Bronchoscopic assessment of swallowing dysfunction in critically ill patients: A prospective observational study

CCM department0 个研究点目标入组 0 人开始时间: 待定最近更新: 2023年5月29日

研究概览

暂无简介。

•1.Age > 18 years
•2.48 hours to 96 hours post extubation after prolonged intubation
•3.All tracheostomized patients who are already on oral feeds or in whom initiation of oral feeds is planned
•4.Conscious and able to follow verbal commands [GCS at least E4 VT M6 (10T)]
•5. Hemodynamically stable patients

•1. Presence of pre-existing dysphagia
•2. Severe agitation and possible inability to
•cooperate with the examination
•3. Bilateral obstruction of the nasal passages
•4.Pre-existing neurological conditions, such as
•stroke and neuromuscular disease like myasthenia gravis, Lambert-Eaton myasthenic syndrome [LEMS]
•5. Conditions affecting anatomic structures of the swallowing tract
•6.History of recent trauma to the nasal cavity or surrounding tissue
•7. Recent MI < 1month
•8. Pre-existing congestive heart failure
•9. Cardiac disorder with acute risk of vasovagal episode and bradycardia
•10. Severe bleeding disorders and/or recent severe epistaxis (nosebleed)
•11. Requiring oxygen more than 5lt/min
•12.Recent trans-oesophageal echocardiography
•13. Head and neck or oropharyngeal cancer

发起方

CCM department