Swallowing- breathing coordination in postextubation patients using nasal continuous positive airway pressure and high flow nasal cannula nasal continuous positive airway pressure high flow nasal cannula swallowing and breathing coordination postextubation patients
Conditions
Interventions
Using continuous positive airway pressure via nasal mask. Setting CPAP was 5 cmH2O. FiO2 was adjusted to maintain SpO2 at more than 95%.,Using high flow nasal cannula. Setting was a flow rate at 50
Experimental Device,Experimental Device
nasal continous positive airway pressure,high flow nasal cannula
Sponsors
Ratchadapisek Research Funds, Faculty of Medicine, Chulalongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. intubated for more than 48 hours and extubated within 48 hours 2. able to maintain adequate oxygen saturation by using low flow oxygen cannula 1-5 LPM 3. have stable vital signs 4. pass the modified swallowing test with the score of more than 3 points
Exclusion criteria
Exclusion criteria: 1. not cooperative 2. have contraindication for enteral feeding 3. cerebrovascular disease, neuromuscular disease or muscle weakness 4. head and neck cancer 5. structural abnormalities of oral cavity or pharynx 6. history of surgery within oral cavity or pharyngeal area 7. delirium 8. previous diagnosis of dysphagia 9. skin lesions which interfered with EMG monitoring 10. have automated implantable cardioverter-defibrillator or permanent pacemaker
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The frequency of each pattern of the timing of swallowing in relation to respiratory phases about 5 minutes while using the devices (HFNC and CPAP) The swallowing was recorded by surface electromyography (EMG) of swallowing muscles and respiratory phases were monitored by ECG-derived respiratory signals and surface EMG of respiratory muscles. | — |
Secondary
| Measure | Time frame |
|---|---|
| Factors affect swallowing-breathing coordination during the experiment Clinical data and baseline charachteristic of participants will be collected from electronic medical record | — |
Countries
Thailand
Contacts
Public ContactSawita Cowawintaweewat
Department of Internal Medicine, Faculty of Medicine, Chulalongkorn University
Outcome results
None listed