The PhINEST Study - Pharyngeal ICU Novel Electrical Stimulation Therapy

Pre-screening Inclusion Criteria: All of the following criteria must be met for inclusion: * Age ≥ 18 ≤ 85, * Emergency ICU admission (unplanned admission), * Recent extubation following invasive mechanical ventilation (of any length of time) by means of endotracheal tube, * Presence of post-extubation dysphagia as determined by the participating Sites' Standard Of Care (SOC). Screening / Enrolment Criteria: To be eligible for enrolment in this study, an individual must meet all of the following additional criteria: * Presence of written informed consent according to respective national guidelines, * Dysphagia severity status classified according to PAS on FEES assessment as 'aspiration' (PAS score ≥ 6), * Richmond Agitation and Sedation Scale (RASS) score within the range of -1 to +2 (i.e. if score equals -2, -3, -4 or +3, +4, patient is excluded). Randomisation Inclusion Criteria (post-consent) The following additional criteria must be met for randomisation: • Successful placement and subjective tolerance of the Phagenyx® Catheter within 2 days of extubation.(post consent) Exclusion Criteria: An individual who meets any of the following criteria will be excluded from enrolment in this study: * Nasal anatomical deformity, nasal airway obstruction; patient who have had recent oral, nasal or oesophageal surgery or patient presenting with facial and/or cranial fractures or any other circumstance (e.g. history of oesophageal perforation, stricture, pouch, resection or…