Status:
UNKNOWN
Role of Toilet Bronchoscopy in RICU
Lead Sponsor:
Assiut University
Conditions:
COPD
Asthma
Eligibility:
All Genders
18-80 years
Phase:
NA
Brief Summary
Toilet bronchoscopy is a potentially therapeutic intervention to aspirate retained secretions within the endotracheal tube and airways and revert atelectasis. Aspiration of airway secretions is the mo...
Detailed Description
Aim Of Work To study the value of toilet bronchoscopy in 1. Mechanical ventilated patients with chest disease and copious secretion. 2. Mechanical ventilated patients diagnosed to have atelectasis ra...
Eligibility Criteria
Inclusion
- • Patients on mechanical ventilation with underlying dieases that are characterized with mucus overproduction such as asthma, chronic obstructive pulmonary disease (COPD), bronchiectasis, and cystic fibrosis.
- Patients on mechanical ventilation with visible large amount of sputum during suction in order to clear secretions.
- Patients on mechanical ventilation with radiologically diagnosed atelectasis and absent air-bronchograms
- Patient on NIV who was benefit from toilet bronchoscopy to clear retained secretion.
Exclusion
- Absolute contraindications
- Absence of consent from the patient or his/her representative.
- Inability to adequately oxygenate the patient during the procedure.
- Current myocardial ischaemia.
- Significant haemodynamic instability.
- Life-threatening cardiac arrhythmias.
- Current significant bronchospasm.
- Undrained pneumothorax.
- Relative contraindications
- Thrombocytopenia (platelet count ≤50,000 platelets/mm).
- INR of 2 or greater, or an elevated PTT.
- BUN \>30.
- severe tracheal obstruction.
- Recent myocardial ischaemia and/or unstable angina.
- Intracranial hypertension.
- Poorly-controlled heart failure.
- Recent oral intake.
Key Trial Info
Start Date :
April 1 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2023
Estimated Enrollment :
130 Patients enrolled
Trial Details
Trial ID
NCT04798118
Start Date
April 1 2022
End Date
December 1 2023
Last Update
August 15 2023
Active Locations (1)
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1
Assuit university hospital
Asyut, Egypt, 71511