Speaking valve combined with airway pressureBronchoscopy
Speaking valve combined with airway pressure: All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.
Bronchoscopy: The same examiner performed bronchoscopy on all patients to assess upper airway patency.
Study summary
The aim of this study is to evaluate the feasibility of predicting upper airway patency in patients with prolonged tracheostomy using a non-invasive method combining speaking valve (SV) and transtracheal end-expiratory pressure (TTPEE) through a multicenter study.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Weaned from ventilator more than 48 hours
* No any organ failure
* No sepsis
* Stable heart rate and blood pressure
* Lung infection under control
* PCO2\<60mmHg
* Patient and family sign informed consent form
Exclusion Criteria:
* Serious dysfunction of vital organs
* Inability to tolerate cuff deflation
* Laryngopharyngeal trauma
* Known severe upper airway obstruction before referrer to our department
* Endoscopy(bronchoscopy or laryngoscopy) has been performed and the condition of the upper airway has known
Primary outcome measure(s)
The sensitivity and specificity of SV with transtracheal end-expiratory pressure measurement in predicting upper airway patency — The patients started using the SV with the TTPEE measurement on the day of enrollment. After that, bronchoscopy should be performed within 48 hours. Patients enrolled in the study will undergo both SV with transtracheal end-expiratory pressure measurement and bronchoscopy. Upper airway non-patency will be defined as positive. Using the results of bronchoscopy as the gold standard, the sensitivity and specificity of SV with transtracheal end-expiratory pressure measurement will be evaluated.
Trial sites (5)
Facility
City
Region
Status
Hunan Rehabilitation Hospital
Hunan
Hunan
Recruiting
Jiangbin Hospital of Guangxi Zhuang Autonomous Region
Guangxi
Jiangbin
Recruiting
Beijing Rehabilitation Hospital of Capital Medical University
Beijing
Shijingshan
Recruiting
YanBian University Hospital
Jilin City
Yanbian
Recruiting
Zhengzhou Central Hospital Affiliated to Zhengzhou University
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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