R13
Conditions
Interventions
Group 1: FEES Examination in Out-of-Hospital Intensive Care - During the FEES examination, clinical parameters such as swallowing disorders and the condition of the airways are assessed.
Sponsors
Klinikum Osnabrück
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Patients of the AKI Ambulanz Klinikum OS
Exclusion criteria
Exclusion criteria: No consent for FEES examination
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recording of applied deflation procedures (e.g., cuff deflation); duration of deflations and responsible personnel; reasons for decannulation failure (e.g., respiratory insufficiency); application of specific weaning criteria; endoscopic parameters from the instrumental swallowing examination. The time frame is from January 2024 to March 2025. | — |
Secondary
| Measure | Time frame |
|---|---|
| - **SESTD score**, introduction of **deflation protocols**, description of **decannulation potential** - Number, timing, and results of **endoscopic follow-up examinations** - Documentation of **comorbidities** as potential influencing factors for **weaning failure/decannulation failure** - **Tracheotomy procedure** (surgical/dilational) - **Dietary levels** achieved after decannulation - **Swallowing function** at the time of discharge - Assessment of the **modified Rankin Scale (mRS)** on admission and discharge - Occurrence of **pneumonia** before and after decannulation | — |
Countries
Germany
Contacts
Public ContactVolker Schulte
Klinikum Osnabrück
Outcome results
None listed