Comparison of the Decannulation Protocol With Suctioning and Capping in Severe Acquired Brain Injury Patients

Fu Xing Hospital, Capital Medical University

Status

Unknown

Conditions

Tracheostomy Decannulation

Acquired Brain Injury

Treatments

Procedure: the Decannulation Protocol With Suctioning

Study type

Interventional

Funder types

Other

Identifiers

NCT04835272

songlu20210320

Details and patient eligibility

About

Single-center randomized trail focused on tracheostomized patients with severe acquired brain injury , comparing two different decannulation protocols:

an assessment of readiness for decannulation that was based on suctioning frequency
an assessment that was based on tracheostomy capping

Enrollment

104 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Within three months of onset
Age≥18 years old
GCS≥8
Clinical stability( defined as the absence of fever, sepsis, or active infection and hemodynamic stability)
Without massive pooling or silent aspiration of saliva, more than one efficient swallow per minute, adequate cough reflex were tested by gently touching the aryepiglottic region with the tip of the endoscope.
Passing a tracheostomy-tube de-cuff test(de-cuff the tube for 3 days without pulmonary complications.
Without significant airway stenosis.

Exclusion criteria

Patients with pending diagnostic or therapeutic procedures and were considered by the clinicians to be at risk for neurologic deterioration
Medical history of severe respiratory system or heart disease
Neuromuscular disease other than ICU-acquired weakness, or tracheostomy for airway control
Don't get informed consent from patient or guardian