Use of Speaking Valve on Preventing Respiratory Infections, in Critical Traqueostomized Patients Diagnosed of Dysphagia Secondary to Artificial Airway. Edisval Study

Carmona, Andrés González; Diaz, Manuel; Alonso, Eduardo Aguilar; Guarasa, Inés Macías; López, P. Martínez; Castellanos, MA Díaz

doi:10.1186/2197-425x-3-s1-a936

Cited by 4 publications

(3 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 77–79 A randomised controlled trial (abstract) of 19 patients found the use of speaking valves during weaning reduced the incidence of nosocomial respiratory infection and may reduce time to decannulation. 80 …”

Section: Resultsmentioning

confidence: 99%

“…[77][78][79] A randomised controlled trial (abstract) of 19 patients found the use of speaking valves during weaning reduced the incidence of nosocomial respiratory infection and may reduce time to decannulation. 80 One cohort study (abstract) found that 89% (67/75) of tracheostomised patients in ICU reported trouble falling asleep. 81 Studies found that sleep time and efficiency were poor, and that sleep time was not improved by melatonin (240 vs 243 min, p=0.68 for melatonin vs placebo).…”

Section: Optimisation Of Swallowmentioning

confidence: 99%

See 1 more Smart Citation

Management of tracheostomies in the intensive care unit: a scoping review

2020

View full text Add to dashboard Cite

ObjectivesWhile there is an extensive body of literature surrounding the decision to insert, and methods for inserting, a tracheostomy, the optimal management of tracheostomies within the intensive care unit (ICU) from after insertion until ICU discharge is not well understood. The objective was to identify and map the key concepts relating to, and identify research priorities for, postinsertion management of adult patients with tracheostomies in the ICU.DesignScoping review of the literature.Data sourcesPubMed, Embase and Cumulative Index to Nursing and Allied Health Literature were searched from inception to 3 October 2019. Additional sources were searched for published and unpublished literature.Eligibility criteriaWe included studies of any methodology that addressed the a priori key questions relating to tracheostomy management in the ICU. No restrictions were placed on language or year of publication.Data extraction and synthesisTitles and abstracts were screened by two reviewers. Studies that met inclusion criteria were reviewed in full by two reviewers, with discrepancies resolved by a third. Data were extracted for included studies, and results mapped along the prespecified research questions.Results6132 articles were screened, and 102 articles were included for detailed analysis. Protocolised weaning was found to be successful in liberating patients from the ventilator in several cohort studies. Observational studies showed that strategies that use T-pieces and high-flow oxygen delivery improve weaning success. Several lines of evidence, including one clinical trial, support early cuff deflation as a safe and effective strategy as it results in a reduced time to wean, shorter ICU stays and fewer complications. Early tracheostomy downsizing and/or switching to cuffless tubes was found to be of benefit in one study. A substantial body of evidence supports the use of speaking valves to facilitate communication. While this does not influence time to wean or incidence of complications, it is associated with a major benefit in patient satisfaction and experience. Use of care bundles and multidisciplinary team approaches have been associated with reduced complications and improved outcomes in several observational studies.ConclusionsThe limited body of evidence supports use of weaning protocols, early cuff deflation, use of speaking valves and multidisciplinary approaches. Clinical trials examining post-tracheostomy management strategies in ICUs are a priority.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Optimisation Of Swallowmentioning

confidence: 99%

Management of tracheostomies in the intensive care unit: a scoping review

2020

View full text Add to dashboard Cite

show abstract

“…For example, Fernández Carmona et al reported that the use of a speaking valve can accelerate decannulation. 24 However, some studies have shown that the use of a speaking valve cannot shorten the mechanical ventilation time after tracheostomy tube placement. 22 25 Researchers believe that wearing a speaking valve can improve patients' communication ability, swallowing function and mobility, thereby improving quality of life.…”

Section: Introductionmentioning

confidence: 99%

Application of speaking valves in adult patients with tracheostomy: a protocol for a systematic review and meta-analysis

Duan,

Cui,

Liu

et al. 2024

BMJ Open

View full text Add to dashboard Cite

IntroductionTracheostomy is a common emergency procedure for critically ill patients to secure their airway. The speaking valve is a one-way ventilation valve that is attached to the end of the tracheostomy tube to help the patient remodel subglottic pressure. However, the efficacy and safety of speaking valves in adult patients with tracheostomy remain controversial. The purpose of this protocol is to describe and evaluate the effectiveness, safety and impact on the quality of life of speaking valves in adult patients with tracheostomy.Methods and analysisWe will search four English databases (PubMed, Embase, Cochrane Library and Web of Science), grey literature websites and reference lists of original studies to screen for studies that might meet the criteria. The two authors will independently screen the literature, extract data and assess the quality and risk of bias of the included studies. The primary outcomes will focus on the patients’ swallowing function, vocalisation and quality of life. We will use a fixed effects model or a random effects model based on heterogeneity testing or a descriptive analysis only. The quality of evidence on the effects of interventions will be assessed using the Grading of Recommendations Assessment, Development, and Evaluation.Ethics and disseminationThis study is based on the literature in the database and does not require the approval of the ethics committee. The results will be disseminated through a peer-reviewed journal and conferences.PROSPERO registration numberCRD42024502906.

show abstract