Safina Shiddique
For safe extubation and patient safety, it is essential to improve predictive methods for spotting airway edoema. With patients admitted to the critical care unit, the goal of this study was to analyse the diagnostic reliability of the Gargle test, a new tool for determining airway edoema and forecasting successful extubation. Patients who underwent head and neck procedures and were hospitalised to the ICU were included in this prospective observational study. The same technique was used to wean each patient. First, the quantitative and qualitative Cuff Leak Tests were used, and then the GT using 0.9% normal saline. Calculations were made to determine the accuracy, sensitivity, specificity, positive predictive value, and negative predictive value. The study has one hundred and eighteen participants. Low levels of agreement existed between GT and CLT. The GT in contrast to CLT. Exhibited better accuracy, specificity, and sensitivity. The predicted cut-off for GT was 16.5%. The GT is a quick, reliable test that can be used as a new test in the ICU to identify airway edoema and forecast when a patient undergoing head and neck surgery will be able to be safely extubated.
KeywordsExtubation failure; Cuff leak test; Gargle test; Critical care
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