Outcome in Tracheostomized Patients With Severe Traumatic Brain Injury Following Implementation of a Specialized Multidisciplinary Tracheostomy Team

LeBlanc, Joanne; Shultz, Judith Robillard; Seresova, Alena; Guise, Élaine de; Lamoureux, Julie; Fong, Nancy; Marcoux, Judith; Maleki, Mohammad Reza; Khwaja, Kosar

doi:10.1097/htr.0b013e3181cd67ea

Cited by 28 publications

(41 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is sufficient evidence that people are better managed with a tracheostomy team [94][95][96][97][98][99][100][101] including those with a traumatic brain injury [102]. Furthermore, there is support for those with saliva management issues to be managed better within a team setting [23,77,78,87,103].…”

Section: Discussionmentioning

confidence: 99%

Saliva management options for difficult-to-wean people with tracheostomy following severe acquired brain injury (ABI): A review of the literature

et al. 2014

View full text Add to dashboard Cite

There is a paucity of evidence in this area and clinical decision-making requires evidence from other populations. Saliva management issues in this population are most likely to be related to dysphagia. Treatment options include behavioural/compensatory therapies which should be tried in all cases, with adjunct pharmaceutical therapies or surgical options to reduce saliva volume as clinically appropriate. CONCLUSION AND FUTURE DIRECTIONS: This group of people is complex and requires a multi-disciplinary team to guide decision-making. High quality control studies looking at the effectiveness of dysphagia therapy and guidelines regarding botulinum toxin injections are recommended.

show abstract

Section: Discussionmentioning

confidence: 99%

Saliva management options for difficult-to-wean people with tracheostomy following severe acquired brain injury (ABI): A review of the literature

et al. 2014

View full text Add to dashboard Cite

show abstract

“…These findings are consistent with Ward et al (2008) and similar to those from America reported over a decade ago (Manley et al 1999) suggesting that these issues are a challenge for clinicians internationally. The benefits of a hospital‐wide coordinated multidisciplinary team approach to tracheostomy management has been found to ensure team members feel supported, complications are reduced, goals are achieved more efficiently, the quality of care is improved, and time to decannulation and length of stay are decreased (Arora et al 2008, Dikeman and Kazandijian 2003, Garrubba et al 2009, Le Blanc et al 2009, Norwood et al 2004, Parker et al 2010, Tobin and Santamaria 2008). Consequently, it is critical that clinicians and their managers continue to address actively the issues that are preventing a team approach in their service.…”

Section: Discussionmentioning

confidence: 99%

Preparation, clinical support, and confidence of speech–language therapists managing clients with a tracheostomy in the UK

Ward

Morgan

McGowan

et al. 2012

Intl J Lang & Comm Disor

View full text Add to dashboard Cite

Tracheostomy training and support in the UK What this paper adds What is already known on this subject?Literature regarding the education, training, clinical support and confidence of Speech Language Therapists (SLTs) working with patients with a tracheostomy is scarce. However, it suggests that many SLTs have reduced clinical confidence regarding managing this complex population, many face role and team challenges practicing in this area, and most are seeking more opportunities for professional development and training. What this study addsThe purpose of the current study was to investigate the preparation, training, extent of clinical support and confidence of SLTs involved in the care of patients with a tracheostomy in the UK. Although the issues facing clinicians in the UK have not been previously reported, many of the issues identified were found to be similar to those reported 6 years previously for Australian clinicians (Ward et al. 2008). This earlier work and the current findings highlight ongoing challenges facing clinicians managing the tracheostomy population and provide directions for future professional development and training activities. The current data also highlights potential benefits that can be achieved from competency training in tracheostomy.

show abstract

“…Stay after ICU decreased over time, a higher proportion of decannulated patients were discharged, and the time to decannulation after ICU discharge decreased. In patients with traumatic brain injury, LeBlanc et al 32 found that a tracheostomy team resulted in a significantly shorter stay and greater use of speaking valves. de Mestral et al 33 reported their experience with the implementation of a tracheostomy team consisting of a surgeon, surgical resident, RT, speech-language pathologist, and clinical nurse specialist.…”

Section: Tracheostomy Teamsmentioning

confidence: 99%

Tracheostomy TubesDiscussion

Hess

Altobelli

2014

Respir Care

View full text Add to dashboard Cite

Outcome in Tracheostomized Patients With Severe Traumatic Brain Injury Following Implementation of a Specialized Multidisciplinary Tracheostomy Team

Abstract: Implementation of the tracheostomy team appears to have had positive clinical benefits for this population.

Cited by 28 publications

References 9 publications

Saliva management options for difficult-to-wean people with tracheostomy following severe acquired brain injury (ABI): A review of the literature

Saliva management options for difficult-to-wean people with tracheostomy following severe acquired brain injury (ABI): A review of the literature

Preparation, clinical support, and confidence of speech–language therapists managing clients with a tracheostomy in the UK

Tracheostomy TubesDiscussion

Contact Info

Product

Resources

About