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.
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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 .
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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RT @LNWH_SLT: Great time spent at #UKSRG2024 and enjoyed presenting our poster looking at dysphagia rehab for patients with tracheostomy @….
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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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RT @sabrena_lee: Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventila….
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 .
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.
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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 .
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.
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 .
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 .
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.
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 .
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).
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 .
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 .
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 .
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 .
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 👇.#tracheostomy #dysphagia .@RCSLTResearch @LNWH_SLT @RCSLTTracheCEN.
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