Primary vs Secondary Closure of Tracheo-cutaneous Fistulas

Launched by UNIVERSITÉ DE SHERBROOKE · Nov 23, 2020

Keywords

ClinConnect Summary

This clinical trial is investigating two different methods for closing a tracheo-cutaneous fistula, which is an opening that can develop after a tracheostomy (a procedure where a tube is placed in the windpipe to help with breathing). The trial aims to compare "primary closure," where the opening is closed right away, and "secondary closure," where the opening is allowed to heal over time before being closed. By studying these methods, researchers hope to find out which technique leads to better outcomes for patients.

To participate in this trial, individuals must be between 65 and 74 years old, have a tracheostomy (either done through the skin or surgically), and be ready to have their tube removed and the fistula closed. It's important to note that those with certain conditions that would prevent immediate closure or who are unable to give consent cannot join the study. Participants can expect to receive care and monitoring as they undergo either of the closure methods, helping to contribute valuable information that could improve treatment for others in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Being covered by the RAMQ
• • Having a tracheostomy either percutaneous or surgical
• • Being ready for canula removal and closure of the fistula
• Exclusion Criteria:
• • Presenting a contraindication to primary tracheotomy closure (granuloma)
• • Unable to consent
• • Refusal to participate