Comparing Two Steps to Remove Tracheostomy in Stroke Patients
Part of Brain & nervous system, Heart & circulation clinical trials.
This trial compares two methods (a speaking valve trial vs. a capping trial) to help stroke patients with a tracheostomy safely remove their trach tube. It tests which method works better to prepare you for breathing on your own.
Summary written for real people, not researchers, by Clin2.
Who can take part
- You had a stroke (ischemic or hemorrhagic) and have a tracheostomy tube.
- You are stable—off a breathing machine for at least 48 hours, no active serious infection, and your vital signs are okay.
- You can cough strongly enough (peak cough flow of at least 100 L/min) and have less than 20 ml of secretions under your vocal cords in a day.
- You do not have severe airway problems like a narrowed windpipe or a hole between windpipe and esophagus.
Quick eligibility check
Answer a few plain-language questions, based on this study's own requirements, to get a preliminary sense of fit.
Similar studies
Other trials that look related to this one.
This trial studies how well stroke patients with a breathing tube (tracheostomy) can have it removed. It looks at genes and blood oxygen levels, and compares patients at different altitudes to find the best timing for removal.
This trial tests whether using a speaking valve (a small one-way valve that lets you breathe and speak) helps people with a tracheostomy and long-term consciousness problems safely remove their tracheostomy tube, compared to a standard capping method.
This study looks at how your breathing changes after removing a tracheostomy tube, using a valve and simple breathing tests. It may help doctors better plan your recovery.
This study tests a new way to help people with long-lasting disorders of consciousness get their tracheostomy tube removed using a voice valve. If you qualify, this might help improve recovery and communication.
This study compares two types of high-flow oxygen therapy (warm, moisturized air delivered through a tracheostomy tube) to see which one helps you breathe more comfortably and efficiently. They use a special monitor called electrical impedance tomography (EIT) to see how your lungs are working.
This study looks at how using a speaking valve (a one-way valve that lets you breathe in through the trach but out through your mouth) affects your heart rate, breathing, and other vital signs. It uses small wearable monitors to track these changes.
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