Tracheostomy is performed for prolonged mechanical ventilation. Ineffective bandaging following decannulation leaves the tracheostomy wound unsealed, reducing pulmonary function, coughing ability, and voice quality, ultimately leading to decannulation failure. Recently, a new concept enabling intratracheal sealing of the tracheotomy was introduced, potentially solving the issues of air leakage and tracheal wound infection. This study aims to investigate the feasibility of intratracheal tracheostomy sealing in relation to an immediate normalization of physiological airway flow and an improved voice quality.
See protocol document.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Intratracheal tracheostomy sealing
Open tracheostomy wound
Department of Anaesthesiology and Intensive Care, Aarhus University Hospital
Aarhus, Denmark
Forced expiratory volume in one second (FEV1)
Lung function / air flow evaluated by spirometry
Time frame: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Voice quality
Evaluated by Equal-Appearing Interval Scale ranging from 1 to 5, where 5 represents a normal voice quality and 1 represents a severely impaired voice
Time frame: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Peak expiratory flow (PEF)
Lung function / air flow evaluated by spirometry
Time frame: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Forced vital capacity (FVC)
Lung function / air flow evaluated by spirometry
Time frame: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
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