Eating and Drinking In Tracheostomies

Investigating dysphagia therapy for people with a tracheostomy. Funded by @NIHRresearch. #dysphagia #tracheostomy #patientexperience. Views my own.

[Eating and Drinking In Tracheostomies @EDIT_Research]

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
https://t.co/4dg5Ax5ydj

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

[Eating and Drinking In Tracheostomies @EDIT_Research]

Scoping review protocol ✅ Next steps: update results and publish @rhalfpennyslt @csmithUCL @siofmulkerrin @UCLLaSSLibrary
https://t.co/im3wmy41CG

[Adult SLT @LNWH_SLT]

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

[Amy Freeman-Sanderson @DrAmyFS]

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

[Eating and Drinking In Tracheostomies @EDIT_Research]

Looking forward to future collaborations with @OxoSLT 🧠🖊️📖

[REBECCA OXTOBY @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

[Sabrena Lee @sabrena_lee]

Very excited to share our published scoping review about the feeding & swallowing needs of children with long-term ventilation! https://t.co/jVMFLvJ2KQ
@csmithUCL @MT_Clarke @DrJMarshall @UCLLangCog @EvelinaLondon @SpringerNature @NIHRcommunity #children #LTV #Dysphagia

[Eating and Drinking In Tracheostomies @EDIT_Research]

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
https://t.co/CYPIEj3g3j

[REBECCA OXTOBY @OxoSLT]

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

https://t.co/ZE66lDh2qF

[Eating and Drinking In Tracheostomies @EDIT_Research]

#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

https://t.co/ZZnKA5NNUi

[Eating and Drinking In Tracheostomies @EDIT_Research]

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.

https://t.co/xFnqpWd5Xu

[Eating and Drinking In Tracheostomies @EDIT_Research]

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
https://t.co/TJWTgQJ60u

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

https://t.co/ZZnKA5wcvI

[Eating and Drinking In Tracheostomies @EDIT_Research]

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.
https://t.co/ZZnKA5NNUi

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

https://t.co/ZZnKA5wcvI

[Eating and Drinking In Tracheostomies @EDIT_Research]

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).

https://t.co/ZMgH3gq9oL

[Eating and Drinking In Tracheostomies @EDIT_Research]

"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

https://t.co/9ABqroaz1s

[Eating and Drinking In Tracheostomies @EDIT_Research]

"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

https://t.co/Bry8vMovtH

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

https://t.co/Bry8vM6U57

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

https://t.co/Bry8vM6U57

[Eating and Drinking In Tracheostomies @EDIT_Research]

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

[Eating and Drinking In Tracheostomies @EDIT_Research]

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 👇
https://t.co/E9bYLZQhDj
#tracheostomy #dysphagia
@RCSLTResearch @LNWH_SLT @RCSLTTracheCEN