Evidence map›Paper›PMID 40091074›Full record

ReviewNeurological research and practice2025

Decannulation ahead: a comprehensive diagnostic and therapeutic framework for tracheotomized neurological patients.

Rainer Dziewas, Tobias Warnecke, Bendix Labeit, Volker Schulte, Inga Claus, Paul Muhle, Anna Brake, Lena Hollah, Anne Jung, Jonas von Itter and 1 more

Abstract readReview
In one paragraph

Review in Neurological research and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rainer DziewasDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück - Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, Osnabrück, Germany. rainer.dziewas@klinikum-os.de.ORCID http://orcid.org/0000-0003-1592-8461
Tobias WarneckeDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück - Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, Osnabrück, Germany.
Bendix LabeitDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Düsseldorf, Germany.
Volker SchulteDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück - Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, Osnabrück, Germany.
Inga ClausDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Paul MuhleDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Anna BrakeDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück - Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, Osnabrück, Germany.
Lena HollahDepartment of Neurology and Neurorehabilitation, Klinikum Osnabrück - Academic Teaching Hospital of the University of Münster, Am Finkenhügel 1, Osnabrück, Germany.
Anne JungDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Jonas von ItterDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.
Sonja Suntrup-KrügerDepartment of Neurology with Institute for Translational Neurology, University Hospital Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDecannulation in tracheotomized neurological patients is often complicated by severe dysphagia, which compromises airway safety and delays weaning. Additional challenges, including reduced cough strength, excessive bronchial secretions, and altered airway anatomy exacerbate weaning issues, thereby increasing morbidity and mortality. This review summarizes diagnostic procedures and therapeutic options crucial for the rehabilitation of tracheotomized patients. MAIN BODY: Key diagnostic strategies for assessing decannulation readiness focus on airway protection, airway patency, bronchial secretion management, and cough function. These are collectively introduced as the A

conclusionSuccessful decannulation in neurological patients demands a multidisciplinary, patient-centered approach that combines advanced diagnostics, targeted therapies, and structured management pathways. The proposed algorithm integrates fast-track and standard-track pathways, balancing rapid diagnostics with gradual weaning strategies. This framework promotes flexibility, enabling clinicians to tailor interventions to individual patient needs while maintaining safety and optimizing outcomes.

Identifiers

PMID40091074
PMCPMC11921981

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.