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

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/35490111/

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/35490111/

"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/35490111/

"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/26860399/

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/23471512/

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/articles/P…

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/articles/P…

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/articles/P…

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/25909315/

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/35590347/

#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/articles/P…

Late to the chat, but the only mention of #tracheostomy and #SLT in the new #stroke guidelines. A new article by Alice Howard and I looking at the need for #neuro trained #SLTs in the management of #stroke #tracheostomies magonlinelibrary.com/doi/abs/10.129…

Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventilation! link.springer.com/article/10.100… Christina Smith Michael Clarke Dr Jeanne Marshall UCL Language & Cognition Evelina London Springer Nature @NIHRcommunity #children #LTV #Dysphagia

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 Aust Critical Care @SPA President (Kathryn McKinley) ASHA RCSLT 💙 SpeechTherapyCA ANZICS

Looking forward to future collaborations with REBECCA OXTOBY 🧠🖊️📖

Great time spent at #UKSRG2024 and enjoyed presenting our poster looking at dysphagia rehab for patients with tracheostomy ⁦London North West University Healthcare⁩ ⁦Adult SLT⁩ ⁦RCSLTResearch⁩ ⁦⁦Eating and Drinking In Tracheostomies⁩

Scoping review protocol ✅ Next steps: update results and publish Rhiannon Halfpenny Christina Smith Síofra Mulkerrin @UCLLaSSLibrary onlinelibrary.wiley.com/doi/10.1111/14…

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

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 Adult SLT forms.office.com/e/yBNk2xhCHF