Eating and Drinking In Tracheostomies
@EDIT_Research
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Investigating dysphagia therapy for people with a tracheostomy. Funded by @NIHRresearch. #dysphagia #tracheostomy #patientexperience. Views my own.
London
Joined May 2021
Thank you to everyone that has already signed up. If you are an #SLT working with adults in the U.K please take part in our focus groups exploring oral trials in the: i) stroke and ii) tracheostomy population. Feb 2025 dates! @RCSLTTracheCEN
@LNWH_SLT
https://t.co/4dg5Ax5ydj
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Recruiting volunteers (adults with experience of having a #tracheostomy). Please share and encourage people to share their experiences. The results will help build meaningful research for people with a tracheostomy. #PPI
@RCSLTTracheCEN @RCSLTResearch
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Scoping review protocol ��� Next steps: update results and publish @rhalfpennyslt @csmithUCL @siofmulkerrin @UCLLaSSLibrary
https://t.co/im3wmy41CG
onlinelibrary.wiley.com
Background Swallowing impairment (dysphagia) and tracheostomy coexist. Research in this area has often provided an overview of dysphagia management as a whole, but there is limited information...
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Great time spent at #UKSRG2024 and enjoyed presenting our poster looking at dysphagia rehab for patients with tracheostomy @LNWH_NHS @LNWH_SLT @RCSLTResearch @EDIT_Research
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Optimising #ICU outcomes is best done across the MDT and partnering with patients. It was wonderful to highlight #SLP role in critical care and across the critical care continuum @Aus_CC @SPAPresident @ASHAWeb @RCSLT @canadaspeech @anzics
Fabulous editorial by @DrAmyFS in issue 1 2024: Advancing healthcare excellence in ICU: highlighting the contribution of speech pathology
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Looking forward to future collaborations with @OxoSLT 🧠🖊️📖
Such an exciting and empowering chat with @EDIT_Research today - SO many exciting questions popping up about dysphagia and tracheostomy, therapy interventions and next steps
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Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventilation! https://t.co/jVMFLvJ2KQ
@csmithUCL @MT_Clarke @DrJMarshall @UCLLangCog @EvelinaLondon @SpringerNature @NIHRcommunity #children #LTV #Dysphagia
link.springer.com
Dysphagia - The last two decades have seen increasing use of long-term ventilation (LTV) as an intervention in childhood. Children who use LTV have many risk factors for feeding and swallowing...
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Late to the chat, but the only mention of #tracheostomy and #SLT in the new #stroke guidelines. A new article by @aliceme23 and I looking at the need for #neuro trained #SLTs in the management of #stroke #tracheostomies
https://t.co/CYPIEj3g3j
magonlinelibrary.com
As early stroke management develops, more patients are surviving after a severe stroke and the prevalence of tracheostomies among the stroke population is increasing. Tracheostomy is an opening in...
NEW NATIONAL STROKE GUIDELINES: Patients with tracheostomy and severe dysphagia after stroke may be considered for pharyngeal electrical stimulation to aid decannulation @Phagenesis @TheStrokeAssoc @Deborah71247971 #thinkphagenyx
https://t.co/ZE66lDh2qF
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#Dysphagia in adults with a #trache has been reported as between 30% & 70%. Several factors can increase this risk: pre-existing swallowing impairment, neurological disorders, age, sedation and hypercarbia @RCSLTTracheCEN
https://t.co/ZZnKA5NNUi
pmc.ncbi.nlm.nih.gov
While there is an extensive body of literature surrounding the decision to insert, and methods for inserting, a tracheostomy, the optimal management of tracheostomies within the intensive care unit...
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A very exciting #dysphagia #therapy feasibility protocol. A study that can hopefully be extended to adults with a #tracheostomy to learn more about how to facilitate rehab in this population. https://t.co/xFnqpWd5Xu
pubmed.ncbi.nlm.nih.gov
ISRCTN, ISRCTN12813363 . Registered on 20 January 2020.
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A prospective study (n=14) evaluated a swallowing rehabilitation programme. Ten patients (71%) were able to receive oral intake, with 6 (42%) having complete resolution of dysphagia, and 2 (14%) experiencing partial improvement. #Therapy #Dysphagia
https://t.co/TJWTgQJ60u
pubmed.ncbi.nlm.nih.gov
In this small group of patients, we demonstrated that the early implementation of a swallowing rehabilitation program is feasible even in patients under mechanical ventilation.
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Research needed in: Impact of early cuff deflation/cuffless tubes: weaning outcomes & optimisation of oral intake; Clinical trials of ACV: benefits on swallowing rehab; Screening of oral trials & factors for delays; Patient experience of oral intake https://t.co/ZZnKA5wcvI
pmc.ncbi.nlm.nih.gov
While there is an extensive body of literature surrounding the decision to insert, and methods for inserting, a tracheostomy, the optimal management of tracheostomies within the intensive care unit...
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Some clinicians view cuff deflation as a late step in the weaning process. Evidence indicates: early cuff deflation is widely tolerated and facilitates oral intake, reduces time to weaning and decannulation & can reduce rates of resp infections. https://t.co/ZZnKA5NNUi
pmc.ncbi.nlm.nih.gov
While there is an extensive body of literature surrounding the decision to insert, and methods for inserting, a tracheostomy, the optimal management of tracheostomies within the intensive care unit...
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A scoping review found: only 43% (n=54/126) of patients had commenced oral intake in the ICU. Research protocols identifying how we can increase this is needed #tracheostomy #Dysphagia #Therapy @RCSLTResearch @RCSLTTracheCEN
https://t.co/ZZnKA5wcvI
pmc.ncbi.nlm.nih.gov
While there is an extensive body of literature surrounding the decision to insert, and methods for inserting, a tracheostomy, the optimal management of tracheostomies within the intensive care unit...
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A clinical trial comparing cuff deflation & inflation during spon breathing trials found cuff deflation resulted in a significantly shorter wean time (3 vs 8 days, p<0.01) with significantly lower incidence of respiratory infection (20 vs 36%, p=0.02). https://t.co/ZMgH3gq9oL
pubmed.ncbi.nlm.nih.gov
Under the conditions of our protocol, deflating the tracheal cuff in tracheostomized patients shortens weaning, reduces respiratory infections, and probably improves swallowing.
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"Tracheostomy tube type and inner cannula selection affected pressure and resistance to air flow during inspiration and expiration" #Trache tube type should be taken into consideration when developing a #dysphagia #therapy programme @RCSLTTracheCEN
https://t.co/9ABqroaz1s
pubmed.ncbi.nlm.nih.gov
Tracheostomy tube type and inner cannula selection imposed differing pressures and resistance to air flow during inspiration and expiration. These differences may be important when selecting airway...
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"There was a statistically significant reduction in length of cannulation for those patients who utilised AAC to communicate." Dual research protocols in #dysphagia & communication is needed to support reducing LOC #tracheostomy @RCSLTResearch
https://t.co/Bry8vMovtH
pubmed.ncbi.nlm.nih.gov
This study provides baseline data for tracheostomy outcomes across three large metropolitan Australian hospitals. Most outcomes were comparable with previous international and local studies. Future...
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Interventions to facilitate decannulation included 74% of patients (n = 231/376) utilising a one way speaking valve. Further research is needed into other dysphagia therapy interventions that can support decannulation #Dysphagia @RCSLTTracheCEN
https://t.co/Bry8vM6U57
pubmed.ncbi.nlm.nih.gov
This study provides baseline data for tracheostomy outcomes across three large metropolitan Australian hospitals. Most outcomes were comparable with previous international and local studies. Future...
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From #tracheostomy insertion to starting oral intake = 24 days. A fifth (n = 49/243; 20%) of patients with data commenced oral intake prior to decannulation. Of these, half (n= 23/46) with data received texture-modified oral intake. @RCSLTTracheCEN
https://t.co/Bry8vM6U57
pubmed.ncbi.nlm.nih.gov
This study provides baseline data for tracheostomy outcomes across three large metropolitan Australian hospitals. Most outcomes were comparable with previous international and local studies. Future...
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The survey has now closed. Thank you to everyone that has taken the time to complete this survey on #dysphagia #therapy for adults with a #tracheostomy
Are you a UK based speech therapist working with adults that have a tracheostomy? If yes, please consider completing the #survey. Follow the link for more information 👇 https://t.co/E9bYLZQhDj
#tracheostomy #dysphagia
@RCSLTResearch @LNWH_SLT @RCSLTTracheCEN
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