Fibreoptic Endoscopic Evaluation of Swallowing (FEES) In Cardiac surgical Patients post extubation.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 131
- 试验地点
- 1
- 主要终点
- To assess the incidence of Penetration and Aspiration post extubation in cardiac surgical patients
研究概览
简要总结
Swallowing dysfunction and pulmonary aspiration often occur in patients who receive prolonged mechanical ventilation. Several studies have shown a significant association between dysphagia and aspiration pneumonia. Mechanism for aspiration pneumonia include disuse atrophy of muscles during intubation, suppression of cough reflexes, inconsistent triggering of swallowing reflex, diminished proprioception, and residual effect of sedatives. The prevalence of swallowing dysfunction post-extubation has been reported to occur in 20 and 83% of those patients intubated longer than 48 hrs. Fibreoptic Endoscopic Evaluation of Swallowing FEES is a diagnostic procedure that involves the use of a flexible endoscope to assess the anatomy and physiology of swallowing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 98.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Adult patients age greater than or equal to 18 years who have been mechanically ventilated for at least 12 hours and are undergoing extubation in the Intensive care unit.
- •2.Patients in whom transoesophageal echocardiography was required.
- •3.Patients who are clinically stable and able to tolerate the procedure in terms of vital signs and alertness.
- •4.Patients who are willing to participate and provide consent.
排除标准
- •1.Severe neurological impairments e.g. Recent stroke or significant cognitive impairment.
- •2.Uncooperative or non-alert patients who are unable to follow basic commands.
- •3.Recent upper respiratory tract infection or anatomical obstruction in the upper airway.
- •4.Patients with severe nasal or facial trauma 5.Patients with significant bleeding disorder 6.Patients requiring reintubation during the study period.
结局指标
主要结局
To assess the incidence of Penetration and Aspiration post extubation in cardiac surgical patients
时间窗: At the end of study duration data will be collected study duration 12 months
次要结局
- To identify patients who are at high risk of aspiration and advise appropriate therapeutic interventions.(At the end of study duration data will be collected study duration 12 months)
研究者
Dr Rakesh Reddy
Fortis Hospital