Continuous low-pressure pyriform recess drainage to prevent occult aspiration in ICU-acquired dysphagia patients Infections and Infestations
Conditions
Interventions
Eligible ICU patients (adults) were screened after =48 hours of invasive mechanical ventilation and following extubation/decannulation. Dysphagia was confirmed within 24 hours using the Gugging Swallo
positioning/postural adjustments
swallowing rehabilitation exercises
airway secretion management and suctioning when needed
cautious feeding/texture modification and feeding intolerance management
and oral care.
Intervention group (standard care + pyriform sinus suction drainage):
In addition to the same standard care bundle, participants received continuous low-pressure suction drainage of on
correct placement was confirmed endoscopically. The catheter was secured, connected to continuous low vacuum suction, and checked each nursing shift for position/patency. Suction was discontinued when
Sponsors
Fujian Provincial Hospital
Fujian Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: 1. Age =18 years 2. ICU admission with invasive mechanical ventilation for = 48 hours and extubation 3. Conscious patients assessed as having ICU-ASD by GUSS within 24 hours of extubation 4. Tracheostomy patients who have recovered stable consciousness and are able to complete functional assessments 5. Agree to participate in this study and sign informed consent form
Exclusion criteria
Exclusion criteria: 1. Impaired consciousness preventing completion of swallowing assessment 2. Severe cognitive impairment or mental illness 3. Comorbid severe oropharyngeal bleeding tendency or coagulation dysfunction 4. Pre-existing aspiration or aspiration pneumonia 5. Comorbid gastroesophageal reflux or tracheoesophageal fistula, or other diseases that may affect the study results
Countries
China
Contacts
Public ContactLi;Li Yun;Yun
;
Outcome results
None listed