Speaking Tracheostomy Tube Modified for Swallowing Dysfunction and Chronic Aspiration

Shahvari, Mohammad B. G.; Kigin, Colleen M.; Zimmerman, Jack E.

doi:10.1097/00000542-197704000-00010

Cited by 10 publications

(2 citation statements)

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“…10 It was not until 1977 that these subglottic tubes were modified to enable the removal of aspirated secretions. 31 The second cohort, published from 1996 onwards, used tubes with the subglottic port designed for the removal of secretions: the Portex BLUSA and the Argyle Aspiraid.…”

Section: Discussionmentioning

confidence: 99%

Evidence for Above Cuff Vocalization in Patients With a Tracheostomy: A Systematic Review

et al. 2021

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Objectives/Hypothesis: To determine how above cuff vocalization (ACV) is implemented in clinical practice, to identify what evidence exists on the effectiveness and safety of ACV, and to evaluate the acceptability of ACV.Study Design: Systematic review. Methods: A literature search was conducted in eight databases (MEDLINE, Embase, AMED, CINAHL, Cochrane Library, PsycINFO, Scopus, and Web of Science) in May 2019 and updated in June 2020. Two reviewers independently screened, selected, and extracted data. Study quality was appraised using the Joanna Briggs Institute Critical Appraisal Tools and a narrative synthesis was conducted. Systematic review registration number: CRD42019133942.Results: The searches identified 1327 records. The 13 eligible studies included four case studies, three case series, four observational studies without a control group, one quasi-experimental study, and one randomized controlled trial. Study quality was low, with most studies having high risk of bias. There was a high level of heterogeneity in study design and outcome measures used. Detailed information on ACV application and dose-delivered was lacking in 12 studies. Positive effects were reported for communication (n = 7), swallowing (n = 4), cough response (n = 2), and quality-of-life (n = 2), but with inconsistent use of objective outcome measures. There is limited quantitative or qualitative evidence for acceptability. Adverse events and complications were reported in nine studies, and four highlighted the importance of involving an experienced speech and language therapist.Conclusions: There is limited evidence for the acceptability, effectiveness, safety, or optimal implementation of ACV. The evidence is insufficient to provide recommendations regarding optimal intervention delivery. Future research should ensure detailed recording of ACV delivery and utilize a core outcome set.

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Section: Discussionmentioning

confidence: 99%

Evidence for Above Cuff Vocalization in Patients With a Tracheostomy: A Systematic Review

et al. 2021

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“…With these improvements in care came the development of a number of tubes designed to assist in breathing and speaking 44–48 . The reduction in “dead space” by insertion of a tracheostomy tube was a significant factor in rehabilitating patients with a marginal airway from chronic obstructive pulmonary disease 49–54 …”

Section: Introductionmentioning

confidence: 99%

Tracheotomy: Historical Review

2008

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The authors review the ancient history of tracheotomy and bring the subject up to date (2008) by including the modern history of this procedure. In the past 60 years, there have been many advances in the knowledge of respiratory function that have been utilized to expand applications of the tracheotomy procedure. Improvements in the care of tracheotomized patients and the application of modifications in the available variety of tubes and ancillary equipment and procedures have made this a much more effective and widely utilized way of caring for the pulmonary cripple as well as utilizing it in the classical fixed obstruction of the upper airway.

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Funktionelle und elektrophysiologische Diagnostik bei Dysphagie

Thumfart¹

1990

Teil I: Referate

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Speaking Tracheostomy Tube Modified for Swallowing Dysfunction and Chronic Aspiration

Cited by 10 publications

References 0 publications

Evidence for Above Cuff Vocalization in Patients With a Tracheostomy: A Systematic Review

Evidence for Above Cuff Vocalization in Patients With a Tracheostomy: A Systematic Review

Tracheotomy: Historical Review

Funktionelle und elektrophysiologische Diagnostik bei Dysphagie

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