Endotracheal Extubation With Suctioning Versus Positive Pressure in Children After General Anaesthesia.

NCT05489809 | Completed

• 1 other identifier: ERC/2022/ANS/2
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Comparing extubation of endotracheal tube in children after general anaesthesia by applying suctioning to the endotracheal tube versus applying positive pressure to the endotracheal tube.

Conditions

Endotracheal Extubation

Outcome Measures

Primary Outcomes (1)

• Endotracheal extubation

  The intervention will try to identify which technique is better to extubate the patient after general anesthesia. In literature/anesthesia practice there is no scale, parameter or questionnaire to indicate extubation. However the aim is universally accepted that is to extubate the patient when he/she is hemodynamically stable and able to maintain a patent airway and oxygen saturation while spontaneously breathing and awake. In my trial, half the number of participants will be extubated by applying suctioning to the endotracheal tube and the remaining will be extubated by applying positive pressure to the endotracheal tube at the end of general anesthesia. Patients heart rate, blood pressure, oxygen saturation, the need for clearing secretions from the airway, and the need for supplemental oxygen at the time of extubation and 3 minutes after extubation will be compared to identify which technique is better in terms of patients airway management.

  3 months

Secondary Outcomes (5)

• Pulse

  3 months

• Oxygen saturation

  3 months

• Blood pressure

  3 months

• Supplemental oxygen

  3 months

• Airway suctioning

  3 months

Study Arms (2)

Endotracheal extubation with suctioning

EXPERIMENTAL

Suctioning is applied to the endotracheal tube while removing it.

Procedure: Endotracheal extubation with suctioning

Endotracheal extubation with positive pressure

EXPERIMENTAL

Positive pressure is applied to the endotracheal tube while removing it.

Procedure: Endotracheal extubation with positive pressure

Interventions

Endotracheal extubation with suctioning PROCEDURE

General anestheisa is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying suctioning.

Endotracheal extubation with suctioning

Endotracheal extubation with positive pressure PROCEDURE

General anesthesia is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying positive pressure.

Endotracheal extubation with positive pressure

Eligibility Criteria

• Age: 1 Year - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• ASA I/II patients
• either sex
• consent given

Sponsors & Collaborators

• Pakistan Navy Station Shifa Hospital: lead

Study Sites (1)

PNS Shifa Hospital

Karachi, Sindh, 46000, Pakistan

Location

MeSH Terms

Interventions

Airway Extubation; Suction

Intervention Hierarchy (Ancestors)

Airway Management; Therapeutics; Investigative Techniques; Drainage; Surgical Procedures, Operative

Study Officials

• Kenan Khan

  Pakistan Navy Station Shifa Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Graded Anaesthetist, Principal Investigator

Study Record Dates

• First Submitted: July 26, 2022
• First Posted: August 5, 2022
• Study Start: April 1, 2022
• Primary Completion: June 30, 2022
• Study Completion: July 15, 2022
• Last Updated: August 5, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)