RecruitingNot ApplicableNCT06089434

TEE and Dysphagia in Lung Transplantation

Transesophageal Echocardiography (TEE) and Dysphagia in Lung Transplantation (LT)


Sponsor

University of California, Los Angeles

Enrollment

116 participants

Start Date

Jul 12, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The primary outcome of this study is dysphagia (difficulty swallowing) on postoperative speech and swallow evaluation following lung transplantation. Transesophageal echocardiography (TEE) (creates pictures of the heart from inside the participants body) is routinely performed for all lung transplantations at the University of California, Los Angeles (UCLA) and it is the standard of care. Patients are randomized to two groups. The intervention group would limit the number of TEE clips (# pictures taken) per case. The control group would leave the number of TEE clips to the discretion of the attending anesthesiologist. The investigators hypothesize that reduction in TEE imaging during lung transplantation will reduce dysphagia.


Eligibility

Min Age: 18 Years

Inclusion Criteria2

  • Adult patients
  • Single or double lung transplantation

Exclusion Criteria6

  • Contraindications to TEE including:
  • perforated esophagus;
  • esophageal stricture;
  • esophageal tumor; and
  • history of an esophagectomy
  • Patients that require a tracheostomy postoperatively.

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Interventions

DIAGNOSTIC_TESTTransesophageal Echocardiography (TEE) with limited number of TEE clips

The intervention group would be limited to fewer than 20 TEE clips per case (versus the average of \~ 80-100 TEE clips per case).

DIAGNOSTIC_TESTTransesophageal Echocardiography (TEE) with number of TEE clips per attending anesthesiologist

The control group would leave the number of TEE clips to the discretion of the attending anesthesiologist.


Locations(1)

Ronald Reagan UCLA Medical Center, Department of Anesthesiology & Perioperative Medicine

Los Angeles, California, United States

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NCT06089434


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