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Tracheostomy clinical trials

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NCT ID: NCT01976819 Completed - Tracheostomy Clinical Trials

Clinical Assessment of New Speaking Valve With Heat and Moisture Exchanger (HME) for Tracheotomized Patients

Start date: October 2013
Phase: N/A
Study type: Interventional

This clinical investigation addresses the performance of a re-designed The current study aims to investigate the next version of the TW speaking valve, in combination with both a 15mm and 22mm HME cassette.

NCT ID: NCT01356719 Completed - Tracheostomy Clinical Trials

Scoring Method for Describing the Position of a Tracheostomy Tube

Start date: July 2011
Phase:
Study type: Observational

Tracheostomies are artificial airway devices inserted into the neck. They can become displaced and lead to patient harm. Other than external visual inspection, there is no currently described system for describing the position of a tracheostomy tube within the airway. The investigators propose to undertake endoscopic inspection of the tracheostomy tube with a small fibre-optic camera from above and also through the tube to visualise its position within the airway. The investigators will take anonymised paired images and then score these using 6 different scoring systems. The investigators will determine which scoring system provides the simplest and most reproducible scores between 6 blinded assessors. A clinically useful scoring system could be used in future to predict problems with tracheostomy positioning.

NCT ID: NCT00978783 Completed - Clinical trials for Mechanical Ventilation

Speech Effects of a Speaking Valve Versus External Positive End-expiratory Pressure (PEEP) in Tracheostomized Ventilator-Dependent Neuromuscular Patients

Start date: December 2008
Phase: Phase 2/Phase 3
Study type: Interventional

Background: Many patients with respiratory failure related to neuromuscular disease receive chronic invasive ventilation through a tracheostomy. Improving quality of life, of which speech is an important component, is a major goal in these patients. The investigators compared the effects on breathing and speech of low-level positive end-expiratory pressure (PEEP, 5 cm H2O) and of a Passy-Muir speaking valve (PMV) during assist-control ventilation. Methods: Flow will be measured using a pneumotachograph. Microphone speech recordings were subjected to both quantitative measurements and qualitative assessments; these last consisted of a perceptual score and an intelligibility score determined by two speech therapists using a French adaptation of the Frenchay Dysarthria Assessment.

NCT ID: NCT00956540 Completed - Tracheostomy Clinical Trials

Does Deflating the Tracheal Cuff Shorten Weaning Time?

Start date: December 2009
Phase: Phase 4
Study type: Interventional

The purpose of this study is to determine whether deflating the tracheal cuff in tracheostomized patients, during disconnections from ventilatory support along the weaning phase shortens the weaning time.