Mechanical Ventilation Complication Clinical Trial
— PRESIDEOfficial title:
Understanding and Improving Dysphagia After Mechanical Ventilation
Verified date | December 2022 |
Source | Johns Hopkins University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
An early intervention for swallowing disorders (i.e., dysphagia) during endotracheal intubation may improve patient outcomes. The investigators propose treatment sessions targeting sensorimotor integration, strength, and range of motion during oral endotracheal intubation with mechanical ventilation to reduce or prevent dysphagia and aspiration (food or liquids entering the airway), establish a solid foundation in understanding reasons for swallowing impairment after extubation from mechanical ventilation and learn new methods to reduce or prevent these problems.
Status | Terminated |
Enrollment | 58 |
Est. completion date | August 2022 |
Est. primary completion date | August 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: - =18 years old - Required mechanical ventilation via an oral endotracheal tube Exclusion Criteria: - Unable to understand or speak English due to a language barrier - Unable to understand or speak English due to a cognitive impairment - Barium sulfate allergy - Pregnancy - Presence of any cardiac pacing device (including temporary epicardial pacing) without an underlying cardiac rhythm as confirmed by treating physician or diaphragmatic pacer - Nasal endotracheal intubation during the present admission - Patient is not expected to require =48 hours of intubation - Pre-existing dysphagia/aspiration, voice or cognitive disorder - Reflux with history of known or suspected aspiration - Presence of a central nervous system, neuromuscular or connective tissue disease (e.g., stroke, Guillain-Barre, scleroderma) - Active seizure disorder - Pain disorder of the jaw muscles or mandibular joint - Ever tracheotomy or prior endotracheal intubation other than for surgery (= 1 year) - Head and/or neck disease (e.g., oropharyngeal cancer) - Head and/or neck surgery other than tonsillectomy - Known or suspected anatomical abnormalities or pre-intubation trauma of the oral cavity, pharynx, larynx, or esophagus - Known or suspected sleep apnea (treated or untreated) - Prior major thoracic surgery (e.g., sternotomy, thoracotomy) - Unplanned (e.g., self- or accidental) extubation or re-intubation before consent - Weight exceeds capacity of the radiology equipment - Expected tracheostomy tube placement while in hospital - Moribund (>90% probability of mortality in hospital), based on ICU team's assessment |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins Hospital | Baltimore | Maryland |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins University | National Institute on Deafness and Other Communication Disorders (NIDCD) |
United States,
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* Note: There are 30 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Number of participants aspirating during fiberoptic endoscopic swallow study | participants will be evaluated an expected average of 48 hours after extubation |
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