Investigating dysphagia therapy for people with a tracheostomy. Funded by @NIHRresearch. #dysphagia #tracheostomy #patientexperience. Views my own.
London
Joined May 2021
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Thank you to everyone that has already signed up. If you are an #SLT working with adults in the U.K please take part in our focus groups exploring oral trials in the: i) stroke and ii) tracheostomy population. Feb 2025 dates!
@RCSLTTracheCEN
@LNWH_SLT
forms.office.com/e/yBNk2xhCH…
Recruiting volunteers (adults with experience of having a #tracheostomy). Please share and encourage people to share their experiences.
The results will help build meaningful research for people with a tracheostomy. #PPI
@RCSLTTracheCEN @RCSLTResearch
Scoping review protocol ✅ Next steps: update results and publish @rhalfpennyslt @csmithUCL @siofmulkerrin @UCLLaSSLibrary
onlinelibrary.wiley.com/doi/…
Eating and Drinking In Tracheostomies retweeted
Great time spent at #UKSRG2024 and enjoyed presenting our poster looking at dysphagia rehab for patients with tracheostomy @LNWH_NHS @LNWH_SLT @RCSLTResearch @EDIT_Research
Eating and Drinking In Tracheostomies retweeted
Optimising #ICU outcomes is best done across the MDT and partnering with patients. It was wonderful to highlight #SLP role in critical care and across the critical care continuum @Aus_CC @SPAPresident @ASHAWeb @RCSLT @canadaspeech @anzics
Fabulous editorial by @DrAmyFS in issue 1 2024: Advancing healthcare excellence in ICU: highlighting the contribution of speech pathology australiancriticalcare.com/a…
Looking forward to future collaborations with @OxoSLT 🧠🖊️📖
Such an exciting and empowering chat with @EDIT_Research today - SO many exciting questions popping up about dysphagia and tracheostomy, therapy interventions and next steps
Eating and Drinking In Tracheostomies retweeted
Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventilation! link.springer.com/article/10…
@csmithUCL @MT_Clarke @DrJMarshall @UCLLangCog @EvelinaLondon @SpringerNature @NIHRcommunity #children #LTV #Dysphagia
Late to the chat, but the only mention of #tracheostomy and #SLT in the new #stroke guidelines.
A new article by @aliceme23 and I looking at the need for #neuro trained #SLTs in the management of #stroke #tracheostomies
magonlinelibrary.com/doi/abs…
NEW NATIONAL STROKE GUIDELINES: Patients with tracheostomy and severe dysphagia after stroke may be considered for pharyngeal electrical stimulation to aid decannulation
@Phagenesis @TheStrokeAssoc @Deborah71247971 #thinkphagenyx
strokeguideline.org/chapter/…
#Dysphagia in adults with a #trache has been reported as between 30% & 70%. Several factors can increase this risk: pre-existing swallowing impairment, neurological disorders, age, sedation and hypercarbia
@RCSLTTracheCEN
ncbi.nlm.nih.gov/pmc/article…
A very exciting #dysphagia #therapy feasibility protocol. A study that can hopefully be extended to adults with a #tracheostomy to learn more about how to facilitate rehab in this population.
pubmed.ncbi.nlm.nih.gov/3559…
A prospective study (n=14) evaluated a swallowing rehabilitation programme. Ten patients (71%) were able to receive oral intake, with 6 (42%) having complete resolution of dysphagia, and 2 (14%) experiencing partial improvement.
#Therapy #Dysphagia
pubmed.ncbi.nlm.nih.gov/2590…
Research needed in: Impact of early cuff deflation/cuffless tubes: weaning outcomes & optimisation of oral intake; Clinical trials of ACV: benefits on swallowing rehab; Screening of oral trials & factors for delays; Patient experience of oral intake
ncbi.nlm.nih.gov/pmc/article…
Some clinicians view cuff deflation as a late step in the weaning process. Evidence indicates: early cuff deflation is widely tolerated and facilitates oral intake, reduces time to weaning and decannulation & can reduce rates of resp infections.
ncbi.nlm.nih.gov/pmc/article…
A scoping review found: only 43% (n=54/126) of patients had commenced oral intake in the ICU.
Research protocols identifying how we can increase this is needed #tracheostomy #Dysphagia #Therapy @RCSLTResearch @RCSLTTracheCEN
ncbi.nlm.nih.gov/pmc/article…
A clinical trial comparing cuff deflation & inflation during spon breathing trials found cuff deflation resulted in a significantly shorter wean time (3 vs 8 days, p<0.01) with significantly lower incidence of respiratory infection (20 vs 36%, p=0.02).
pubmed.ncbi.nlm.nih.gov/2347…
"Tracheostomy tube type and inner cannula selection affected pressure and resistance to air flow during inspiration and expiration"
#Trache tube type should be taken into consideration when developing a #dysphagia #therapy programme @RCSLTTracheCEN
pubmed.ncbi.nlm.nih.gov/2686…
"There was a statistically significant reduction in length of cannulation for those patients who utilised AAC to communicate."
Dual research protocols in #dysphagia & communication is needed to support reducing LOC #tracheostomy @RCSLTResearch
pubmed.ncbi.nlm.nih.gov/3549…
Interventions to facilitate decannulation included 74% of patients (n = 231/376) utilising a one way speaking valve.
Further research is needed into other dysphagia therapy interventions that can support decannulation
#Dysphagia @RCSLTTracheCEN
pubmed.ncbi.nlm.nih.gov/3549…
From #tracheostomy insertion to starting oral intake = 24 days. A fifth (n = 49/243; 20%) of patients with data commenced oral intake prior to decannulation. Of these, half (n= 23/46) with data received texture-modified oral intake. @RCSLTTracheCEN
pubmed.ncbi.nlm.nih.gov/3549…
The survey has now closed. Thank you to everyone that has taken the time to complete this survey on #dysphagia #therapy for adults with a #tracheostomy
Are you a UK based speech therapist working with adults that have a tracheostomy? If yes, please consider completing the #survey. Follow the link for more information 👇
redcap.link/85k0iyg0
#tracheostomy #dysphagia
@RCSLTResearch @LNWH_SLT @RCSLTTracheCEN