tracheotomized patients with neurogenic disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. The primary disease of all subjects was central nervous system disease; 2. All subjects were stable, and after 1 week of tracheotomy, patients with indwelling plastic tracheal tubes, with air sacs and subportal drainage tubes; 3. Patients who can not tolerate tracheal tube balloon deflating; 4. Duration of disease within 1 year; 5. Age =18 years old; 6. Patients or family members are aware of this study and sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Serious complications such as heart failure, liver failure, kidney failure, etc.; 2. Patients with ventilator-assisted mechanical ventilation; 3. Patients with cancer and HIV infection; 4. Upper airway obstruction: including upper airway obstruction or stenosis exceeding half of the airway cross-sectional area, tracheal collapse, and severe vocal cord paralysis affecting airflow through patients; 5. Patients who have been treated with botox injection into salivary glands; 6. Patients with contraindicated swallowing laryngoscopy (FEES) (such as skull base/facial fracture facial trauma; Recent intractable epistaxis; Bilateral nasal obstruction due to tamponade or posterior nostril atresia; Patients with severe agitation; Patients who are unable to cooperate with the examination; Patients with acute vasovagal attack risk and bradycardia, etc.); 7. Patients with unhealed wound at tracheostomy, tracheostomy site infection or bleeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Marianjoy secretion severity scale score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Total daily secretions;Spontaneous swallowing frequency within 20 minutes;Pharyngeal sensation test; | — |
Countries
China
Contacts
The Third Affiliated Hospital of Sun Yat-Sen University