Aspiration Aspiration
Conditions
Interventions
The patients will receive high flow nasal cannula 50 LPM temp 34 C for 5 minutes then start continuous swallowing.,The patients will receive low flow nasal cannula 5 LPM for 5 minutes then start conti
Experimental Device,Active Comparator Device
High flow nasal cannula,Low flow nasal cannulla
Sponsors
Ratchadapiseksompotch Research Fund
Institutional Review Board Faculty of Medicine,
Chulalongkorn university
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Age 18-80 years 2.Admitted to medicine department or MICU of KCMH 3.Intubated for more than 48 hours and extubated less than 48 hours 4.Adequate oxygen saturation with low flow oxygen 1-5 L/min 5.Modified water swallowing test score more than 3
Exclusion criteria
Exclusion criteria: 1.Delirium / Poor cooperation 2.Refuse to be included in the study 3.Has contraindication for enteral feeding 4.Cerebrovascular disease or muscle weakness 5.Head and neck cancer 6.Structural abnormalities or history of surgery within oral cavity or pharyngeal area Previous diagnosis with dysphagia 7.Skin lesion which interfere with submental EMG monitoring 8.Has contraindication for low or high flow oxygen cannula 9.Has Automated Implantable Cardioverter-Defibrillator or Permanent Pacemaker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| swallowing and breathing relationship 1 minute (timing for each swallowing) ECG-derived respiratory plethysmography , Submental EMG | — |
Secondary
| Measure | Time frame |
|---|---|
| none none none | — |
Countries
Thailand
Contacts
Public ContactPornpan Rattanajiajaroen
Department of Medicine,Faculty of Medicine,Chulalongkorn university
Outcome results
None listed