Status:

NOT_YET_RECRUITING

Impact of the Nature and Interface of the Tracheostomy Cannula on Dyspnea in Patients Weaning From Artificial Ventilation in Weaning Unit

Lead Sponsor:

Assistance Publique - Hôpitaux de Paris

Conditions:

Prolonged Weaning

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This trial aims to assess dyspnea intensity in tracheostomized patients undergoing prolonged artificial ventilation weaning. The primary outcome is dyspnea measured by the Visual Analogue Scale (VAS-D...

Detailed Description

Dyspnea is common in patients ventilated in intensive care and SRPR units, and it can generate states of post-traumatic stress. Due to the prolonged duration of artificial ventilation, tracheostomized...

Eligibility Criteria

Inclusion

  • Patient aged 18 years or older
  • Patient admitted to SRPR with respiratory and hemodynamic stability
  • Patient with a tracheostomy tube
  • Deflated balloon for more than 6 hours per day
  • Able to tolerate at least 1 hour on cap and phonation valve (deflated balloon)
  • Able to remain at least 3 consecutive hours without ventilation
  • Patient with at least one non-zero dyspnea numerical rating scale (NRS) score in the 72 hours preceding inclusion
  • Able to respond to self-administered questionnaires on dyspnea
  • Patients affiliated with a social security system or beneficiaries of such a system (excluding State Medical Assistance)
  • Patients who have given their informed consent
  • No significant expected changes in the administration of anxiolytic and analgesic treatments with anti-dyspneic properties within 2 days

Exclusion

  • Pregnant women (verified by a blood or urine test during hospitalization for all women of childbearing age)
  • Patients deprived of liberty or under legal protection (guardianship or curatorship)
  • Patients unable to consent to the research
  • Contraindication to the use of a 7 mm tracheostomy tube
  • Patient presenting the combination of major swallowing disorders and excessive salivary secretion making the deflation of the tracheostomy tube balloon

Key Trial Info

Start Date :

September 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 1 2026

Estimated Enrollment :

76 Patients enrolled

Trial Details

Trial ID

NCT06185998

Start Date

September 1 2024

End Date

October 1 2026

Last Update

July 19 2024

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