Swallow physiology in patients with trach cuff inflated or deflated: A retrospective study

Ding, Ruiying; Logemann, Jeri A.

doi:10.1002/hed.20248

Cited by 86 publications

(64 citation statements)

References 16 publications

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“…Furthermore, because an inflated cuff interferes with the swallow mechanism, patients with an inflated cuff should not be fed orally. 52 6. Each time bedside report is given, information pertinent to the tracheostomy should be passed on to the next shift.…”

Section: Nursing Strategiesmentioning

confidence: 99%

Tracheostomy Care and Complications in the Intensive Care Unit

Morris

Whitmer

McIntosh

2013

Critical Care Nurse

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Tracheotomy is a common procedure in intensive care units, and nurses must provide proper care to tracheostomy patients to prevent complications. One of the most important considerations is effective mobilization of secretions, and a suction catheter is the most important tool for that purpose. Each bedside should be equipped with a functional suctioning system, an oxygen source, a manual resuscitation bag, and a complete tracheostomy kit, which should accompany patients wherever they go in the hospital. Complications include infection, tracheomalacia, skin breakdown, and tracheoesophageal fistula. Tracheostomy emergencies include hemorrhage, tube dislodgement and loss of airway, and tube obstruction; such emergencies are managed more effectively when all necessary supplies are readily available at the bedside. This article describes how to provide proper care in the intensive care unit, strategies for preventing complications, and management of tracheostomy emergencies.

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Section: Nursing Strategiesmentioning

confidence: 99%

Tracheostomy Care and Complications in the Intensive Care Unit

Morris

Whitmer

McIntosh

2013

Critical Care Nurse

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“…Knowing the cuff was not created to stop passing aspirated food and control aspiration, several authors 17,18 are questioning the presence of aspiration with the use of cannulas with cuff. Besides, they also argue the possibility of rests of food to congest above the cuff, providing bacteria growth.…”

Section: Resultsmentioning

confidence: 99%

Critérios clínicos utilizados por profissionais para liberação de dieta via oral em pacientes adultos hospitalizados

Furmann

Costa

2015

Rev. CEFAC

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Resumo:OBJETIVO:identificar critérios clínicos utilizados por profissionais para liberação de alimentação via oral em pacientes hospitalizados que apresentam risco para disfagia.MÉTODOS:participaram do estudo 48 profissionais que atuam em dois hospitais gerais de uma cidade do interior do Paraná. Os dados foram coletados por meio da aplicação de um questionário.RESULTADOS:100% dos profissionais consideram o nível de consciência importante para a deglutição, apenas 52,2% vê a importância da presença de deglutição salivar antes que se inicie via oral. Destes, 95,8% elencam Acidente vascular cerebral e Traumatismo cranioencefálico como principais doenças relacionadas a disfagia, porém nenhum apontou a Doença Pulmonar Obstrutiva Crônica. Além disso, somente 47,9% reconhecem a importância da avaliação fonoaudiológica após extubação orotraqueal independente do motivo da intubação ou patologia de base. E, 45,8% considera necessária oclusão do orifício da traqueostomia no momento da oferta alimentar, mostrando que não fazem a relação entre fisiologia da deglutição e uso da traqueostomia. Sobre alimentar um paciente com cânula plástica e balonete insuflado, 52,1% dos profissionais consideram ser possível e 47,9% dizem que não. Observa-se que 77,1% dos profissionais considera que a retirada da traqueostomia melhora e facilita o processo de deglutição, sendo este um percentual estatisticamente significante.CONCLUSÃO:há um conhecimento regular dos profissionais sobre o manejo das disfagias em âmbito hospitalar. Verifica-se a necessidade de um programa de formação continuada a equipe para melhoria do atendimento de pacientes disfágicos.

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“…Laryngeal elevation as a protective mechanism may be limited by the anchoring effect of the inflated cuff. 6 The cuff itself is not a total mechanical barrier to secretions. Cuff inflation does limit copious secretions from leaking below the cuff into the lower airways.…”

Section: Swallowing In Patients With a Tracheostomy Who Are Receivingmentioning

confidence: 99%

Eating While Receiving Mechanical Ventilation

Seckel

Schulenburg

2011

Critical Care Nurse

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Swallow physiology in patients with trach cuff inflated or deflated: A retrospective study

Abstract: It is important to evaluate changes in swallow physiology under both the trach cuff-inflated and cuff-deflated conditions to fully assess swallow function.

Cited by 86 publications

References 16 publications

Tracheostomy Care and Complications in the Intensive Care Unit

Tracheostomy Care and Complications in the Intensive Care Unit

Critérios clínicos utilizados por profissionais para liberação de dieta via oral em pacientes adultos hospitalizados

Eating While Receiving Mechanical Ventilation

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