The Experts below are selected from a list of 261 Experts worldwide ranked by ideXlab platform
Caroline M. Shuldham - One of the best experts on this subject based on the ideXlab platform.
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A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with Cuffed tracheostomies in neurological intensive care.
Neurocritical care, 2007Co-Authors: Susan L. Mcgowan, Michael Gleeson, Martin D. Smith, N.p. Hirsch, Caroline M. ShuldhamAbstract:Introduction Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a Cuffed Tracheostomy Tube, which allows a degree of protection from tracheal aspiration of saliva and gastric contents. Patients who are awake often complain of thirst, but traditionally are only offered oral fluids when the cuff of the Tracheostomy Tube has been deflated. Given that many patients in NICU cannot tolerate cuff deflation, a reliable technique is needed to assess the adequacy of the patient’s swallow and therefore the risk of aspiration when the Tracheostomy cuff is inflated.
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A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with Cuffed tracheostomies in neurological intensive care
Neurocritical Care, 2007Co-Authors: Susan L. Mcgowan, Michael Gleeson, Martin Smith, Nicholas Hirsch, Caroline M. ShuldhamAbstract:Introduction Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a Cuffed Tracheostomy Tube, which allows a degree of protection from tracheal aspiration of saliva and gastric contents. Patients who are awake often complain of thirst, but traditionally are only offered oral fluids when the cuff of the Tracheostomy Tube has been deflated. Given that many patients in NICU cannot tolerate cuff deflation, a reliable technique is needed to assess the adequacy of the patient’s swallow and therefore the risk of aspiration when the Tracheostomy cuff is inflated. Methods The aim of this feasibility study was to examine the viability of Fibreoptic Endoscopic Evaluation of Swallowing (FEES) as a diagnostic tool to assess the effectiveness of swallowing in four NICU patients with Cuffed tracheostomies. Results The technique was successful in all of the four patients. One patient was found to have a normal swallow. Two patients were seen to have laryngeal penetration of fluids and one patient aspirated the fluid challenge. Conclusion This pilot study has demonstrated the feasibility of using the FEES technique for assessment of swallowing in patients with Cuffed Tracheostomy Tubes; it therefore presents the prospect of allowing earlier drinking in such patients whilst helping confirm the safety of such a strategy.
Paul Gurr - One of the best experts on this subject based on the ideXlab platform.
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Balloon dilatation of tracheostomal stenosis with Cuffed Tracheostomy Tube. A novel approach to tracheostomal dilatation.
The Laryngoscope, 2011Co-Authors: Samuel Mackeith, Miran Pankhania, Roland Hettige, Paul GurrAbstract:Postlaryngectomy tracheostomal stenosis is a common complication. Stomal narrowing can be severe, requiring urgent management with dilatation of the stoma. There are numerous ways to achieve this, ranging from forcibly inserting a larger Tracheostomy Tube, using a graduated dilator, to surgical intervention in the form of a stomaplasty. We describe an alternative technique using a readily available Cuffed Tracheostomy Tube.
Paul Gurr Frcs - One of the best experts on this subject based on the ideXlab platform.
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balloon dilatation of tracheostomal stenosis with Cuffed Tracheostomy Tube a novel approach to tracheostomal dilatation
Laryngoscope, 2011Co-Authors: Samuel Mackeith Mb Chb Mrcs A C Dohns, Miran Pankhania Mb Chb, Roland Hettige Mb Bs Bsc Mrcs Dohns And, Paul Gurr FrcsAbstract:Postlaryngectomy tracheostomal stenosis is a common complication. Stomal narrowing can be severe, requiring urgent management with dilatation of the stoma. There are numerous ways to achieve this, ranging from forcibly inserting a larger Tracheostomy Tube, using a graduated dilator, to surgical intervention in the form of a stomaplasty. We describe an alternative technique using a readily available Cuffed Tracheostomy Tube. Laryngoscope, 2011
Susan L. Mcgowan - One of the best experts on this subject based on the ideXlab platform.
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A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with Cuffed tracheostomies in neurological intensive care.
Neurocritical care, 2007Co-Authors: Susan L. Mcgowan, Michael Gleeson, Martin D. Smith, N.p. Hirsch, Caroline M. ShuldhamAbstract:Introduction Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a Cuffed Tracheostomy Tube, which allows a degree of protection from tracheal aspiration of saliva and gastric contents. Patients who are awake often complain of thirst, but traditionally are only offered oral fluids when the cuff of the Tracheostomy Tube has been deflated. Given that many patients in NICU cannot tolerate cuff deflation, a reliable technique is needed to assess the adequacy of the patient’s swallow and therefore the risk of aspiration when the Tracheostomy cuff is inflated.
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A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with Cuffed tracheostomies in neurological intensive care
Neurocritical Care, 2007Co-Authors: Susan L. Mcgowan, Michael Gleeson, Martin Smith, Nicholas Hirsch, Caroline M. ShuldhamAbstract:Introduction Patients on neurological intensive care units (NICU) who require ventilatory support often suffer from co-existing bulbar dysfunction, either because of their underlying disease or because of their decreased level of consciousness. For this reason, most patients are ventilated through a Cuffed Tracheostomy Tube, which allows a degree of protection from tracheal aspiration of saliva and gastric contents. Patients who are awake often complain of thirst, but traditionally are only offered oral fluids when the cuff of the Tracheostomy Tube has been deflated. Given that many patients in NICU cannot tolerate cuff deflation, a reliable technique is needed to assess the adequacy of the patient’s swallow and therefore the risk of aspiration when the Tracheostomy cuff is inflated. Methods The aim of this feasibility study was to examine the viability of Fibreoptic Endoscopic Evaluation of Swallowing (FEES) as a diagnostic tool to assess the effectiveness of swallowing in four NICU patients with Cuffed tracheostomies. Results The technique was successful in all of the four patients. One patient was found to have a normal swallow. Two patients were seen to have laryngeal penetration of fluids and one patient aspirated the fluid challenge. Conclusion This pilot study has demonstrated the feasibility of using the FEES technique for assessment of swallowing in patients with Cuffed Tracheostomy Tubes; it therefore presents the prospect of allowing earlier drinking in such patients whilst helping confirm the safety of such a strategy.
Samuel Mackeith - One of the best experts on this subject based on the ideXlab platform.
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Balloon dilatation of tracheostomal stenosis with Cuffed Tracheostomy Tube. A novel approach to tracheostomal dilatation.
The Laryngoscope, 2011Co-Authors: Samuel Mackeith, Miran Pankhania, Roland Hettige, Paul GurrAbstract:Postlaryngectomy tracheostomal stenosis is a common complication. Stomal narrowing can be severe, requiring urgent management with dilatation of the stoma. There are numerous ways to achieve this, ranging from forcibly inserting a larger Tracheostomy Tube, using a graduated dilator, to surgical intervention in the form of a stomaplasty. We describe an alternative technique using a readily available Cuffed Tracheostomy Tube.