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

Study Overview
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Brief Summary
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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.

Detailed Description
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Extubation after general anaesthesia involves removal of the endotracheal tube. This is done by either applying suctioning or applying positive pressure to the endotracheal tube. My study aims at identifying which technique is superior to the other.

Official Title
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Endotracheal Extubation With Suctioning Versus Positive Pressure in Children After General Anaesthesia. A Randomised Control Trial.

Conditions
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Endotracheal Extubation

Intervention / Treatment
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* Procedure: Endotracheal extubation with suctioning
* Procedure: Endotracheal extubation with positive pressure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA I/II patients either sex consent given Exclusion Criteria: not meeting the inclusion criteria

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Endotracheal extubation with suctioning<br>Suctioning is applied to the endotracheal tube while removing it. | Procedure: Endotracheal extubation with suctioning<br>* General anestheisa is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying suctioning.<br>|
| Experimental: Endotracheal extubation with positive pressure<br>Positive pressure is applied to the endotracheal tube while removing it. | Procedure: Endotracheal extubation with positive pressure<br>* General anesthesia is maintained with an endotracheal tube. At the end of anesthesia, the endotracheal tube is removed by applying positive pressure.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pulse | Heart rate in beats per minute | 3 months | 
| Oxygen saturation | Oxygen saturation in percentage | 3 months | 
| Blood pressure | Blood pressure in millimetre of mercury | 3 months | 
| Supplemental oxygen | Supplemental oxygen in liters per min | 3 months | 
| Airway suctioning | Number of times suctioning required to clear airway secretions | 3 months |