R13
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Intubation that is expected to exceed 72 hours of mechanical ventilation
Exclusion criteria
Exclusion criteria: - Neurological diseases which are associated with dysphagia - Expected mechanical ventilation less than 72 hours - Intubation after more than 5 days of ICU admission - Pre-existing dysphagia - If transferred from another hospital/ICU: Mechanical ventilation longer than 24 hours before admission to our hospital - Pre-existing tracheostomy - History of mechanical ventilation longer than 7 days in the past 6 months - Pregnancy - Tumor or other pathological changes in throat (incl. esophagus and trachea), head and face which are associated with dysphagia - Diaphragm paralysis or hernia - Rip fractur - Body-Mass-Index =40 - Radiation therapy on the upper body (cheast, head/face, throat) before or during hospital admission - Any situation which makes an ultrasound and/or dysphagia screening/evaluation impossible - Percutaneous Endoscopic Gastrostomy (PEG) or Percutaneous Endoscopic Jejunostomy (PEJ) - Non-German speaking patients
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Endpoint (what): secondary dysphagia (nominal: yes/no) When: after extubation or tracheostomy How: Dysphagia screening/swallowing exam by trained specialist during the clinical routine | — |
Countries
Germany
Contacts
Universitätsklinikum Hamburg-Eppendorf