Aspiration in Acute Respiratory Failure Survivors 2
NCT05108896 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 855
Last updated 2024-10-08
Summary
The purpose of this study is to learn more about problems with swallowing that could develop in patients who are very sick and need a machine to help them breathe.
Conditions
- Dysphagia
- Aspiration
Interventions
- DIAGNOSTIC_TEST
-
3-Screenings Protocol
The 3-Screenings Protocol is a modified bedside swallow exam (BSE) consisting of a study developed five-item decision tree algorithm including voice quality assessment and a 2-ounce water consistency assessment, the Yale Swallow Test, with a scored 3-ounce Water Swallow Test (3-WST), and the Toronto Bedside Swallowing Screening Test (TOR-BSST).
- DIAGNOSTIC_TEST
-
FEES
A thin, flexible endoscope designed for assessment of laryngeal structures is passed through the nose to the oropharynx, visualizing the laryngeal structures, and the base of tongue and the pharynx. If needed 4% topical lidocaine and/or oxymetazoline (Afrin) will be administered. Swallowing will then be evaluated directly with six food boluses of 5 ml each. All patients will be allowed to swallow spontaneously without a verbal command to swallow. Video of the examinations will be recorded and presence of dysphagia will be designated independently by 3 different observers (one pulmonary physician and two speech language pathologists (SLPs)). This procedure will take 5-10 minutes. The camera will then be removed.
- DIAGNOSTIC_TEST
-
Tracheal Ultrasound
Ultrasound imaging of the trachea, measuring tracheal diameter and endotracheal tube (ETT) size ratio within 72 hours prior to extubation
Sponsors & Collaborators
-
National Institute of Nursing Research (NINR)
collaborator NIH -
University of Colorado, Denver
lead OTHER
Principal Investigators
-
Marc Moss, MD · University of Colorado, Denver
Study Design
- Allocation
- NA
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-12-15
- Primary Completion
- 2025-12-15
- Completion
- 2025-12-15
Countries
- United States
Study Locations
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