Overview
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.
Eligibility
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