A stepwise decannulation pathway for patients with prolonged disorders of consciousness after brain injury: a retrospective feasibility study - Takeaways - MDSpire

A stepwise decannulation pathway for patients with prolonged disorders of consciousness after brain injury: a retrospective feasibility study

  • By

  • Jinjin Huang

  • Long Chen

  • Chang Liu

  • Xinyuan Xue

  • Keling Cheng

  • Aziza Abdulaziz Abdulwahid

  • Jun Ni

  • Zhiyong Wang

  • June 8, 2026

  • 0 min

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  • 1

    A stepwise decannulation pathway for patients with prolonged disorders of consciousness after brain injury was developed and assessed for feasibility.

  • 2

    In a study of 61 patients, 57.4% were successfully decannulated without reintubation or ICU transfer within 48 hours.

  • 3

    The mean time to decannulation was 19.8 days, with airway lesions found in 88.5% of patients.

  • 4

    Main barriers to decannulation included airway stenosis, uncontrolled secretion burden, and inadequate cough strength.

  • 5

    The findings suggest that a structured decannulation pathway may improve safety and decision-making for this patient population.

Original Source(s)

A stepwise decannulation pathway for patients with prolonged disorders of consciousness after brain injury: a retrospective feasibility study

  • by Jinjin Huang, Long Chen, Chang Liu, Xinyuan Xue, Keling Cheng, Aziza Abdulaziz Abdulwahid, Jun Ni, Zhiyong Wang

  • June 8, 2026

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