SV With TTPEE Measurement Predicts Upper Airway Patency in Prolonged Tracheostomy Patients

NCT ID: NCT07107243

Last Updated: 2025-12-16

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

RECRUITING

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-01

Study Completion Date

2026-10-31

Brief Summary

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The aim of this study is to evaluate the feasibility of predicting upper airway patency in patients with prolonged tracheostomy using a non-invasive method combining speaking valve (SV) and transtracheal end-expiratory pressure (TTPEE) through a multicenter study.

Detailed Description

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Conditions

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Tracheostomy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

All patients received the speaking valve combined with the transtracheal end-expiratory pressure measurement protocol and bronchoscopy.
Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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True positive group

Upper airway non-patency is defined as positive; otherwise, it is negative. The true positive group is defined as those for whom both the results of the speaking valve (SV) with the transtracheal end-expiratory pressure (TTPEE) measurement protocol and the bronchoscopy are positive.

Group Type EXPERIMENTAL

Speaking valve combined with airway pressure

Intervention Type DIAGNOSTIC_TEST

All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.

Bronchoscopy

Intervention Type DIAGNOSTIC_TEST

The same examiner performed bronchoscopy on all patients to assess upper airway patency.

False positive group

Upper airway non-patency is defined as positive; otherwise, it is negative. The false positive group is defined as the group in which the result of the speaking valve (SV) with the transtracheal end-expiratory pressure (TTPEE) measurement protocol is positive, and the result of the bronchoscopy is negative.

Group Type EXPERIMENTAL

Speaking valve combined with airway pressure

Intervention Type DIAGNOSTIC_TEST

All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.

Bronchoscopy

Intervention Type DIAGNOSTIC_TEST

The same examiner performed bronchoscopy on all patients to assess upper airway patency.

True negative group

Upper airway non-patency is defined as positive; otherwise, it is negative. The true negative group is defined as those for whom both the results of the speaking valve (SV) with the transtracheal end-expiratory pressure (TTPEE) measurement protocol and the bronchoscopy are negative.

Group Type EXPERIMENTAL

Speaking valve combined with airway pressure

Intervention Type DIAGNOSTIC_TEST

All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.

Bronchoscopy

Intervention Type DIAGNOSTIC_TEST

The same examiner performed bronchoscopy on all patients to assess upper airway patency.

False negative group

Upper airway non-patency is defined as positive; otherwise, it is negative. The false negative group is defined as the group in which the result of the speaking valve (SV) with the transtracheal end-expiratory pressure (TTPEE) measurement protocol is negative, and the result of the bronchoscopy is positive.

Group Type EXPERIMENTAL

Speaking valve combined with airway pressure

Intervention Type DIAGNOSTIC_TEST

All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.

Bronchoscopy

Intervention Type DIAGNOSTIC_TEST

The same examiner performed bronchoscopy on all patients to assess upper airway patency.

Interventions

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Speaking valve combined with airway pressure

All patients wore speaking valves for 30 minutes, during which the transtracheal end-expiratory pressure was measured to assess the patency of the upper airway.

Intervention Type DIAGNOSTIC_TEST

Bronchoscopy

The same examiner performed bronchoscopy on all patients to assess upper airway patency.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Weaned from ventilator more than 48 hours
* No any organ failure
* No sepsis
* Stable heart rate and blood pressure
* Lung infection under control
* PCO2\<60mmHg
* Patient and family sign informed consent form

Exclusion Criteria

* Serious dysfunction of vital organs
* Inability to tolerate cuff deflation
* Laryngopharyngeal trauma
* Known severe upper airway obstruction before referrer to our department
* Endoscopy(bronchoscopy or laryngoscopy) has been performed and the condition of the upper airway has known
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Capital Medical University

OTHER

Sponsor Role lead

Responsible Party

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Hongying Jiang

Sponsor-Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hongying Jiang, MD

Role: STUDY_CHAIR

Beijing Rehabilitation Hospital of Capital Medical University

Locations

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Beijing Rehabilitation Hospital of Capital Medical University

Beijing, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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Hongying Jiang, MD

Role: CONTACT

+8656981555

Facility Contacts

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jingyi Ge

Role: primary

Other Identifiers

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2025-hxkfzx-dzx-001

Identifier Type: -

Identifier Source: org_study_id