2013 Charleston Swallowing Conference

Size: px
Start display at page:

Download "2013 Charleston Swallowing Conference"

Transcription

1 Providing Quality Affordable Continuing Education and Treatment Materials for over 30 years Charleston Swallowing Conference Session 13 Trachs, Tubes And Vents: Frequently Asked Questions 1:30-3:00pm Saturday, Oct. 12, 2013 CE Seminars On-line CEUs Products Authors: Blair, Dikeman, Kazandjian Facebook.com/NorthernSpeech 325 Meecher Road PO Box 1247 Gaylord, MI Phone: Fax:

2 1

3 2

4 3

5 4

6 5

7 Selected References Belafsky, P. C., Blumenfeld, L., LePage, A., & Nahrestedt, K. (2003). The accuracy of the modified Evan s blue dye test in predicting aspiration. The Laryngoscope, 113, Boston Medical (2011). Brady, S. L., Hildner, C. D., & Hutchins, B. F., (1999). Simultaneous videofluoroscopic swallow study and modified Evans blue dye procedure: An evaluation of blue dye visualization in cases of known aspiration. Dysphagia, 14, Conway, D. H., & Mackie, C. (2004). The effects of tracheostomy cuff deflation during continuous positive airway pressure. Anaesthesia, 59, Darr A, Dhanji K, Doshi J. (2012). Tracheostomy and laryngectomy survey: do front-line emergency staff appreciate the difference?. J Laryngol Otol. Jun;126(6): de Mestral C, Iqbal S, Fong N, LeBlanc J, Fata P, Razek T, Khwaja K. (2011). Impact of a specialized multidisciplinary tracheostomy team on tracheostomy care in critically ill patients. Canadian Journal of Surgery. Jun; 54(3): Dettelbach, M. A., Gross, R. D., Mahlmann, J., & Eibling, D. E. (1995). Effect of the Passy-Muir valve on aspiration in patients with tracheostomy. Head and Neck, 17, Dikeman, K. & Kazandjian, M. (2004). Managing Tracheostomized and Ventilator-Dependent Adults: Current Concepts. ASHA Leader, pp. 6-7, Dikeman, K. J., & Kazandjian, M. S. (2003). Communication and swallowing management of tracheostomized and ventilatordependent adults (2nd ed.). Clifton Park, NY: Thomson-Delmar Learning, Inc. Ding, R., & Logemann, J. A. (2005). Swallow physiology in patients with trach cuff inflated or deflated: a retrospective study. Head & Neck, 27, Donzelli, J., Brady, S., Wesling, M., & Craney, M. (2001). Simultaneous modified Evans blue dye procedure and video nasal endoscopic evaluation of the swallow. The Laryngoscope, 111, Donzelli, J., Brady, S., Wesling, M., & Theisen, M. (2005). Effects of the removal of the tracheotomy tube on swallowing during the fiberoptic endoscopic exam of the swallow (FEES). Dysphagia, 20, Eibling, D. E., & Gross, R. D. (1996). Subglottic air pressure: A key component of swallowing efficiency. The Annals of Otology, Rhinology, and Laryngology, 105, Eliachar I, McDonnell M, Nguyen D. (1990). New stoma stent applicable in long-term tracheostomy. Otolaryngol Head Neck Surg. Dec;103(6): Garrubba M, Turner T, Grieveson C. (2009). Multidisciplinary care for tracheostomy patients: a systematic review. Critical Care. 2009; 13(6): R177 6

8 Gross, R. D., Mahlmann, J., & Grayhack, J. P. (2003). Physiologic effects of open and closed trachesotomy tubes on the pharyngeal swallow. The Annals of Otology, Rhinology, and Laryngology, 112, Gross, R. D., Steinhauer, K. M., Zajac, D. J., & Weissler, M. C. (2006). Direct measurement of subglottic air pressure while swallowing. The Laryngoscope, 116, Hall AM, Watt JW. (2008). The use of tracheal stoma stents in high spinal cord injury: a patient-friendly alternative to long-term tracheostomy tubes. Spinal Cord. Nov;46(11): Heffner JE. (2008). Tracheostomy decannulation: marathons and finish lines. Critical Care. 2008; 12(2): 128 Hood Laboratories. (2011). restricted/pdfs/hood%20stoma%20stent.pdf Kang, J.Y., Choi, K.H., Yun, G.J., Kim, M.Y., & Ryu, J.S. (2012). Does removal of tracheostomy affect dysphagia? A kinematic analysis. Dysphagia, 27, Kunduk M, Appel K, Tunc M, et al. (2010). Preliminary report of laryngeal phonation during mechanical ventilation via a new cuffed tracheostomy tube. Respir Care ;55: Ohmae, Y., Adachi, Z., Isoda, Y., Maekawa, H., Kitagawa, Y., Karaho, T., Kitahara, S. (2006). Effects of one-way speaking valve placement on swallowing physiology for tracheostomized patients: impact on laryngeal clearance. Nihon Jibiinkoka Gakkai Kaiho, 109, O Neil-Pirozzi, T. M., Lisiecki, D. J., Jack Momose, K., Connors, J. J., & Milliner, M. P. (2003). Simultaneous modified barium swallow and blue dye tests. A determination of the accuracy of the blue dye test aspiration findings. Dysphagia, 18, Passy Muir Inc. (2013). Tracheostomy and Ventilator Swallowing & Speaking Valve Benefits. Retrieved from /benefits.aspx. Peruzzi, W. T., Logemann, J. A., Currie, D., & Moen, S. G. (2001). Assessment of aspiration in patients with tracheostomies: Comparison of bedside colored dye assessment with videofluroscopic examination. Respiratory Care, 46, Pulmodyne (2013). Saghebi SR, Zangi M, Tajali T, Farzanegan R, Farsad SM, Abbasidezfouli A, Sheikhy K, Shadmehr MB. (2013). The role of T-tubes in the management of airway stenosis. Eur J Cardiothorac Surg. May;43(5):

9 Suiter, D., Brady, S., Dikeman, K., Mandaville, A., Scarborough, D., & Leder, S. (2011). Frequently Asked Questions (FAQ) About Tracheotomy and Swallowing. ASHA Website, Tracheotomy-and-Swallowing/ Suiter, D. M., McCullough, G. H., & Powell, P. W. (2003). Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia, 18, Terk, A. R., Leder, S. B., & Burrell, M. I. (2007). Hyoid bone and laryngeal movement dependent upon presence of a tracheotomy tube. Dysphagia, 22, Truman J, Arsenault L, Edson T. (2007). A go kit and a caddy: Airway management preparedness for patients who have a tracheostomy or a laryngectomy. ORL Head Neck Nurs. Fall; 25(4):7-13, 26. Ward, E., Morgan, T., McGowan, S., Spurgin, A.L., & Solley, M. (2012). Preparation, clinical support, and confidence of speechlanguage therapists managing clients with a tracheostomy in the UK. Int J Lang Commun Disord. 47,

PMV ON OR OFF WITH SWALLOWING DOES IT MAKE A DIFFERENCE?

PMV ON OR OFF WITH SWALLOWING DOES IT MAKE A DIFFERENCE? PMV ON OR OFF WITH SWALLOWING DOES IT MAKE A DIFFERENCE? 1 Tedd Masiongale, MA, CCC-SLP Lorry Lewis, MS, CCC-SLP REASON FOR STUDY After several years of working with trach and ventilator dependent patients,

More information

Evidence-Based Swallowing Related Issues in Patients with Tracheotomy Tubes

Evidence-Based Swallowing Related Issues in Patients with Tracheotomy Tubes Evidence-Based Swallowing Related Issues in Patients with Tracheotomy Tubes Steven B. Leder, Ph.D. Yale University School of Medicine Debra M. Suiter,, Ph.D. University of Memphis Impetus Swallowing Rx

More information

The Effect of a Speaking Valve on Laryngeal Aspiration and Penetration in Children With Tracheotomies

The Effect of a Speaking Valve on Laryngeal Aspiration and Penetration in Children With Tracheotomies The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. The Effect of a Speaking Valve on Laryngeal Aspiration and Penetration in Children With Tracheotomies Julina

More information

Speech and Swallowing in Patients with Tracheostomy

Speech and Swallowing in Patients with Tracheostomy ARTIFICIAL AIRWAYS AND ALTERED AIRWAYS: WHO, WHY, HOW AND WHAT NOW? DEBRA M. SUITER, PHD, CCC SLP, BCS S, FASHA TAMMY WIGGINTON; M.S., CCC/SLP BCS S UNIVERSITY OF KENTUCKY VOICE AND SWALLOW CLINIC Speech

More information

The Role of the Speech Language Pathologist & Spinal Cord Injury

The Role of the Speech Language Pathologist & Spinal Cord Injury The Role of the Speech Language Pathologist & Spinal Cord Injury Facts According to the National Spinal Cord Injury Statistical Center (NSCISC) there are approxiamtely 12,000 new spinal cord injuries (SCI)

More information

Tracheostomy management

Tracheostomy management BJA Education, 15 (3): 149 153 (2015) doi: 10.1093/bjaceaccp/mku008 Advance Access Publication Date: 25 April 2014 Matrix reference 1C02, 2A01, 3A01 Tracheostomy management Katharine Hunt MBBS FRCA 1,

More information

SWALLOW PHYSIOLOGY IN PATIENTS WITH TRACH CUFF INFLATED OR DEFLATED: A RETROSPECTIVE STUDY

SWALLOW PHYSIOLOGY IN PATIENTS WITH TRACH CUFF INFLATED OR DEFLATED: A RETROSPECTIVE STUDY SWALLOW PHYSIOLOGY IN PATIENTS WITH TRACH CUFF INFLATED OR DEFLATED: A RETROSPECTIVE STUDY Ruiying Ding, PhD, 1 Jeri A. Logemann, PhD 2 1 University of Wisconsin-Whitewater, Department of Communicative

More information

COMMUNICATION. Communication and Swallowing post Tracheostomy. Role of SLT. Impact of Tracheostomy. Normal Speech. Facilitating Communication

COMMUNICATION. Communication and Swallowing post Tracheostomy. Role of SLT. Impact of Tracheostomy. Normal Speech. Facilitating Communication Communication and Swallowing post Tracheostomy. Role of SLT 1. 2. 3. Management of communication needs. Management of swallowing issues. Working with the multidisciplinary team to facilitate weaning. Impact

More information

2013 Charleston Swallowing Conference

2013 Charleston Swallowing Conference Providing Quality Affordable Continuing Education and Treatment Materials for over 30 years. 2013 Charleston Swallowing Conference Working Breakfast 7:30 8:00 am Saturday, Oct. 12, 2013 CE Seminars On-line

More information

What are the Challenges? Spreading the Word in NICU. Need for NICU Care: Impact. Baby Trachs: Use of the Passy Muir Valve in the NICU to

What are the Challenges? Spreading the Word in NICU. Need for NICU Care: Impact. Baby Trachs: Use of the Passy Muir Valve in the NICU to What are the Challenges? Baby Trachs: Use of the Passy Muir Valve in the NICU to Optimize Swallowing and Feeding Catherine S Shaker, MS/CCC SLP, BRS S and Cari Mutnick, MS/CCC SLP Florida Hospital for

More information

Tracheostomy in pediatric. Tran Quoc Huy, MD ENT department

Tracheostomy in pediatric. Tran Quoc Huy, MD ENT department Tracheostomy in pediatric Tran Quoc Huy, MD ENT department 1. History 2. Indication 3. Tracheostomy vs Tracheal intubation 4. A systematic review 5. Decannulation 6. Swallowing 7. Communication concerns

More information

2013 Charleston Swallowing Conference

2013 Charleston Swallowing Conference Providing Quality Affordable Continuing Education and Treatment Materials for over 30 years. 2013 Charleston Swallowing Conference Session 9 Bedside Assessment: What Does It Tell You? 10:00 11:30 am Saturday,

More information

Tracheostomy: Procedures, Timing and Tubes

Tracheostomy: Procedures, Timing and Tubes TRACHEOSTOMY: PROCEDURES, TIMING AND TUBES Gail M. Sudderth RRT Clinical Specialist Passy-Muir Inc. gsudderth@passy-muir.com (949) 833-8255 Objectives Explain how the timing of the tracheotomy and tube

More information

Tracheostomy Tube Change Before Day 7 Is Associated With Earlier Use of Speaking Valve and Earlier Oral Intake

Tracheostomy Tube Change Before Day 7 Is Associated With Earlier Use of Speaking Valve and Earlier Oral Intake Before Day 7 Is Associated With Earlier Use of Speaking Valve and Earlier Oral Intake Daniel F Fisher MSc RRT, Dhimiter Kondili, June Williams MSc SLP, Dean R Hess PhD RRT FAARC, Edward A Bittner MD PhD,

More information

Where do we come from?

Where do we come from? Interdisciplinary Decision-Making with Patients Requiring Tracheostomy and Carrie Windhorst MS CCC-SLP Cheryl Wagoner MS CCC-SLP Ricque Harth MEd CCC-SLP Where do we come from? Welcome to Madonna Rehabilitation

More information

DYSPHAGIA MANAGEMENT IN ACUTE CARE AMANDA HEREFORD, MA, CCC- SLP

DYSPHAGIA MANAGEMENT IN ACUTE CARE AMANDA HEREFORD, MA, CCC- SLP DYSPHAGIA MANAGEMENT IN ACUTE CARE AMANDA HEREFORD, MA, CCC- SLP OVERVIEW Decision making re: swallowing in the medically compromised patient Swallow evaluation vs. Nursing Swallow Screening Instrumental

More information

Assessment of Patients with Tracheostomy: Dispelling the Myths

Assessment of Patients with Tracheostomy: Dispelling the Myths Assessment of Patients with Tracheostomy: Dispelling the Myths Stacey A. Skoretz, M.Sc., CCC-SLP University of Toronto James L. Coyle, M.A., CCC-SLP, BRS-S University of Pittsburgh Clinician Questions

More information

Swallow Function: Passy-Muir Valve Use for Evaluation & Rehabilitation David A. Muir Course Outline Physiology of Swallow

Swallow Function: Passy-Muir Valve Use for Evaluation & Rehabilitation David A. Muir Course Outline Physiology of Swallow Swallow Function: Passy-Muir Valve Use for Evaluation & Rehabilitation Mary Spremulli, MA, CCC-SLP Passy-Muir Clinical Consultant spre713@hotmail.com (949) 833-8255 David A. Muir 23 year-old ventilator

More information

Dysphagic Patients with Tracheotomies: A Multidisciplinary Approach to Treatment and Decannulation Management

Dysphagic Patients with Tracheotomies: A Multidisciplinary Approach to Treatment and Decannulation Management Dysphagia 22:20 29 (2007) DOI: 10.1007/s00455-006-9036-5 Dysphagic Patients with Tracheotomies: A Multidisciplinary Approach to Treatment and Decannulation Management Ulrike Frank, MSc, 1 Mark Ma der,

More information

1/22/2014. Disclosure. Course Outline. Course Objectives EARLY INTERVENTION IN PERSONS WITH MINIMALLY CONSCIOUS STATE & TRACHEOSTOMY

1/22/2014. Disclosure. Course Outline. Course Objectives EARLY INTERVENTION IN PERSONS WITH MINIMALLY CONSCIOUS STATE & TRACHEOSTOMY Welcome to Passy-Muir s Event Webinar: Pediatric Candidacy for Speaking Valve Use: Journeys to Success If you have not registered for this event, go to the Education Portal to complete your registration.

More information

Foundations of Critical Care Nursing Course. Tracheostomy Workbook

Foundations of Critical Care Nursing Course. Tracheostomy Workbook Foundations of Critical Care Nursing Course Tracheostomy Workbook 1 Key Reference: Dawson D (2014) Essential principles:trachepstomy care in the adult patient, Nursing in Critical Care, Vol 19, 2 p.63-72.

More information

Tracheostomy management Kate Regan MRCP FRCA Katharine Hunt FRCA

Tracheostomy management Kate Regan MRCP FRCA Katharine Hunt FRCA Kate Regan MRCP FRCA Katharine Hunt FRCA The use of tracheostomy has increased over recent years. Traditionally, it was confined to the emergency management of upper airway obstruction; more recently,

More information

Analysis of Trans-Tracheal Measurements in Children Wearing Speaking Valves during Sleep

Analysis of Trans-Tracheal Measurements in Children Wearing Speaking Valves during Sleep ISSN: 2250-0359 Research Article Volume 8 Issue : 66 208 Analysis of Trans-Tracheal Measurements in Children Wearing Speaking Valves during Sleep Melodi Pirzada *, John Bishara, Jessica Shaw 2, Joy Eribo

More information

Clearing the air.. How to assist and rescue neck breathing patients. Presented by: Don Hall MCD, CCC/SLP Sarah Markel RRT, MHA

Clearing the air.. How to assist and rescue neck breathing patients. Presented by: Don Hall MCD, CCC/SLP Sarah Markel RRT, MHA Clearing the air.. How to assist and rescue neck breathing patients Presented by: Don Hall MCD, CCC/SLP Sarah Markel RRT, MHA Learning Objectives Define common terms identified with total (laryngectomy)

More information

Respiratory Compromise and Swallowing

Respiratory Compromise and Swallowing Speech Pathology and Respiratory Care April 11, 2013 By Angela Parcaro-Tucker, MA, CCC-SLP, LSVT How can Speech Therapy help? 1 Respiratory Compromise and Swallowing Swallowing is a complex sequence of

More information

Developing a Speaking Valve Protocol in the NICU 5/17/2012

Developing a Speaking Valve Protocol in the NICU 5/17/2012 Disclosures Developing a Speaking Valve Protocol in the NICU Melanie Stevens, MS-CCC/SLP Jen Finch, MA-CCC/SLP Leslie Justice, RN, MS, CPNP Erin Wishloff, BS/RRT-NPS Melanie Stevens, MS-CCC/SLP Disclosure:

More information

PMV 2020 (CLEAR) INSTRUCTION BOOKLET. Touching Lives and Advancing Patient Care Through Education. David A. Muir Inventor of the PMV

PMV 2020 (CLEAR) INSTRUCTION BOOKLET. Touching Lives and Advancing Patient Care Through Education. David A. Muir Inventor of the PMV PASSY-MUIR LOW PROFILE TRACHEOSTOMY SWALLOWING AND SPEAKING VALVE PMV 2020 (CLEAR) INSTRUCTION BOOKLET David A. Muir Inventor of the PMV PASSY-MUIR LOW PROFILE TRACHEOSTOMY SWALLOWING AND SPEAKING VALVE

More information

Case Report Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children

Case Report Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children Case Reports in Otolaryngology, Article ID 304593, 4 pages http://dx.doi.org/10.1155/2014/304593 Case Report Long-Term Outcomes of Balloon Dilation for Acquired Subglottic Stenosis in Children Aliye Filiz

More information

Tracheostomy Care for Non- Otolaryngology Providers

Tracheostomy Care for Non- Otolaryngology Providers Tracheostomy Care for Non- Otolaryngology Providers Lara Reichert, MD MPH Department of Otolaryngology, University of Texas Medical Branch, Galveston, TX Susan McCammon, MD Department of Otolaryngology,

More information

Passy-MuirInc. Passy-Muir Tracheostomy and. Ventilator Speaking Valve. Resource Guide. Passy-Muir Tracheostomy and Ventilator Speaking Valves

Passy-MuirInc. Passy-Muir Tracheostomy and. Ventilator Speaking Valve. Resource Guide. Passy-Muir Tracheostomy and Ventilator Speaking Valves Passy-Muir Tracheostomy and Ventilator Speaking Valve Resource Guide Touching Lives and Advancing Patient Care Through Education Passy-MuirInc. Passy-Muir Tracheostomy and Ventilator Speaking Valves TABLE

More information

Speech and Language Therapy in Critical Care

Speech and Language Therapy in Critical Care Speech and Language Therapy in Critical Care Sarah Eli, MSc, MRCSLT, MHPC Specialist Speech and Language Therapist in Critical Care Sarah.Eli@royalberkshire.nhs.uk Why do We Need SLT in Critical Care Key

More information

Department of Pediatric Otolarygnology. ENT Specialty Programs

Department of Pediatric Otolarygnology. ENT Specialty Programs Department of Pediatric Otolarygnology ENT Specialty Programs Staffed by fellowship-trained otolaryngologists, assisted by pediatric nurse practitioners, ENT (Otolaryngology) at Nationwide Children s Hospital

More information

Policies and Procedures. I.D. Number: 1154

Policies and Procedures. I.D. Number: 1154 Policies and Procedures Title: TRACHEOSTOMY TUBE CHANGE - PEDIATRIC I.D. Number: 1154 Authorization: [X ] SHR Nursing Practice Committee Source: Nursing Date Effective: October 2008 Date Revised: March

More information

Evaluation of Salivary Aspiration in Brain- Injured Patients With Tracheostomy Yujeong Kang, MD, Min Ho Chun, MD, Sook Joung Lee, MD

Evaluation of Salivary Aspiration in Brain- Injured Patients With Tracheostomy Yujeong Kang, MD, Min Ho Chun, MD, Sook Joung Lee, MD Original Article Ann Rehabil Med 2013;37(1):96-102 pissn: 2234-0645 eissn: 2234-0653 http://dx.doi.org/10.5535/arm.2013.37.1.96 Annals of Rehabilitation Medicine Evaluation of Salivary Aspiration in Brain-

More information

Validation of the Yale Swallow Protocol: A Prospective Double-Blinded Videofluoroscopic Study

Validation of the Yale Swallow Protocol: A Prospective Double-Blinded Videofluoroscopic Study Dysphagia (2014) 29:199 203 DOI 10.1007/s00455-013-9488-3 ORIGINAL ARTICLE Validation of the Yale Swallow Protocol: A Prospective Double-Blinded Videofluoroscopic Study Debra M. Suiter JoAnna Sloggy Steven

More information

Pediatric Issue. Official Publication of Passy Muir

Pediatric Issue. Official Publication of Passy Muir Passy-Muir, Inc. FALL 2017 Volume 1, Issue 1 Pediatric Issue Official Publication of Passy Muir Welcome to Aerodigestive Health: Addressing Use of the Passy Muir Tracheostomy and Ventilator Swallowing

More information

Oral care & swallowing

Oral care & swallowing Oral care & swallowing Oral care is important as it has a role to play in preventing healthcare associated infections. Dental plaque and the oropharynx can become colonized by bacteria and a biofilm can

More information

External trauma (MVA, surf board, assault, etc.) Internal trauma (Endotracheal intubation, tracheostomy) Other

External trauma (MVA, surf board, assault, etc.) Internal trauma (Endotracheal intubation, tracheostomy) Other Etiology External trauma (MVA, surf board, assault, etc.) Internal trauma (Endotracheal intubation, tracheostomy) Other Systemic diseases (vasculitis, etc.) Chemo/XRT Idiopathic Trans nasal Esophagoscope

More information

The role of T-tubes in the management of airway stenosis

The role of T-tubes in the management of airway stenosis European Journal of Cardio-Thoracic Surgery 43 (2013) 934 939 doi:10.1093/ejcts/ezs514 Advance Access publication 18 September 2012 ORIGINAL ARTICLE a b The role of T-tubes in the management of airway

More information

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY

OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY OPEN ACCESS ATLAS OF OTOLARYNGOLOGY, HEAD & NECK OPERATIVE SURGERY VERTICAL PARTIAL LARYNGECTOMY Management of small tumours involving the true vocal folds can be contentious. Tumour control is achieved

More information

Tracheal T-Tube Stent for Laryngotracheal Stenosis: Ten Year Experience

Tracheal T-Tube Stent for Laryngotracheal Stenosis: Ten Year Experience Original Article Iranian Journal of Otorhinolaryngology, Vol.26(1), Serial No.74, Jan 2014 Abstract Tracheal T-Tube Stent for Laryngotracheal Stenosis: Ten Year Experience * Arjun Dass 1, Nitin M Nagarkar

More information

PANELISTS. Controversial Issues In Common Interventions In ORL 4/10/2014

PANELISTS. Controversial Issues In Common Interventions In ORL 4/10/2014 Controversial Issues In Common Interventions In ORL Mohamed Hesham,MD Alexandria Faculty of Medicine PANELISTS Prof. Ahmed Eldaly Prof. Hamdy EL-Hakim Prof. Hossam Thabet Prof. Maged El-Shenawy Prof. Prince

More information

The Effects of Topical Anesthetic on Swallowing During Nasoendoscopy

The Effects of Topical Anesthetic on Swallowing During Nasoendoscopy The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. The Effects of Topical Anesthetic on Swallowing During Nasoendoscopy Scott Lester, BS; Susan E. Langmore,

More information

Welcome to the Specialized Medical Services respiratory training webinar series!

Welcome to the Specialized Medical Services respiratory training webinar series! Welcome to the Specialized Medical Services respiratory training webinar series! SMS is your LTC facility single source for oxygen, medical equipment, respiratory care services and supplies nationwide.

More information

Problem-solving Respiratory Issues in Children With Neuromuscular Disease. December 13, 2018 Eliezer Be eri, M.D.

Problem-solving Respiratory Issues in Children With Neuromuscular Disease. December 13, 2018 Eliezer Be eri, M.D. Problem-solving Respiratory Issues in Children With Neuromuscular Disease December 13, 2018 Eliezer Be eri, M.D. About Our Presenter Eliezer Be eri, M.D. Alyn Rehabilitation Hospital Jerusalem, Israel

More information

Airway Management in the ICU

Airway Management in the ICU Airway Management in the ICU New developments in management of epistaxis. April 28, 2008 Methods of airway control Non surgical BIPAP CPAP Mask ventilation Laryngeal Mask Intubation Surgical Cricothyrotomy

More information

TECHNICAL SKILLS COMPETENCY

TECHNICAL SKILLS COMPETENCY TECHNICAL SKILLS COMPETENCY Date Education Plan Knowledge Competencies 1. Demonstrates Understanding of rationale for performing FEES a) Identifies indications & contraindications for the procedure, MBS

More information

Tracheostomy: Our Experience

Tracheostomy: Our Experience Research in Otolaryngology 201, 4(2): 29-33 DOI: 10.923/j.otolaryn.2010402.03 Tracheostomy: Our Experience R. K. Datta, B. Viswanatha *, P. J. Puneet, Merin Bobby, T. L. N. Kumari ENT department, Bangalore

More information

Endoscopic Posterior Cricoid Split with Costal Cartilage Graft: A Fifteen Year Experience

Endoscopic Posterior Cricoid Split with Costal Cartilage Graft: A Fifteen Year Experience 1 Endoscopic Posterior Cricoid Split with Costal Cartilage Graft: A Fifteen Year Experience John P. Dahl, MD, PhD, MBA 1,2, *, Patricia L. Purcell, MD 1, MPH, Sanjay R. Parikh, MD, FACS 1, and Andrew F.

More information

Disclosures. Learning Objectives. Coeditor/author. Associate Science Editor, American Heart Association

Disclosures. Learning Objectives. Coeditor/author. Associate Science Editor, American Heart Association Tracheotomy Challenges for airway specialists Elizabeth H. Sinz, MD Professor of Anesthesiology & Neurosurgery Associate Dean for Clinical Simulation Disclosures Coeditor/author Associate Science Editor,

More information

Treatment for Supraglottic Ca History: : Total Laryngectomy y was routine until early 50 s, when XRT was developed Ogura and Som developed the one-sta

Treatment for Supraglottic Ca History: : Total Laryngectomy y was routine until early 50 s, when XRT was developed Ogura and Som developed the one-sta Role of Laser Therapy in Laryngeal Cancer Khalid Hussain AL-Qahtani MD,MSc,FRCS(c) MSc Assistant Professor Consultant of Otolaryngology Advance Head & Neck Oncology, Thyroid & Parathyroid,Microvascular

More information

Full Range of Tracheostomy Solutions

Full Range of Tracheostomy Solutions Full Range of Tracheostomy Solutions Every Breath Counts Choices by Setting Throughout the hospital or home Smiths Medical tracheostomy tubes are designed for performance ER The Portex Cricothyroidotomy

More information

Tracheostomy and laryngectomy airway emergencies: an overview for medical and nursing staff

Tracheostomy and laryngectomy airway emergencies: an overview for medical and nursing staff 2013 Medical Journal Tracheostomy and laryngectomy airway emergencies: an overview for medical and nursing staff Steven Lobaz 1 and Paul Bush 2 1 ST6 and 2 Consultant Department of Anaesthesia and Intensive

More information

CARING FOR THE TRACHEOSTOMISED PATIENT: WHAT TO LOOK OUT FOR

CARING FOR THE TRACHEOSTOMISED PATIENT: WHAT TO LOOK OUT FOR CARING FOR THE TRACHEOSTOMISED PATIENT: WHAT TO LOOK OUT FOR DR MOHD NAZRI ALI Anaesthesiologist & Intensivist HRPZ II, Kota Bharu, Kelantan Tracheostomy The Enabling Disability Tracheostomy Are becoming

More information

Multilevel airway obstruction including rare tongue base mass presenting as severe croup in an infant. Tara Brennan, MD 2,3

Multilevel airway obstruction including rare tongue base mass presenting as severe croup in an infant. Tara Brennan, MD 2,3 Multilevel airway obstruction including rare tongue base mass presenting as severe croup in an infant Tara Brennan, MD 2,3 Jeffrey C. Rastatter, MD, FAAP 1,2 1 Department of Otolaryngology, Northwestern

More information

The Outpatient Care of a Child with a Tracheostomy

The Outpatient Care of a Child with a Tracheostomy 39 th National Conference on Pediatric Health Care March 19-22, 2018 CHICAGO Disclosures The Outpatient Care of a Child with a Tracheostomy The authors have documented that they have no financial relationships

More information

Role of Montgomery T-tube in laryngotracheal stenosis

Role of Montgomery T-tube in laryngotracheal stenosis International Journal of Otorhinolaryngology and Head and Neck Surgery Rakesh BS et al. Int J Otorhinolaryngol Head Neck Surg. 2017 Jan;3(1):61-65 http://www.ijorl.com pissn 2454-5929 eissn 2454-5937 Original

More information

CASE PRIMERS. Pediatric Anesthesia Fellowship Program. Laryngotracheal Reconstruction (LTR) Tufts Medical Center

CASE PRIMERS. Pediatric Anesthesia Fellowship Program. Laryngotracheal Reconstruction (LTR) Tufts Medical Center CASE PRIMERS Pediatric Anesthesia Fellowship Program Tufts Medical Center Department of Anesthesiology and Perioperative Medicine Division of Pediatric Anesthesia 800 Washington Street, Box 298 Boston,

More information

Tracheostomy following discharge from critical care Reference Number:

Tracheostomy following discharge from critical care Reference Number: This is an official Northern Trust policy and should not be edited in any way Tracheostomy following discharge from critical care Reference Number: NHSCT/10/329 Target audience: All staff who manage patients

More information

Pediatric Endoscopic Airway Management With Posterior Cricoid Rib Grafting

Pediatric Endoscopic Airway Management With Posterior Cricoid Rib Grafting The Laryngoscope VC 2011 The American Laryngological, Rhinological and Otological Society, Inc. Pediatric Endoscopic Airway Management With Posterior Cricoid Rib Grafting Matthew J. Provenzano, MD; Stephanie

More information

Influence of the cuff pressure on the swallowing reflex in tracheostomized intensive care unit patients

Influence of the cuff pressure on the swallowing reflex in tracheostomized intensive care unit patients British Journal of Anaesthesia 109 (4): 578 83 (2012) Advance Access publication 26 June 2012. doi:10.1093/bja/aes210 CRITICAL CARE Influence of the cuff pressure on the swallowing reflex in tracheostomized

More information

DO YOU SEE WHAT I SEE? Visualizing Disorders During VFSS and FEES - By Dr Joseph Murray

DO YOU SEE WHAT I SEE? Visualizing Disorders During VFSS and FEES - By Dr Joseph Murray Non-Product Specific Workshop Series: DO YOU SEE WHAT I SEE? Visualizing Disorders During VFSS and FEES - By Dr Joseph Murray 12-13 JANUARY 2019: 2 Days Workshop (Plus 2 Satellite Workshops in 1 day, available

More information

Passy-MuirInc. Clinical Inservice Outline. Touching Lives and Enhancing Patient Care Through Education

Passy-MuirInc. Clinical Inservice Outline. Touching Lives and Enhancing Patient Care Through Education Passy-MuirInc. Clinical Inservice Outline Touching Lives and Enhancing Patient Care Through Education Passy-Muir Tracheostomy & Ventilator Speaking Valves Clinical Inservice Outline I. Inventor, David

More information

Competency 1: General principles and equipment required to safely manage a patient with a tracheostomy tube.

Competency 1: General principles and equipment required to safely manage a patient with a tracheostomy tube. Competency 1: General principles and equipment required to safely manage a patient with a tracheostomy tube. Trainee Name: ------------------------------------------------------------- Title: ---------------------------------------------------------------

More information

Review July Page 1 of 36. Title of Guideline. Contact Names and Job Title (authors) Directorate & Speciality

Review July Page 1 of 36. Title of Guideline. Contact Names and Job Title (authors) Directorate & Speciality Title of Guideline Contact Names and Job Title (authors) Directorate & Speciality Date of submission 06/07/2017 Date on which guideline must be reviewed Explicit definition of patient group to which it

More information

Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy

Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy Page 1 of 9 Guideline of Videofluoroscopic Swallowing Study (VFSS) in Speech Therapy Version 1.0 Effective Date Document Number HKIST-C-VFG-v1 Author HKAST AR Sub-committee Custodian Chairperson of HKIST

More information

The essential principles of tracheostomy care

The essential principles of tracheostomy care The essential principles of tracheostomy care Deborah Dawson Consultant Nurse Critical Care Excellence in specialist and community healthcare Key publications https://www.stgeorges.nhs.uk/gps-andclinicians/clinical-resources/tracheostomyguidelines/

More information

Pediatric partial cricotracheal resection: A new technique for the posterior cricoid anastomosis

Pediatric partial cricotracheal resection: A new technique for the posterior cricoid anastomosis Otolaryngology Head and Neck Surgery (2006) 135, 318-322 ORIGINAL RESEARCH Pediatric partial cricotracheal resection: A new technique for the posterior cricoid anastomosis Mark E. Boseley, MD, and Christopher

More information

Policy x.xxx. Issued: Artificial Airways and Airway Care. ABC Home Medical Company Policy & Procedure Manual. A. Tracheostomy Tubes ( trach tubes)

Policy x.xxx. Issued: Artificial Airways and Airway Care. ABC Home Medical Company Policy & Procedure Manual. A. Tracheostomy Tubes ( trach tubes) A. Tracheostomy Tubes ( trach tubes) A tracheotomy is a surgical procedure whereby an opening is cut into the trachea of the patient for the purpose of inserting a tube (trach tube). The trach tube allows

More information

ORIGINAL ARTICLE. Assessment of Constipation in Children With Tracheostomy

ORIGINAL ARTICLE. Assessment of Constipation in Children With Tracheostomy ORIGINAL ARTICLE Assessment of Constipation in Children With Tracheostomy Jeffrey P. Simons, MD; Deepak Mehta, MD; David L. Mandell, MD Objective: To determine the prevalence of constipation among children

More information

Tracheostomy Guidelines for NHS Wales

Tracheostomy Guidelines for NHS Wales Tracheostomy Guidelines for NHS Wales Prepared by the All Wales Tracheostomy Advisory Group, chaired by Duncan Ingrams, Assistant Medical Director ABUHB. 1 Introduction April 2018 Formulating one set of

More information

Application of the Montgomery T-tube in subglottic tracheal benign stenosis

Application of the Montgomery T-tube in subglottic tracheal benign stenosis Surgical Technique pplication of the Montgomery T-tube in subglottic tracheal benign stenosis Huihui Hu, Jisong Zhang, Fengjie Wu, Enguo Chen Department of Respiratory and Critical Care Medicine, Sir Run

More information

Translaryngeal Tracheostomy - TLT Fantoni Method

Translaryngeal Tracheostomy - TLT Fantoni Method Translaryngeal Tracheostomy - TLT Fantoni Method Fantoni A., Ripamonti D., Lesmo A. About the Authors Fantoni Antonio Chief Emeritus of Department of Anaesthesia and Intensive Care - San Carlo Borromeo

More information

Outcomes of Endoscopic Balloon Dilatation for acquired laryngotracheal stenosis in Pediatric Patients: UKMMC Early Experience.

Outcomes of Endoscopic Balloon Dilatation for acquired laryngotracheal stenosis in Pediatric Patients: UKMMC Early Experience. Case Report Brunei Int Med J. 2017; 13 (1): 36-40 Outcomes of Endoscopic Balloon Dilatation for acquired laryngotracheal stenosis in Pediatric Patients: UKMMC Early Experience. M.Y Soo, B.S Goh, M. Azman

More information

Weaning guidelines for Spinal Cord Injured patients in Critical Care Units

Weaning guidelines for Spinal Cord Injured patients in Critical Care Units RISCI Respiratory Information for Spinal Cord Injury UK Weaning guidelines for Spinal Cord Injured patients in Critical Care Units Introduction It is an unfortunate fact that Spinal Cord Injury Centres

More information

New Evidence-Based Support of a 3 Ounce Water Swallow Challenge Protocol

New Evidence-Based Support of a 3 Ounce Water Swallow Challenge Protocol New Evidence-Based Support of a 3 Ounce Water Swallow Challenge Protocol Steven B. Leder, Ph.D. Yale University School of Medicine New Haven, Connecticut Debra M. Suiter, Ph.D. VA Medical Center-Memphis

More information

Effect of posture on swallowing.

Effect of posture on swallowing. Effect of posture on swallowing. Ahmad H. Alghadir, Hamayun Zafar, Einas S. Al-Eisa, Zaheen A. Iqbal Rehabilitation Research Chair, College of Applied Medical Sciences, King Saud University, Riyadh, KSA.

More information

Tracheostomy. Information for patients and relatives

Tracheostomy. Information for patients and relatives Tracheostomy Information for patients and relatives page 2 What is a tracheostomy? A tracheostomy is a small hole (stoma) made at the front of the neck, which goes into the trachea (windpipe). A tube called

More information

Neonatal Airway Disorders, Treatments, and Outcomes. Steven Goudy, MD Pediatric Otolaryngology Emory University Medical Center

Neonatal Airway Disorders, Treatments, and Outcomes. Steven Goudy, MD Pediatric Otolaryngology Emory University Medical Center Neonatal Airway Disorders, Treatments, and Outcomes Steven Goudy, MD Pediatric Otolaryngology Emory University Medical Center Disclosure I have nothing to disclose Neonatal and Pediatric Tracheostomy Tracheostomy

More information

Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Susan E. Langmore

Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Susan E. Langmore Evaluation of oropharyngeal dysphagia: which diagnostic tool is superior? Susan E. Langmore Purpose of review As flexible endoscopic examinations of swallowing become more widely used to evaluate patients

More information

Kapitex Healthcare. making things clearer for tracheostomy patients

Kapitex Healthcare. making things clearer for tracheostomy patients Kapitex Healthcare making things clearer for tracheostomy patients preface In publishing this booklet, Kapitex Healthcare Ltd hopes to provide information and understanding for both the patient and carer

More information

Applied physiology. 7- Apr- 15 Swallowing Course/ Anatomy and Physiology

Applied physiology. 7- Apr- 15 Swallowing Course/ Anatomy and Physiology Applied physiology Temporal measures: Oral Transit Time (OTT) Pharyngeal Delay Time (PDT) Pharyngeal Transit Time (PTT) Oropharyngeal Swallowing Efficiency Score (OPSE score) 7- Apr- 15 Swallowing Course/

More information

TRACHEOSTOMY 186 INTENSIVE CARE

TRACHEOSTOMY 186 INTENSIVE CARE 186 INTENSIVE CARE Table 7.4 Indications for tracheostomy Upper-airway obstruction Prolonged mechanical ventilation To facilitate bronchopulmonary toilet To maintain and protect the airway use of oral

More information

Use of the Silicone T-tube to Treat Tracheal Stenosis or Tracheal Injury

Use of the Silicone T-tube to Treat Tracheal Stenosis or Tracheal Injury Use of the Silicone T-tube to Treat Stenosis or Injury Chang-Jer Huang MD Backgound: stenosis or tracheal is a troublesome disease. Traditional temporary tracheostomy and reconstruction can resolve some

More information

8/8/2013. Disclaimer. Tracheostomy Care in the Home. Polling Question 1. Upper Airway and Respiratory System

8/8/2013. Disclaimer. Tracheostomy Care in the Home. Polling Question 1. Upper Airway and Respiratory System Disclaimer Appendix 3 Declaration of Vested Interest Form Name of presenter: Heather Murgatroyd RRT RPSGT Name of employer: DeVilbiss Healthcare Tracheostomy Care in the Home Heather Murgatroyd, RRT, RPSGT

More information

MULTIPLE reports have. Prediction of Aspiration in Patients With Newly Diagnosed Untreated Advanced Head and Neck Cancer ORIGINAL ARTICLE

MULTIPLE reports have. Prediction of Aspiration in Patients With Newly Diagnosed Untreated Advanced Head and Neck Cancer ORIGINAL ARTICLE ORIGINAL ARTICLE Prediction of Aspiration in Patients With Newly Diagnosed Untreated Advanced Head and Neck Cancer Arie Rosen, MD; Thomas H. Rhee, MD; Rene Kaufman, MS, CCC-SLP Objectives: To determine

More information

North Wales Critical Care Network

North Wales Critical Care Network North Wales Critical Care Network Weaning Guidelines for SPINAL CORD INJURED patients in North Wales Critical Care Units NWCCN Spinal Cord Injury Weaning Guidelines_APPROVED February 2014 Page 1 Weaning

More information

The Impact of Obesity on Adult Tracheostomy Complication Rate

The Impact of Obesity on Adult Tracheostomy Complication Rate The Laryngoscope VC 2014 The American Laryngological, Rhinological and Otological Society, Inc. TRIOLOGICAL SOCIETY CANDIDATE THESIS The Impact of Obesity on Adult Tracheostomy Complication Rate Susan

More information

SURGERY FOR PEDIATRIC SUBGLOTTIC STENOSIS: DISEASE-SPECIFIC OUTCOMES

SURGERY FOR PEDIATRIC SUBGLOTTIC STENOSIS: DISEASE-SPECIFIC OUTCOMES Ann Otol Rhinol Laryngol 110:2001 Ann Otol Rhinol Laryngol 110:2001 REPRINTED FROM ANNALS OF OTOLOGY, RHINOLOGY & LARYNGOLOGY December 2001 Volume 110 Number 12 COPYRIGHT 2001, ANNALS PUBLISHING COMPANY

More information

Stomal Recurrence After Total Laryngectomy

Stomal Recurrence After Total Laryngectomy Stomal Recurrence After Total Laryngectomy Pages with reference to book, From 154 To 156 Iqbal H. Udaipurwala, Khalid lqbal, M. Jalisi ( Department of Otorhinolaryngology and Cervico-facial Surgery, Dow

More information

Tracheostomy and Ventilator Education Program Module 10: Communication Supplies

Tracheostomy and Ventilator Education Program Module 10: Communication Supplies Tracheostomy and Ventilator Education Program Module 10: Communication Supplies Disclaimer This material is intended for use by trained family members and caregivers of children with tracheostomies who

More information

Early management of laryngeal injuries'

Early management of laryngeal injuries' 656 Journal of the Royal Society of Medicine Volume 74 September 1981 Early management of laryngeal injuries' A G D Maran MD FRCS Department of Otolaryngology, P M Stell chm FRCS Department of Otolaryngology,

More information

The Coordination of Breathing and Swallowing in Chronic Obstructive Pulmonary Disease

The Coordination of Breathing and Swallowing in Chronic Obstructive Pulmonary Disease The Coordination of Breathing and Swallowing in Chronic Obstructive Pulmonary Disease Roxann Diez Gross 1, Charles W. Atwood, Jr. 2, Sheryl B. Ross 1, Joan W. Olszewski 3, and Kimberly A. Eichhorn 4 1

More information

Respiratory Guard System: New Technology

Respiratory Guard System: New Technology Respiratory Guard System: New Technology Zvi Peled, Avishai Zisser, Michal Fertouk, Victor Kerzman, Keren Bitton-Worms and Gil Bolotin. Department of Cardiac Surgery, Rambam Health Care Campus, Technion

More information

copyrighted material by PRO-ED, Inc.

copyrighted material by PRO-ED, Inc. CONTENTS Preface xi Chapter 1 Introduction: Definitions and Basic Principles of Evaluation and Treatment of Swallowing Disorders Signs and Symptoms of Dysphagia Screening: Identifying the Patient at High

More information

*gurgle* *snore* *slaver* Tracheostomy Emergencies with Trachy Tracey Helen Lyall ACCP LUHT 03/06/2016

*gurgle* *snore* *slaver* Tracheostomy Emergencies with Trachy Tracey Helen Lyall ACCP LUHT 03/06/2016 *gurgle* *snore* *slaver* Tracheostomy Emergencies with Trachy Tracey Helen Lyall ACCP LUHT 03/06/2016 Learning objectives Describe the difference in anatomy between a tracheotomy and a laryngectomy Understand

More information

Risk Factors of Early Complications of Tracheostomy at Kenyatta National Hospital.

Risk Factors of Early Complications of Tracheostomy at Kenyatta National Hospital. Risk Factors of Early Complications of Tracheostomy at Kenyatta National Hospital. G. Karuga 1, H. Oburra 2, C. Muriithi 3. 1 Resident Ear Nose & Throat (ENT) Head & Neck Department. University of Nairobi

More information

DO NOT DUPLICATE Copyrighted Material

DO NOT DUPLICATE Copyrighted Material Annals of Otology, Rhinology & Laryngology 117(4):279-287. 2008 Annals Publishing Company. All rights reserved. Adjunctive Neuromuscular Electrical Stimulation for Treatment-Refractory Dysphagia Giselle

More information

Changing tracheostomy tubes

Changing tracheostomy tubes Changing tracheostomy tubes Changing the tracheostomy tube should be a multidisciplinary decision. The first change should always be performed or supervised by a suitably trained member of the medical

More information

A Randomized Study of Suprastomal Stents in Laryngotracheoplasty Surgery for Grade III Subglottic Stenosis in Children

A Randomized Study of Suprastomal Stents in Laryngotracheoplasty Surgery for Grade III Subglottic Stenosis in Children The Laryngoscope VC 2013 The American Laryngological, Rhinological and Otological Society, Inc. TRIOLOGICAL SOCIETY CANDIDATE THESIS A Randomized Study of Suprastomal Stents in Laryngotracheoplasty Surgery

More information