Consulting with Teachers

Martin, Virginia

doi:10.1044/0161-1461.0503.179

Cited by 3 publications

(1 citation statement)

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“… 11 , 12 Some experts recommend that CXRs be routinely taken before an SBT in order to confirm “disease reversal”, discard fluid overload, and define eligibility. 2 , 13 - 15 However, these criteria have been neither defined nor prospectively evaluated in a randomized controlled trial. In addition, CXR accuracy is significantly limited by acquisition techniques and clinical issues that override standardization procedures, especially in the ICU.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials

et al. 2017

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Objective:Inspiratory fall in intrathoracic pressure during a spontaneous breathing trial (SBT) may precipitate cardiac dysfunction and acute pulmonary edema. We aimed to determine the relationship between radiological signs of pulmonary congestion prior to an SBT and weaning outcomes. Methods:This was a post hoc analysis of a prospective cohort study involving patients in an adult medical-surgical ICU. All enrolled individuals met the eligibility criteria for liberation from mechanical ventilation. Tracheostomized subjects were excluded. The primary endpoint was SBT failure, defined as the inability to tolerate a T-piece trial for 30-120 min. An attending radiologist applied a radiological score on interpretation of digital chest X-rays performed before the SBT. Results:A total of 170 T-piece trials were carried out; SBT failure occurred in 28 trials (16.4%), and 133 subjects (78.3%) were extubated at first attempt. Radiological scores were similar between SBT-failure and SBT-success groups (median [interquartile range] = 3 [2-4] points vs. 3 [2-4] points; p = 0.15), which, according to the score criteria, represented interstitial lung congestion. The analysis of ROC curves demonstrated poor accuracy (area under the curve = 0.58) of chest x-rays findings of congestion prior to the SBT for discriminating between SBT failure and SBT success. No correlation was found between fluid balance in the 48 h preceding the SBT and radiological score results (ρ = −0.13). Conclusions:Radiological findings of pulmonary congestion should not delay SBT indication, given that they did not predict weaning failure in the medical-surgical critically ill population. (ClinicalTrials.gov identifier: NCT02022839 [http://www.clinicaltrials.gov/])

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Section: Introductionmentioning

confidence: 99%

Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials

et al. 2017

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The Preschool Handicapped Class: A Transdisciplinary Approach to Teaching Language

Colburn

Footerman

1985

Child Language Teaching and Therapy

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The purpose of this paper is to describe a transdisciplinary preschool programme for handicapped children where the speech-language pathologist is a member of the teaching team in aselj-contained classroom. Specific language training is the focus of all daily activities, facilitating the extraction and use of grammatical rules. All activities centre around a specifc language topic, A sample weekly lesson plan i s provided.

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Addressing Language Concerns in the Schools: The SLP as Consultant

Damico

1987

Journal of Childhool Communication Disorders

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Consulting with Teachers

Cited by 3 publications

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Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials

Usefulness of radiological signs of pulmonary congestion in predicting failed spontaneous breathing trials

The Preschool Handicapped Class: A Transdisciplinary Approach to Teaching Language

Addressing Language Concerns in the Schools: The SLP as Consultant

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