Speech-language pathologists´ role in the multi-disciplinary management and rehabilitation of patients with COVID-19

Mohapatra, Bijoyaa; Mohan, Ranjini

doi:10.2340/20030711-1000037

Cited by 5 publications

(2 citation statements)

References 38 publications

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“…Hence, it needs collaboration between speech and language pathologists, dieticians, respiratory specialists, nursing care, and physiotherapists. 38 Airway management teams should consist of experienced anesthesiologists to meet the need for accurate and effective intubation. Ventilation management after tracheal intubation, ultrasonography, fast response resuscitation, and preoperative evaluation are benefitable areas from critical care teams incorporating anesthesia experts.…”

Section: Integrative Covid-19 Patient Care In Health Facility Settingmentioning

confidence: 99%

Multidisciplinary Effort and Integrative Preparedness: A Lesson for the Foreseen Multivariate COVID-19 Pandemic Flare-Up

Yayehrad¹,

Siraj²,

Yimenu³

et al. 2021

JMDH

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It has been a year and a half since the world suffered the horrific COVID-19 pandemic which has still continued becoming a prominent headache for the whole world. Recently, we are facing the second and third wave of multivariate outbreaks with great intensity of transmission which renders huge disaster. Presently, new strains of the virus are emerging that are predicted to be resistant for the current vaccines and other management approaches. It needs collaborative and coordinated role at professional, facility, regional, and global levels to ameliorate the pandemic by monitoring the existing and emerging variants. This review addressed the multidisciplinary roles in patient screening and detection, emergency management, moderate and critical care, vaccination, complication prevention, comorbidity management, psychological therapy, and digital health care. The inevitable roles of academicians, researchers, private health sectors, policy makers, regulatory bodies, and partners are also discussed.

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Section: Integrative Covid-19 Patient Care In Health Facility Settingmentioning

confidence: 99%

Multidisciplinary Effort and Integrative Preparedness: A Lesson for the Foreseen Multivariate COVID-19 Pandemic Flare-Up

Yayehrad¹,

Siraj²,

Yimenu³

et al. 2021

JMDH

View full text Add to dashboard Cite

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“…The American Association of Respiratory Care Clinical Practice Guideline also recommends incorporating tracheostomy teams for managing adult patients with tracheostomy in acute care settings (Mussa et al, 2021). Multidisciplinary approaches have shown early speaking valve use, reduced time to decannulation, and decreased adverse events and ICU and hospital LOS (Mohapatra et al, 2020; Zaga et al, 2020; Zhou et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of interprofessional tracheostomy teams: A systematic review

Ninan

Grubb

Brenner

et al. 2023

Journal of Clinical Nursing

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Aim(s)To systematically locate, evaluate and synthesize evidence regarding effectiveness of interprofessional tracheostomy teams in increasing speaking valve use and decreasing time to speech and decannulation, adverse events, lengths of stay (intensive care unit (ICU) and hospital) and mortality. In addition, to evaluate facilitators and barriers to implementing an interprofessional tracheostomy team in hospital settings.DesignSystematic review using Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) and Johns Hopkins Nursing Evidence‐Based Practice Model's guidance.MethodsOur clinical question: Do interprofessional tracheostomy teams increase speaking valve use and decrease time to speech and decannulation, adverse events, lengths of stay and mortality? Primary studies involving adult patients with a tracheostomy were included. Eligible studies were systematically reviewed by two reviewers and verified by another two reviewers.Data SourcesMEDLINE, CINAHL and EMBASE.ResultsFourteen studies met eligibility criteria; primarily pre‐post intervention cohort studies. Percent increase in speaking valve use ranged 14%–275%; percent reduction in median days to speech ranged 33%–73% and median days to decannulation ranged 26%–32%; percent reduction in rate of adverse events ranged 32%–88%; percent reduction in median hospital length of stay days ranged 18–40 days; no significant change in overall ICU length of stay and mortality rates. Facilitators include team education, coverage, rounds, standardization, communication, lead personnel and automation, patient tracking; barrier is financial.ConclusionPatients with tracheostomy who received care from a dedicated interprofessional team showed improvements in several clinical outcomes.Implications for Patient CareAdditional high‐quality evidence from rigorous, well‐controlled and adequately powered studies are necessary, as are implementation strategies to promote broader adoption of interprofessional tracheostomy team strategies. Interprofessional tracheostomy teams are associated with improved safety and quality of care.ImpactEvidence from review provides rationale for broader implementation of interprofessional tracheostomy teams.Reporting MethodPRISMA and Synthesis Without Meta‐analysis (SWiM).Patient/Public ContributionNone.

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