Predictors of the Ability to Protect the Airway in Long-term Ventilated Patients
| Status: | Recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 11/30/-0001 |
| Start Date: | January 2011 |
Determining Predictors of Adequate Upper Airway Function in Long-term Ventilated Patients
The investigators hypothesized that clinical muscle strength assessment (manual muscle
testing) predicts the ability to protect the airway during swallowing in long-term
ventilated, tracheostomized patients. More specifically, the investigators hypothesized
that low muscle strength is associated with the inability to clear secretions from the
peri-laryngeal area (valleculae and pyriform sinus residue scale (VPSR scale [NRS: 0-4] of >
1) and entering the materials into airway (PAS scale [1-8]> 1), which should predispose to
endotracheal aspiration.
Inclusion Criteria:
1. Patients admitted to the Respiratory Acute Care Unit and Surgical Intensive Care
Unit, units with a mixed collection of long term ventilated patients in a major
academic teaching hospital.
2. Age over 18 years.
3. Long-term ventilated patients (>10 days) with tracheotomies.
Exclusion Criteria:
1. Decreased level of consciousness as defined by a Richmond Agitation Sedation Scale
(RASS) of 0.
2. Non-cooperative patient, CAM score positive for delirium.
3. For women: pregnancy.
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