EFFECT OF PRE EXTUBATION MANUAL HYPERINFLATION TECHNIQUE VS REGULAR EXTUBATION AFTER STERNOTOMY

Sternotomy Clinical Trial

Official title:

Effects of Pre-extubation Manual Hyper Inflation in Comparison to Regular Extubation Following Sternotomy.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04626180
• Other study ID #: FUI/CTR/2020/7
• Status: Completed
• Phase: N/A
• Start date: September 1, 2017
• Est. completion date: June 1, 2018

Study information

• Verified date: September 2020
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Post operative pulmonary complication (PPC) is one of the cause of mortality and morbidity after sternotomy. There is no accessible confirmation which shows the impact of Pre Extubation Manual Hyperinflation method with Regular Extubation procedure. After sternotomy manual hyperinflation technique is not taken during extubation. The objective of the study was to determine the effect of Pre Extubation Manual Hyperinflation technique VS regular Extubation technique on vitals and respiratory parameters in patients after Sternotomy.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 54
• Est. completion date: June 1, 2018
• Est. primary completion date: February 1, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 60 Years

Eligibility

Inclusion Criteria:

1. Age 40 to 60

2. Patient undergone surgery (sternotomy)

3. Elective intubated (ETT orally)

4. Ventilated more than 3 hours -

Exclusion Criteria:

1. Patient with any neurological issue (mentally disturbed) who cannot understand the command

2. Complicated extubation

3. Pulmonary pathology where lung hyperinflation was contra-indicated (e.g. acute respiratory distress syndrome, undrained pneumothorax or exacerbation of chronic obstructive pulmonary disease and acute pulmonary edema.

4. Raised intracranial pressure

5. Redo or reopen. -

Related Conditions & MeSH terms

• Sternotomy

Intervention

Procedure:
• Extubation
Extubation is the removal of an endotracheal tube (ETT), which is the last step in liberating a patient from the mechanical ventilator.
• Manual Hyperinflation
Providing a larger tidal volume than baseline tidal volume to the patient and using a tidal volume which is 50% greater than that delivered by the ventilator

Locations

Country	Name	City	State
Pakistan	Bahria International Hospital	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Peak expiratory flow rate		1 day
Primary	Blood pH		1 day
Primary	Blood pO2		1 day
Primary	Blood pCO2		1 day
Primary	Blood pHCO3		1 day
Primary	Pulse rate		1 day
Primary	Oxygen saturation		1 day
Primary	Forced expiratory volume		1 day
Primary	Forced vital capacity		1 day