Tracheostomy is performed for prolonged mechanical ventilation. Ineffective bandaging following decannulation leaves the tracheostomy wound unsealed, reducing pulmonary function, coughing ability, and voice quality, ultimately leading to decannulation failure. Recently, a new concept enabling intratracheal sealing of the tracheotomy was introduced, potentially solving the issues of air leakage and tracheal wound infection. This study aims to investigate the feasibility of intratracheal tracheostomy sealing in relation to an immediate normalization of physiological airway flow and an improved voice quality.
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Forced expiratory volume in one second (FEV1)
Timeframe: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Voice quality
Timeframe: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Peak expiratory flow (PEF)
Timeframe: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention
Forced vital capacity (FVC)
Timeframe: Day 2: At time of decannulation, i.e. directly after inclusion and randomization to sealing or not as first intervention