R13.1
Conditions
Interventions
Group 1: The breathing-swallowing coordination and secretions are initially assessed with a cuffed tracheostomy tube. The patients will receive 2 ml, 5 ml and 10 ml of water for swallowing. Subsequent
Sponsors
Johanniter-Krankenhaus Stendal
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - legal age - tracheostomy tube with cuff and without subglottic suction - Tolerance for cuff deflation and occlusion of the tube for the duration of the examination and disconnection from ventilation if necessary - Swallowing of small amounts of purée or liquid possible - Recognizable “white out” in FEES
Exclusion criteria
Exclusion criteria: - Disconnection of ventilation not possible for the examination period - Pathological breathing patterns (e.g. Cheyne Stokes breathing) or paradoxical breathing - no declaration of consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes of breathing-swallowing coordination (BSC) for the intake of 2 ml, 5 ml and 10 ml cooled water with the tracheostomy tube cuffed as well as uncuffed with a speaking valve. BSC will be evaluated using the white out and a breathing belt. | — |
Secondary
| Measure | Time frame |
|---|---|
| change in secretion (New Zealand Secretion Scale; Miles & Hunting, 2018) | — |
Countries
Germany
Contacts
Public ContactSarah Bohe
BDH-Klinik Elzach
Outcome results
None listed