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Swallowing Difficulties in ICU Patients [Synkebesvær Hos Intensivpatienter]

NCT04428749 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 35

Last updated 2021-11-16

No results posted yet for this study

Summary

Swallow disorders or dysphagia related to mechanical ventilation affects between 1,300 and 2,000 patients in Danish intensive care units every year and increases aspiration, pneumonia and risk of dying. In intensive care units, dysphagia may vary around the clock as fatigue and fluctuating alertness play an important role for the patients' ability to swallow effectively without aspiration to the airway. For this reason, ICU nurses must be able to assess dysphagia in the ICU patient day and night, but guidelines are lacking.

One of the simplest and most sensitive methods is the Yale Swallow Protocol, however, this protocol requires translation and validation before it can be implemented in Danish intensive care units. This project aims to translate and validate the Yale Swallow Protocol for use in Danish intensive care units. Furthermore, this project will explore nurses' perceptions and management of dysphagia in the intensive care unit as well as feasibility and acceptability of the Yale Swallow Protocol.

Conditions

  • Deglutition Disorders
  • Critical Illness

Interventions

DIAGNOSTIC_TEST

Yale Swallow Protocol

The YSP is a three-step method consisting of an assessment of the patient's awareness, the patient's ability to follow simple instructions and finally the patient's ability to drink 90 ml water from a cup or by straw without stopping, choking or coughing.

DIAGNOSTIC_TEST

FEES (fiberoptic endoscopic evaluation of swallowing)

The FEES will be performed bedside by an experienced occupational therapists. The patient will be sitting upright in a chair and be given 1) 2 spoons of applesauce, 2) 2 spoons of water, 3) several sips of water, 4) 90 ml of water. All items colored blue. The FEES will use a single-use AMBU rhino-laryngo scope slim and the AMBU monitor. the examination will be terminated in case of aspiration below the vocal cords.

Sponsors & Collaborators

  • VIA University College

    collaborator OTHER

  • University of Aarhus

    collaborator OTHER

  • Hospitalsenheden Vest

    lead OTHER

Principal Investigators

  • Anne H Nielsen, Ph.d. · Regional Hospital Holstebro

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2020-04-01
Primary Completion
2022-12-12
Completion
2023-06-01

Countries

  • Denmark

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT04428749 on ClinicalTrials.gov