R13.1
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Patients with dysphagia and an inserted tracheostomy tube, -Tracheostoma (surgical or dilative) with partially unblocked tracheostomy tube (min. 6 hours per day), -Tracheal cannula with subglottic suction (Trachoe vario extract). The cannula must be approved for subglottic insufflation of compressed air (Trachoe vario extract: REF: 470, REF: 471 with CE approval), - Feasibility of the FEES -Written declaration of consent from the patient or their legal representative -There are no contraindications for the use of Trachoe tracheostomy tubes with subglottic suction line
Exclusion criteria
Exclusion criteria: -Participation in other interventional examinations, -tracheomalacia, -Patients with fresh tracheostomy (less than 7 days after stoma creation) -ENT tumor surgery or radiation in the throat area, -Pre-existing oesophageal dysphagia (achalasia, motility disorder), -Continuous ventilation, -Obstruction of the upper airways -Patients with surgically induced emphysema or infections of the tracheal tissue -Pregnancy or breastfeeding, -Persons who are in a dependent / employment relationship with the sponsor, supporter or investigator -Placement in an institution due to a court or official order. -Deep sedation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary parameters during FEES (pre-interventional/post-interventional): Secretion status (NZSS), swallowing safety (PAS), swallowing efficiency (Yale Residue Scale), pharyngeal sensitivity (touch technique) | — |
Secondary
| Measure | Time frame |
|---|---|
| Nutritional status (FOIS-G), decannulation rate | — |
Countries
Germany
Contacts
Helios Klinikum Krefeld GmbH