| CTRI Number |
CTRI/2024/08/073014 [Registered on: 28/08/2024] Trial Registered Prospectively |
| Last Modified On: |
24/08/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Process of Care Changes |
| Study Design |
Other |
|
Public Title of Study
|
Effects of Swallowing Exercise on Eating and Salivary Flow After Endotracheal Tube Removal |
|
Scientific Title of Study
|
EFFECTIVENESS OF SWALLOWING MANEUVER ON FUNCTIONAL ORAL INTAKE AND SALIVATION IN POST-EXTUBATED PATIENTS: A RANDOMIZED CONTROLLED TRIAL |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Priya |
| Designation |
Postgraduate Student |
| Affiliation |
All India Institute of Medical Sciences, Jodhpur, Rajasthan |
| Address |
Room number-1, Medical Surgical Nursing department, Critical Care Nursing division, All India Institute of Medical Sciences, Jodhpur, Basni Industrial area, Phase 2, Jodhpur, Rajasthan
Jodhpur RAJASTHAN 342005 India |
| Phone |
9588308153 |
| Fax |
|
| Email |
priyagupta96883@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr. Suresh K. Sharma |
| Designation |
Professor and Principal |
| Affiliation |
All India Institute of Medical Sciences, Jodhpur, Rajasthan |
| Address |
Room number-1, Nursing department, Critical Care Nursing division, All India Institute of Medical Sciences, Jodhpur, Basni Industrial area, Phase 2, Jodhpur, Rajasthan, India.
Jodhpur RAJASTHAN 342005 India |
| Phone |
8475000293 |
| Fax |
|
| Email |
sharmask@aiimsjodhpur.edu.in |
|
Details of Contact Person Public Query
|
| Name |
Priya |
| Designation |
Postgraduate Student |
| Affiliation |
All India Institute of Medical Sciences, Jodhpur, Rajasthan |
| Address |
Room number-1, Medical Surgical Nursing department, Critical Care Nursing division, All India Institute of Medical Sciences, Jodhpur, Basni Industrial area, Phase 2, Jodhpur, Rajasthan
Jodhpur RAJASTHAN 342005 India |
| Phone |
9588308153 |
| Fax |
|
| Email |
priyagupta96883@gmail.com |
|
|
Source of Monetary or Material Support
|
| All India Institute of Medical Sciences, Jodhpur,Basni industrial area phase 2, Jodhpur, Rajasthan, India, Pin code: 342005 |
|
|
Primary Sponsor
|
| Name |
Priya |
| Address |
Room number-1, All India Institute of Medical Sciences, Jodhpur, Basni industrial area phase 2, Jodhpur, Rajasthan |
| Type of Sponsor |
Other [Myself ] |
|
|
Details of Secondary Sponsor
|
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Suresh K Sharma |
All India Institute of Medical Sciences, Jodhpur |
Room no- 6,Intensive Care Unit department ( Adult ICU division 3rd floor, Neurology ICU division 5th floor, Neurosurgery ICU division 5th floor, CTVS ICU division 6th floor, Trauma ICU division 2nd floor)Basni industrial area, phase 2, Jodhpur, Rajasthan Jodhpur RAJASTHAN |
8475000293
sharmask@aiimsjodhpur.edu.in |
|
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Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee AIIMS Jodhpur |
Approved |
|
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Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: Z758||Other problems related to medicalfacilities and other health care, |
|
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Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
No intervention |
No intervention will be given to the patient. |
| Intervention |
Swallowing maneuver |
Mendelsohn Maneuver
This maneuver will involve following steps:
1. Begin a regular swallow.
2. As you feel your larynx move in an upward direction, squeeze the suprahyoid muscles.
3. Maintain this position for up to 5 seconds.
4. Relax and finish the swallow.
Implementation
This exercise will be conducted consecutively for 5 days post-extubation with two sessions each day in 2 hour time interval and the data will be recorded on each day at 10am. This maneuver will be repeated 10 times or as tolerated by the patient during each session.
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|
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Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
70.00 Year(s) |
| Gender |
Both |
| Details |
Patients who are willing to participate.
Patients who have undergone intubation for ≥48hrs.
Patient of age ≥18 yrs.
Patient who will be able to follow verbal commands.
Patients who can understand Hindi or English fluently.
|
|
| ExclusionCriteria |
| Details |
Patient on atropine medication,cervical spinal injury, tracheostomized, history of neuromuscular disease, pathological swallowing difficulty before intubation, active respiratory infection, non- invasive mechanical ventilation post extubation. |
|
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Method of Generating Random Sequence
|
Computer generated randomization |
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Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
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Primary Outcome
|
| Outcome |
TimePoints |
Functional oral intake and
Amount of salivation |
Functional oral intake on 1st 2nd, 3rd, 4th and 5th day.
Amount of salivation on 1st ,3rd and 5th day. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| N/A |
N/A |
|
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Target Sample Size
|
Total Sample Size="40" Sample Size from India="40"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
09/09/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
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Brief Summary
|
Dysphagia is frequently observed in patients in the intensive care unit (ICU), but it often goes unnoticed and untreated, even though it’s linked to serious complications, extended ICU admissions, and longer hospital stays. Prolonged intubation (>48 hrs) can result in swallowing difficulties after extubation, impacting a person’s ability to eat properly and communicate. This study will determine the effect of swallowing maneuver on functional oral intake and amount of salivation in post-extubated patients in comparison to intervention and control group. Participants fulfilling the inclusion criteria in the ICUs of selected tertiary care teaching hospital will be recruited and randomised for the study. The functional oral intake will be determined by functional oral intake scale and amount of salivation will be determined by oral schirmer test(With participants sitting upright, a standardized 5mm-wide by 35 mm long Schirmer’s tear test strip will be placed at the floor of their mouth. At the end of 5min, a wetting length in millimetres will be recorded). Data analysis will be done by descriptive and inferential statistics. It will be done as per “Per-Protocol†analysis.
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