The volume of Endotracheal tube secretion / amount of blockade will be assessed by the
following process-
- The bevel end & Murphy's eye of the Endotracheal tube will be sealed using sterile
insulating tape so that it become water tight. The tube will be gradually filled with
measured amount of sterile fluid using small volume syringe to increase the accuracy of
measurement. The amount of fluid it can hold will be measured & noted.
- The volume of extubated tube will be measured in the similar way.
- The measured volume of the Extubated Endotracheal tube will be subtracted from the
actual volume of the particular Sized ETT ( measured before intubation).
- The result obtained after this subtraction will be the volume of secretion or the volume
of ETT that has been blocked.
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