Aspiration in Acute Respiratory Failure Survivors 2

Not Recruiting

Trial ID: NCT05108896

Purpose

The purpose of this study is to learn more about problems with swallowing that could develop in patients who are very sick and need a machine to help them breathe.

Official Title

Aspiration in Acute Respiratory Failure Survivors

Stanford Investigator(s)

Joseph Levitt, MD, MS
Joseph Levitt, MD, MS

Associate Professor of Medicine (Pulmonary and Critical Care Medicine)

Eligibility

Inclusion Criteria:

1. Admission to an ICU.
2. Mechanical ventilation with an endotracheal tube for greater than 48 hours.

Exclusion Criteria:

1. Contraindication to enteral nutrition administration.
2. Pre-existing history of dysphagia or aspiration.
3. Pre-existing or acute primary central or peripheral neuromuscular disorder.
4. Presence of a chronic tracheostomy (present prior to ICU admission).
5. Pre-existing head and neck cancer or surgery.
6. Coagulopathy resulting in uncontrolled nasal or pharyngeal bleeding.
7. Delirium for more than 72 hours after extubation as assessed by Confusion Assessment Method (CAM-ICU).
8. Extubated for greater than 72 hours.
9. Inability to obtain informed consent from patient or an appropriate surrogate.
10. Age \< 18 years.

Intervention(s):

diagnostic_test: 3-Screenings Protocol

diagnostic_test: FEES

diagnostic_test: Tracheal Ultrasound

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Joseph Levitt, MD, MS