A Means of Effecting Decannulation After Tracheostomy

Groves, John; Mares, Andrej

doi:10.1017/s0022215100061533

Cited by 6 publications

(6 citation statements)

References 1 publication

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“…The importance of classical conditioning is suggested by the previously noted failure of a graduated occlusion procedure which only utilized an operant conditioning paradigm (Berry, 1972). In addition, graduated occlusions without conditioning have been relatively unsuccessful (Groves & Mares, 1963).…”

Section: Discussionmentioning

confidence: 99%

Variations in conditioning procedures for the decannulation of tracheostomy dependent children: Clinical and theoretical implications.

Elliott¹,

Olson²

1982

Health Psychology

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Frequently, tracheostomized children become dependent on breathing through a cannula to such an extent that decannulation becomes difficult if not impossible, even in the absence of evident obstructions. A highly successful program, based on learning principles, for dealing with this problem is reviewed. A number of drawbacks to this program are noted such as lengthy hospitalization and prolonged periods of social isolation of the child. Procedural changes in this program are described which were designed to mitigate these drawbacks. Successful results are presented in the use of this improved program with four tracheostomy dependent children. The theoretical basis for the original program is questioned by the results of the current study and is discussed.

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Section: Discussionmentioning

confidence: 99%

Variations in conditioning procedures for the decannulation of tracheostomy dependent children: Clinical and theoretical implications.

Elliott¹,

Olson²

1982

Health Psychology

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“…Unfortunately, a clear airway when the child is asleep in the theatre does not guarantee an adequate airway later when the child will be active in the ward, and so, when a tube has been successfully removed, a very careful watch must be kept during the few hours following while replacement will still be possible. The tracheostomy Jrack may be kept patent for a few days with a plastic stomal obturator such as that described by Groves and Mares in 1963, but this can be technically difficult to carry out.…”

Section: Commentmentioning

confidence: 99%

Decannulation After Tracheostomy in Infants and Young Children

Lewis¹,

Ludman²

1965

J. Laryngol. Otol.

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“…Use of special surgical techniques during initial introduction of the cannula has been suggested as a means of subsequently reducing the chance of addiction [7]. GROVES and MARES [6] reported a method of graduated occlusion of the tracheostomy cannula, 'corking', for progressively longer periods of time prior to attempting removal, but concluded that this method was generally unsatisfactory. A fourth method uses a facilitating apparatus such as a plastic cannula [6].…”

Section: Introductionmentioning

confidence: 99%

“…GROVES and MARES [6] reported a method of graduated occlusion of the tracheostomy cannula, 'corking', for progressively longer periods of time prior to attempting removal, but concluded that this method was generally unsatisfactory. A fourth method uses a facilitating apparatus such as a plastic cannula [6]. This apparatus is presumed to perform a function similar to that of the ordinary cannula, but is given up more easily by addicted patients.…”

Section: Introductionmentioning

confidence: 99%

Behavioral Tactics for Reinstating Natural Breathing in Infants with Tracheostomy

et al. 1969

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ExtractTwo 8-month-old, Caucasian male infants with long-standing difficulties in decannulation following tracheostomy were subjected to a program designed to facilitate a return to normal breathing. Both infants had previously experienced numerous unsuccessful attempts a t decannulation; they possessed a tolerance for breathing normally for a period of less than five minutes. After a 3-week behaviorial treatment program, their ability to breathe normally rapidly improved when the tracheostomy cannula was occluded. At the end of treatment, the patients progressed from a tolerance of less than 5 minutes to 36 continuous hours of occlusion, and the cannula was successfully removed without complication. The patients have fared well since that time. SpeculationI t is hypothesized that the principles of conditioning and behavioral modification applied in this investigation offer a practical, effective solution to the problem of decannulation following tracheostomy. The unique advantages of the techniques employed include: (1) The patient is better prepared for decannulation by virtue of having the ability to breathe normally before such procedures are attempted, and (2) the longer periods of independent breathing by the patient indicate when decannulation may occur with predictable success.

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A Means of Effecting Decannulation After Tracheostomy

Cited by 6 publications

References 1 publication

Variations in conditioning procedures for the decannulation of tracheostomy dependent children: Clinical and theoretical implications.

Variations in conditioning procedures for the decannulation of tracheostomy dependent children: Clinical and theoretical implications.

Decannulation After Tracheostomy in Infants and Young Children

Behavioral Tactics for Reinstating Natural Breathing in Infants with Tracheostomy

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