TRacheostomy in DElphi for iNTensive Care' (TRiDENT)

Summary

The aim of this study is to develop international consensus-based recommendations for tracheostomy care in critically ill patients. Using the Delphi method, the study seeks to identify key practices in post-tracheostomy management, including tube downsizing and decannulation strategies, infection prevention and site care, restoration of communication and swallowing, and the recognition and management of tracheostomy-related complications. By engaging a multidisciplinary panel of international experts involved in tracheostomy care, the study aims to reduce variability in current practice and support the development of standardized, evidence-informed approaches across different clinical settings.

Conditions

• Delphi Process
• Delphi Study

Interventions

OTHER

Delphi Consensus Process

Round 1: Evaluation and rating of preliminary statements on tracheostomy care derived from literature review and expert input. Round 2: Re-rating of statements from Round 1 with controlled feedback and modification based on panelist comments. Round 3: Final consensus assessment on remaining statements that did not reach agreement in previous rounds. Round 4: Prioritization and refinement of the final consensus statements to define key recommendations and research priorities in tracheostomy care.

Sponsors & Collaborators

• University of Michigan

  collaborator OTHER

• The Royal Wolverhampton Hospitals NHS Trust

  collaborator OTHER_GOV

• Hospital Israelita Albert Einstein

  collaborator OTHER

• Amsterdam University of Applied Sciences

  collaborator OTHER

• Tribhuvan University Teaching Hospital, Institute Of Medicine.

  collaborator OTHER

• The University of Queensland

  collaborator OTHER

• Federico II University

  collaborator OTHER

• University of Birmingham

  collaborator OTHER

• University of Oxford

  collaborator OTHER

• University Wien

  collaborator OTHER

• Monash University

  collaborator OTHER

• Universita degli Studi di Genova

  lead OTHER

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-05-01

Primary Completion

2026-10-01

Completion

2026-12-01