NCT04626180

Brief 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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
54

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Sep 2017

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2017

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2018

Completed
4 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2018

Completed
2.3 years until next milestone

First Submitted

Initial submission to the registry

September 18, 2020

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 12, 2020

Completed
Last Updated

November 12, 2020

Status Verified

September 1, 2020

Enrollment Period

5 months

First QC Date

September 18, 2020

Last Update Submit

November 10, 2020

Conditions

Keywords

SternotomyExtubationManual Hyperinflation

Outcome Measures

Primary Outcomes (9)

  • Peak expiratory flow rate

    1 day

  • Blood pH

    1 day

  • Blood pO2

    1 day

  • Blood pCO2

    1 day

  • Blood pHCO3

    1 day

  • Pulse rate

    1 day

  • Oxygen saturation

    1 day

  • Forced expiratory volume

    1 day

  • Forced vital capacity

    1 day

Study Arms (2)

Regular Extubation

ACTIVE COMPARATOR
Procedure: Extubation

Pre Extubation Manual Hyperinflation

EXPERIMENTAL
Procedure: ExtubationProcedure: Manual Hyperinflation

Interventions

ExtubationPROCEDURE

Extubation is the removal of an endotracheal tube (ETT), which is the last step in liberating a patient from the mechanical ventilator.

Pre Extubation Manual HyperinflationRegular Extubation

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

Pre Extubation Manual Hyperinflation

Eligibility Criteria

Age40 Years - 60 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age 40 to 60
  • Patient undergone surgery (sternotomy)
  • Elective intubated (ETT orally)
  • Ventilated more than 3 hours -

You may not qualify if:

  • Patient with any neurological issue (mentally disturbed) who cannot understand the command
  • Complicated extubation
  • 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.
  • Raised intracranial pressure
  • Redo or reopen. -

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Bahria International Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Interventions

Airway Extubation

Intervention Hierarchy (Ancestors)

Airway ManagementTherapeuticsInvestigative Techniques

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 18, 2020

First Posted

November 12, 2020

Study Start

September 1, 2017

Primary Completion

February 1, 2018

Study Completion

June 1, 2018

Last Updated

November 12, 2020

Record last verified: 2020-09

Data Sharing

IPD Sharing
Will not share

Locations