Speaking Valve Trial vs. Capping Trial for Tracheostomy Decannulation in Prolonged Disorders of Consciousness
NCT07173634 · Status: ENROLLING_BY_INVITATION · Phase: NA · Type: INTERVENTIONAL · Enrollment: 280
Last updated 2026-05-22
Summary
To assess whether the speaking valve trial, when employed as an indicator for extubation during the removal of tracheostomy tubes in patients with chronic consciousness disorder, provides superior benefits and heightened sensitivity relative to the conventional capping trial, thereby enhancing the overall extubation process.
Conditions
- Prolonged Disorders of Consciousness
Interventions
- OTHER
-
Speaking Valve Trial
The speaking valve group ascertains a patient's eligibility for decannulation following the results of the speaking valve test. A patient who can endure a 4-hour trial with a speaking valve, maintaining a pulse oxygen saturation (SpO₂) of at least 95%, a breathing rate (RR) below 20 per minute, and exhibiting no signs of distress throughout the trial, qualifies for decannulation.
- OTHER
-
Capping Trial
The capping valve group determines a patient's eligibility for decannulation based on the results of the capping test. A patient who can tolerate 48 hours of capping with a pulse oxygen saturation (SpO₂) of ≥95%, a breathing rate (RR) of \<20/min, and no signs of distress during the 48-hour trial, is eligible for decannulation.
Sponsors & Collaborators
-
Beijing Rehabilitation Hospital
collaborator OTHER -
Beijing Tiantan Hospital
collaborator OTHER -
Hunan Provincial Rehabilitation Hospital
collaborator UNKNOWN -
Beijing Fengtai Rehabilitation Hospital
collaborator UNKNOWN -
Hongying Jiang, MD
lead OTHER
Principal Investigators
-
Hongying Jiang · Beijing Rehabilitation Hospital, Capital Medical University, Beijing
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-02-01
- Primary Completion
- 2027-02-01
- Completion
- 2027-05-01
Countries
- China
Study Locations
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