Standard versus Accelerated Speaking Valve Placement after Percutaneous Tracheostomy: A Randomized Controlled Feasibility Study.

ABSTRACT: Rationale: The feasibility of a large, multicenter, randomized controlled trial comparing the risks and benefits of early-use speaking valve after tracheostomy is not clear. Objectives: To investigate the feasibility of accelerated (⩽24 h) versus standard (⩾48 h) one-way speaking valve ("speaking valve") placement after percutaneous tracheostomy. Methods: Twenty awake patients (Glasgow Coma Scale score ⩾9) were randomized to accelerated or standard timing of speaking valve placement. Outcomes included patient identification and recruitment, adherence to protocol-defined time windows for valve placement, experimental separation in time to first speaking valve placement between groups, effectiveness of speech and swallowing (Sentence Intelligibility Test score, patient-r

SUBMITTER: Martin KA 

PROVIDER: S-EPMC8522290 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature