Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/32699
Title: A Multidisciplinary Approach to Verbal Communication Interventions for Mechanically Ventilated Adults With a Tracheostomy
Austin Authors: Zaga, Charissa J ;Chao, Caroline ;Cameron, Tanis S ;Ross, Jacqueline M ;Rautela, Linda ;Rollinson, Thomas C ;Marchingo, Emma;Gregson, Prudence A;Warrillow, Stephen J ;Atkins, Naomi E ;Howard, Mark E 
Affiliation: Speech Pathology
Institute for Breathing and Sleep
Tracheostomy Review and Management Service, Austin Health, Melbourne, Australia.
Physiotherapy
Victorian Spinal Cord Service
Respiratory and Sleep Medicine
Clinical Education
Tracheostomy Review and Management Service, Austin Health, Melbourne, Australia.
Intensive Care
Department of Medicine, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.
School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Clayton, Victoria, Australia.
Issue Date: 20-Apr-2023
Publication information: Respiratory Care 2023; 68(5)
Abstract: There is developing evidence with regard to the feasibility, utility, and safety of verbal communication interventions with patients with tracheostomy who are invasively ventilated. In the past 2 decades, research efforts have focused on establishing evidence for communication interventions, including introducing an intentional leak into the ventilatory circuit such as with a fenestrated tube, leak speech or ventilator-adjusted leak speech, the use of a one-way valve in-line with the ventilator, and above cuff vocalization. This narrative review describes the benefits of a multi-disciplinary approach, summarizes verbal communication interventions, and provides guidance on the indications, contraindications and considerations for patient selection. Our clinical procedures based on collective clinical experience are shared. A multidisciplinary team approach enables holistic management across acuity, ventilation, airway, communication, and swallowing parameters. This collaborative approach is recommended to maximize the chance of successful opportunities for patients to communicate safely and effectively.
URI: https://ahro.austin.org.au/austinjspui/handle/1/32699
DOI: 10.4187/respcare.10511
ORCID: 0000-0002-6717-908X
Journal: Respiratory Care
Type: Journal Article
Subjects: clinical procedures
communication
multidisciplinary
speech
tracheostomy
ventilation
voice
Appears in Collections:Journal articles

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