Shortness of breath
Conditions
Interventions
Experimental group:Extubation criteria: Suction frequency = 2 times/8h within 24 hours
extubate directly once the criteria are met.
Control group:Extubation criteria: When the frequency of suctioning is =1 time/4 hours within 12 hours, a progressive (based on patient tolerance, from half-blocking to full-blocking) capping trial is
once the extubation criteria are met, extubation is performed directly.
Sponsors
The First Affiliated Hospital of Xi'an Jiaotong University
Eligibility
Sex/Gender
All
Age
18 Years to 79 Years
Inclusion criteria
Inclusion criteria: 1. Age: 18-79 years old; 2. Normal body temperature, hemodynamically stable; tracheostomy in place, no need for mechanical ventilation; 3. Brainstem injury caused by cerebral infarction, cerebral hemorrhage, traumatic brain injury, etc., within the past 3 months; 4. At least one of the following three criteria is met:; Consciousness disorder other than deep coma; Severe swallowing disorder: water swallow test grade >= 3, with obvious or covert aspiration; Vocal cord abduction disorder; 5. The patient's authorized representative signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Fiberoptic laryngoscopy shows that after deflation of the tracheostomy tube cuff and with the tube occluded, the maximum width of the glottic fissure is less than one-third of its length, or the duration of abduction is less than 1 second; 2.Fiberoptic laryngoscopy shows >50% stenosis of the tracheal lumen in the main trachea between the glottis and the tracheostomy stoma.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from admission to actual decannulation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional Oral Intake,FOIS;Decannulation failure;Worsening of pulmonary infection;Peak expiratory flow rate;2-week decannulation rate; | — |
Countries
China
Contacts
Public ContactYuan Ziwen
The First Affiliated Hospital of Xi'an Jiaotong University
Outcome results
None listed