post-extubation dysphagia(PED)
Conditions
Interventions
In the NMES group, in addition to the usual swallowing rehabilitation (tongue exercise, TTS: thermal-tactile stimulation [cold pressure stimulation], Mendelsohn maneuver), NEMS will be attached to the
Sponsors
Hitachi general hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) The patient is in the intensive care unit of Hitachi General Hospital. 2) Age over 20 years at the time of obtaining consent 3) The patient who has been extubated after tracheal intubation 4) The patient who is able to perform swallowing movements but has swallowing dysfunction (FOIS 1-5) 5) The patient has been fully explained about the research, and written consent of his/her own or his/her representative's free will has been obtained with sufficient understanding
Exclusion criteria
Exclusion criteria: 1) Patients who have not taken orally prior to ICU admission (FOIS 2 or lesser) 2) After implantation of artificial heart or pacemaker 3) Gastric banding (PEG) or percutaneous transesophageal gastric tube (PTEG) installation 4) After tracheostomy 5) After head and neck or esophageal surgery 6) Anatomical problem or infection in the mandible that prevents the application of the electrode 7) Disorders of consciousness due to severe head trauma (GCS 13 or lesser) 8) Cognitive dysfunction with MMSE 21 or lesser 9) Patients who have already been included in this study 10) Informed consent could not be obtained 11) Patients deemed unsuitable as subjects by the principal investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FOIS (functional oral intake scale) | — |
Countries
Japan
Contacts
Public ContactYuji Takahashi
Hitachi general hospital Emergency and Critical Care Medicine
Outcome results
None listed