Ultrafast Ultrasonographic Oro-laryngeal Measurement in Critically Ill Patients During Weaning From Mechanical Ventilation

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

150 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-01

Study Completion Date

2024-08-31

Brief Summary

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In ICU, ventilatory weaning failure is common, accounting for up to 25% of extubations. These failures are largely due to swallowing disorders and laryngeal edema. Edema prevalence in ICU varies between 4 and 37%.

Post-extubation stridor is a clinical sign of upper airway obstruction and may require urgent reintubation, which is associated with increased patient length of stay, morbidity and mortality.

Identifying patients at risk is critical, and the need for reliable tools to predict the occurence of laryngeal edema is still relevant.

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Detailed Description

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Conditions

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Laryngeal Edema

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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Ultrafast ultrasonography

Ultrasonography of the neck, patient in supine position, neck hyper-extended. Three different scanning planes containing several landmarks. Carried out in the 12h prior extubation.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults,
* Intubated and ventilated for more than 24h,
* Filing mechanical ventilation weaning criteria.

Exclusion Criteria

* Pregnant of breast-feeding woman,
* Under guardianship patient,
* History of laryngeal tumor, stroke, paralysis of recurrent nerve, swallowing disorders,
* History of surgical laryngeal intervention or radiotherapy,
* Unplanned extubation,
* Opposition to take part in the study.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No