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Decanulation in Critically Ill Patients
Sponsor: Uludag University
Summary
Purpose of the Study: To predict potential problems (such as shortness of breath and obstruction of the airway due to vocal cord immobility) before the tracheostomy cannula is removed, the patient's vocal cords, their movement, and airflow rate will be assessed at the bedside. The patient will also be examined using routine methods to identify these problems, and the results will be compared with ultrasound scans. The study aims to determine the success and failure of ultrasound in detecting these problems. Method and Procedures: While the patient is receiving treatment in the intensive care unit, the probe of the existing ultrasound device will be placed on the patient's neck, over the cannula, and the movement of the vocal cords and airflow rate will be assessed.
Official title: Ultrasound-guided Decannulation With Critically Ill Patients; a Prospective Cohort Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
107
Start Date
2024-07-01
Completion Date
2026-02-01
Last Updated
2025-12-29
Healthy Volunteers
No
Conditions
Interventions
ultrasound guided airway examination
the position of the vocal cords (right, left, cadaveric, normal), movements with phonation and respiration, and vocal fold displacement velocity (VFDV) to control air permeability will be measured by bedside ultrasound by deflating the cuff of the tracheostomy cannula, the cannula will be removed and the same measurements will be taken again with ultrasonography, before being transferred to the otolaryngology clinic (OT) for Flexible Endoscopic Evaluation of Swallowing (FEES) exam
Locations (1)
Uludag Universty Faculty of MedicineDepartment of Anesthesiology and Reanimation, Bursa, Turkey
Bursa, Turkey (Türkiye)