Investigating dysphagia therapy for people with a tracheostomy. Funded by @NIHRresearch. #dysphagia #tracheostomy #patientexperience. Views my own.
Joined May 2021
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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
forms.office.com/e/yBNk2xhCH…
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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/doi/…
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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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Eating and Drinking In Tracheostomies retweeted
4 Feb 2024
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
30 Jan 2024
Fabulous editorial by @DrAmyFS in issue 1 2024: Advancing healthcare excellence in ICU: highlighting the contribution of speech pathology australiancriticalcare.com/a…
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Looking forward to future collaborations with @OxoSLT 🧠🖊️📖
5 Feb 2024
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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Eating and Drinking In Tracheostomies retweeted
5 Jan 2024
Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventilation! link.springer.com/article/10…
@csmithUCL @MT_Clarke @DrJMarshall @UCLLangCog @EvelinaLondon @SpringerNature @NIHRcommunity #children #LTV #Dysphagia
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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/doi/abs…
5 Apr 2023
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
strokeguideline.org/chapter/…
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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
ncbi.nlm.nih.gov/pmc/article…
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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/3559…
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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/2590…
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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
ncbi.nlm.nih.gov/pmc/article…
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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.
ncbi.nlm.nih.gov/pmc/article…
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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
ncbi.nlm.nih.gov/pmc/article…
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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/2347…
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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/2686…
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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/3549…
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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/3549…
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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/3549…
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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 👇
redcap.link/85k0iyg0
#tracheostomy #dysphagia
@RCSLTResearch @LNWH_SLT @RCSLTTracheCEN
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