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TracheostomyTRACHEASNCT06236542

Tracheostomy Robotics and Cutting-edge Health Education for Airway Safety

A study testing NextGen automated tracheostomy suctioning device, NextGen mixed-reality tracheostomy tube change system and NextGen Tracheostomy Toolkit in people with Tracheostomy, run by Johns Hopkins University at 2 sites in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to test the NextGen Tracheostomy Toolkit in people who have a tracheostomy. The main questions it aims to answer are: What is the number of atraumatic tracheostomy suctionings before and after the use of automated robotic suctioning device divided by the total number of tracheostomy… Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Tracheostomy
What is being tested?
NextGen automated tracheostomy suctioning device, NextGen mixed-reality tracheostomy tube change system and NextGen Tracheostomy Toolkit
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
632 participants
Where
2 sitesUnited States
Study dates
1 Oct 2027to 30 Sep 2029
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • adult patients 18 years or older
  • those who received a tracheostomy during their hospital stay
  • those who were admitted to the hospital with a tracheostomy

Who cannot join

  • none

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Vinciya Pandian, PhD, MBA, MSN, RN, ACNP-BC contact

443-655-3482

vpandia1@jhu.edu

United States2 sites
  • University of Michigan

    Ann Arbor, Michigan, 48104

    Michael J Brenner, MD, FACS, 734-369-0204, mbren@med.umich.edu

    Michael J Brenner, MD, FACS

  • Johns Hopkins University

    Baltimore, Maryland, 21205

    Vinciya Pandian, PhD, MBA, MSN, RN, ACNP-BC, 443-655-3482, vpandia1@jhu.edu

    Axel Mathias, PhD

Other trials in United States

About this study

Official title: NextGen Tracheostomy Toolkit: Integrating Augmented and Virtual Reality With Robotics to Improve Tracheostomy Care

The goal of this clinical trial is to test the NextGen Tracheostomy Toolkit in people who have a tracheostomy. The main questions it aims to answer are:

  • What is the number of atraumatic tracheostomy suctionings before and after the use of automated robotic suctioning device divided by the total number of tracheostomy suctionings across arms experimental group 1 vs. control group?
  • What is the number of atraumatic tracheostomy suctionings before and after the use of Nextgen Tracheostomy Toolkit divided by the total number of tracheostomy suctionings across arms experimental group 3 vs. control group?
  • What is the number of successful first-time tracheostomy tube change attempts before and after the use of mixed reality tracheostomy tube change device divided by the total number of tracheostomy tube changes across arms experimental group 2 vs. control group?
  • What is the number of successful first-time tracheostomy tube change attempts before and after the use of Nextgen Tracheostomy Toolkit divided by the total number of tracheostomy tube changes across arms experimental group 3 vs. control group? Participants will be randomly divided into 4 groups and assigned different interventions.
  1. Experimental group 1 will receive suctionings using automated robotic suctioning device.
  2. Experimental group 2 will receive tracheostomy tube changes using mixed reality tracheostomy tube changing system.
  3. Experimental group 3 will receive Nextgen Tracheostomy Toolkit that includes suctionings using automated robotic suctioning device and tracheostomy tube changes using mixed reality tracheostomy tube changing system.
  4. Control group will receive usual tracheostomy care Researchers will compare the four groups to see the effect of Nextgen tracheostomy toolkit and its components on the number of atraumatic tracheostomy suctionings and number of successful first-time tracheostomy tube changes.
Conditions
Tracheostomy
Being tested
NextGen automated tracheostomy suctioning device, NextGen mixed-reality tracheostomy tube change system, NextGen Tracheostomy Toolkit
Keywords
Tracheostomy, Tracheostomy education, Immersive learning, Simulation, Virtual reality, Mixed reality, Robotics, Tracheostomy suctioning, Tracheostomy tube change, Patient safety, Critical care

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NextGen automated tracheostomy suctioning deviceDevice

    Providers will be trained on tracheostomy care using multiplayer virtual reality educational modules and participants will receive tracheostomy suctionings using an automated robotic suctioning device.

  • NextGen mixed-reality tracheostomy tube change systemDevice

    Providers will be trained on tracheostomy care using multiplayer virtual reality educational modules and participants will receive tracheostomy tube changes using the mixed reality tracheostomy tube change system.

  • NextGen Tracheostomy ToolkitDevice

    Providers will be trained on tracheostomy care using multiplayer virtual reality educational modules and participants will receive tracheostomy suctioning using the robotic suctioning device; and tracheostomy tube changes using the mixed reality tracheostomy tube change system.

Study groups in NCT06236542
Study groupRoleWhat they receive
Automated tracheostomy suctioning deviceExperimentalParticipants in this group will receive tracheostomy suctioning using an automated robotic suctioning device.
Receives: Device: NextGen automated tracheostomy suctioning device
Mixed-reality tracheostomy tube change systemExperimentalParticipants in this group will receive tracheostomy tube changes using a mixed-reality tracheostomy tube change device.
Receives: Device: NextGen mixed-reality tracheostomy tube change system
NextGen Tracheostomy ToolkitExperimentalParticipants in this group will receive tracheostomy care using the NextGen Tracheostomy Toolkit. Providers will be trained using virtual reality educational modules. Participants in this group will receive tracheostomy suctioning using an automated robotic suctioning device and tracheostomy tube changes using a mixed-reality tracheostomy tube change device.
Receives: Device: NextGen Tracheostomy Toolkit
Control groupNo interventionParticipants in this group will receive usual tracheostomy care.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Successful first-time tracheostomy tube changes

    successful first-time tracheostomy tube change attempts before and after the use of mixed reality tracheostomy tube change device; from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

  2. Percent of Successful Atraumatic suctionings

    successful first-time tracheostomy tube change attempt, will be calculated by measuring the number of successful first-time tracheostomy tube change attempts over the total number of tracheostomy tube change attempts; from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

Secondary outcomes (15)
  1. Discomfort as assessed by a Visual Analog Pain Scale

    Discomfort, the level of physical or psychological unease, pain, or distress experienced by patients with a tracheostomy resulting from the presence of the tracheostomy tube or related interventions will be measured using a Visual Analog Scale pain scale. The scale ranges from 0 - 100 with 0 referring to no pain and 100 extreme pain.

    Measured: During tracheostomy suctioning

  2. Discomfort as assessed by the Wong-Baker FACES Pain Rating Scale

    Discomfort, the level of physical or psychological unease, pain, or distress experienced by patients with a tracheostomy resulting from the presence of the tracheostomy tube or related interventions will be measured using a Wong-Baker FACES Pain Rating Scale if the patient cannot verbalize pain levels using Visual Analog Scale pain scale. The Wong-Baker FACES Pain Rating scale consists of a series of varying facial expressions, ranging from a happy face (indicating no pain) to a crying, distressed face (indicating severe pain). Each face on the scale is assigned a numerical value (often ranging from 0 to 10), which allows for quantification and tracking of pain over time.

    Measured: During tracheostomy suctioning

  3. Occurrence of Stomal Infection

    The occurrence of infection at the stoma site in the neck where tracheostomy tube is inserted, will be assessed by the presence of swelling, redness, discharge, and pain at the stoma site from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: At time of receiving tracheostomy up to approximately 6 weeks

  4. Occurrence of airway bleeding complications

    Data regarding bleeding in the airway secretions due to injury from suctioning will be retrieved from electronic health records and automated suctioning device.

    Measured: During tracheostomy suctionings

  5. Occurrence of Tracheostomy tube dislodgments

    Dislodgment will be observed during the tracheostomy tube change procedure, until discharge, or tracheostomy decannulation, or captured from electronic health records.

    Measured: During procedure up to 6 weeks

  6. Occurrence of False tract

    False Tract, the creation of an unintended passage during tracheostomy tube insertion will be identified by the study team during tracheostomy tube change procedure based on the assessment for air leakage, suboptimal ventilation, or visible defects, using capnography and pulsoximetry, and/or radiological findings.

    Measured: During procedure

  7. Occurrence of Airway Obstruction

    Airway Obstruction, partial or complete blockage of the tracheostomy tube, will be assessed by monitoring signs and symptoms of airway obstruction, such as decreased airflow or increased respiratory effort from the time of receiving a tracheostomy tube, until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

  8. Occurrence of Ventilator-associated pneumonia

    Ventilator-associated pneumonia (VAP) caused by microbial colonization in the airways will be evaluated for correlation with use of tracheostomy to differentiate from other causes of VAP based on timing of diagnoses and clinical symptoms by evaluating electronic health records. VAP will be assessed from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

  9. Patient/family satisfaction

    Patient and family satisfaction will be measured using a study team-developed satisfaction questionnaire with 10 Likert scale items and semi-structured interviews. The Likert scale will range from 1 - 5 with 1 being strongly disagree and 5 being strongly agree. Satisfaction will be assessed immediately after use of automated robotic suctioning device, mixed-reality tracheostomy tube change system, or NextGen tracheostomy toolkit.

    Measured: Immediately after procedure

  10. Patient/family acceptability

    Patient and family satisfaction will be measured using a questionnaire with Likert scale items and semi-structured interviews. Acceptability will be assessed immediately after use of automated robotic suctioning device, mixed-reality tracheostomy tube change system, or NextGen tracheostomy toolkit.

    Measured: Immediately after procedure

  11. Equitable delivery of care as assessed by summary of demographic factors

    Evaluate equitable delivery of care among different patient groups, by summarizing socio-demographic factors such as gender, race, ethnicity, and insurance status to evaluate associations in relation to clinical outcomes. Equitable delivery of care will be assessed immediately after use of automated robotic suctioning device, mixed-reality tracheostomy tube change system, or NextGen tracheostomy toolkit.

    Measured: Immediately after procedure

  12. Intensive care unit length of stay (LOS)

    ICU LOS is the number of days the patient remains in the ICU with a tracheostomy tube from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

  13. Hospital length of stay

    Hospital LOS is the number of days a patient remains in the hospital, including both the ICU and other units, with a tracheostomy tube from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

  14. Duration of mechanical ventilation

    The number of days patient received mechanical ventilation via a tracheostomy.

    Measured: Approximately 2 weeks

  15. Tracheostomy duration

    Tracheostomy duration is the length of time the tracheostomy tube remains in place, indicating the duration of tracheostomy dependence; from the time of receiving a tracheostomy tube until discharge or tracheostomy decannulation.

    Measured: An average of 6 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2024
  2. Study start1 Oct 2027 (estimated)
  3. Primary completion30 Jun 2029 (estimated)
  4. Study completion30 Sep 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Model description
NextGen Tracheostomy Toolkit
Masking
None (open label)
Enrolment
632 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06236542
Sponsor's protocol ID
IRB00430139
Acronym
TRACHEAS
Status last verified
Jan 2024
First submitted
24 Jan 2024
Last updated
1 Feb 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No: Due to privacy reasons.

Publications

  • Martin KA, Cole TDK, Percha CM, Asanuma N, Mattare K, Hager DN, Brenner MJ, Pandian V. Standard versus Accelerated Speaking Valve Placement after Percutaneous Tracheostomy: A Randomized Controlled Feasibility Study. Ann Am Thorac Soc. 2021 Oct;18(10):1693-1701. doi: 10.1513/AnnalsATS.202010-1282OC.

    PubMed 33760713
  • McGrath BA, Wallace S, Lynch J, Bonvento B, Coe B, Owen A, Firn M, Brenner MJ, Edwards E, Finch TL, Cameron T, Narula A, Roberson DW. Improving tracheostomy care in the United Kingdom: results of a guided quality improvement programme in 20 diverse hospitals. Br J Anaesth. 2020 Jul;125(1):e119-e129. doi: 10.1016/j.bja.2020.04.064. Epub 2020 May 31.

    PubMed 32493580
  • Cherney RL, Pandian V, Ninan A, Eastman D, Barnes B, King E, Miller B, Judkins S, Smith AE 4th, Smith NM, Hanley J, Creutz E, Carlson M, Schneider KJ, Shever LL, Casper KA, Davidson PM, Brenner MJ. The Trach Trail: A Systems-Based Pathway to Improve Quality of Tracheostomy Care and Interdisciplinary Collaboration. Otolaryngol Head Neck Surg. 2020 Aug;163(2):232-243. doi: 10.1177/0194599820917427. Epub 2020 May 26.

    PubMed 32450771
  • Brenner MJ, Pandian V, Milliren CE, Graham DA, Zaga C, Morris LL, Bedwell JR, Das P, Zhu H, Lee Y Allen J, Peltz A, Chin K, Schiff BA, Randall DM, Swords C, French D, Ward E, Sweeney JM, Warrillow SJ, Arora A, Narula A, McGrath BA, Cameron TS, Roberson DW. Global Tracheostomy Collaborative: data-driven improvements in patient safety through multidisciplinary teamwork, standardisation, education, and patient partnership. Br J Anaesth. 2020 Jul;125(1):e104-e118. doi: 10.1016/j.bja.2020.04.054. Epub 2020 May 23.

    PubMed 32456776

Questions about this trial

What is this clinical trial studying?

A study testing NextGen automated tracheostomy suctioning device, NextGen mixed-reality tracheostomy tube change system and NextGen Tracheostomy Toolkit in people with Tracheostomy, run by Johns Hopkins University at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 1 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vinciya Pandian, PhD, MBA, MSN, RN, ACNP-BC (443-655-3482, vpandia1@jhu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Successful first-time tracheostomy tube changes (time frame: An average of 6 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06236542, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Feb 2024.

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