Speaking Tracheostomy Tube and Modified Mouthstick Stylus in a Ventilator-Dependent Patient with Spinal Cord Injury

Mitate, Eiji; Kubota, Kensuke; Ueki, Katsuji; Inoue, Rumi; Inoue, Ryosuke; Momii, Kenta; Sugimori, Hiroshi; Maehara, Yoshihiko; Nakamura, Seiji

doi:10.1155/2015/320357

Cited by 8 publications

(18 citation statements)

References 12 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were four studies with a quasi-experimental design [ 12 , 28 – 30 ], 16 case series [ 31 – 46 ], four case reports [ 47 – 50 ], four pilot observational studies [ 19 , 51 – 53 ], and a retrospective study [ 17 ]. We identified four communication intervention types: communication boards (three studies) [ 12 , 17 , 30 ]; speaking valves (eight studies) [ 36 – 40 , 42 , 48 , 49 ]; electrolarynx (EL) (seven studies) [ 31 , 33 , 43 , 44 , 46 , 47 , 50 ]; and “high-tech” AAC (10 articles, representing nine studies) [ 19 , 32 , 34 , 35 , 41 , 45 , 51 – 54 ]. Three articles, representing two studies, studied multiple AAC interventions [ 28 , 29 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…All tracheostomized patients in which the talking tracheostomy tubes were used were cognitively intact without upper-airway obstruction and had intact muscular function for articulation. Patients had mixed diagnoses [ 36 – 40 , 42 , 48 , 49 ]. Common causes of malfunctioning of the tube included occlusion of the air vent ports, cuff leaks, and kinking of the airflow line tubing.…”

Section: Resultsmentioning

confidence: 99%

“…Common causes of malfunctioning of the tube included occlusion of the air vent ports, cuff leaks, and kinking of the airflow line tubing. One case report, also using a tracheostomy tube with additional lumen (Vocalaid), stated that it was inadequate for communication due to fatigue after a few minutes and discomfort [ 48 ].…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Communicating with conscious and mechanically ventilated critically ill patients: a systematic review

et al. 2016

View full text Add to dashboard Cite

BackgroundVentilator-dependent patients in the ICU often experience difficulties with one of the most basic human functions, namely communication, due to intubation. Although various assistive communication tools exist, these are infrequently used in ICU patients. We summarized the current evidence on communication methods with mechanically ventilated patients in the ICU. Secondly, we developed an algorithm for communication with these patients based on current evidence.MethodsWe performed a systematic review. PubMed, Embase, Cochrane, Cinahl, PsychInfo, and Web of Science databases were systematically searched to November 2015. Studies that reported a communication intervention with conscious nonverbal mechanically ventilated patients in the ICU aged 18 years or older were included. The methodological quality was assessed using the Quality Assessment Tool.ResultsThe search yielded 9883 publications, of which 31 articles, representing 29 different studies, fulfilled the inclusion criteria. The overall methodological quality varied from poor to moderate. We identified four communication intervention types: (1) communication boards were studied in three studies—they improved communication and increased patient satisfaction, but they can be time-consuming and limit the ability to produce novel utterances; (2) two types of specialized talking tracheostomy tubes were assessed in eight studies—audible voicing was achieved in the majority of patients (range 74–100 %), but more studies are needed to facilitate safe and effective use; (3) an electrolarynx improved communication in seven studies—its effectiveness was mainly demonstrated with tracheostomized patients; and (4) “high-tech” augmentative and alternative communication (AAC) devices in nine studies with diverse computerized AAC devices proved to be beneficial communication methods—two studies investigated multiple AAC interventions, and different control devices (e.g., touch-sensitive or eye/blink detection) can be used to ensure that physical limitations do not prevent use of the devices. We developed an algorithm for the assessment and selection of a communication intervention with nonverbal and conscious mechanically intubated patients in the ICU.ConclusionsAlthough evidence is limited, results suggest that most communication methods may be effective in improving patient–healthcare professional communication with mechanically ventilated patients. A combination of methods is advised. We developed an algorithm to standardize the approach for selection of communication techniques.Electronic supplementary materialThe online version of this article (doi:10.1186/s13054-016-1483-2) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Communicating with conscious and mechanically ventilated critically ill patients: a systematic review

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Making cards depicting biopsychosocial needs, and with the letters of the alphabet also facilitate patients' communication with the healthcare team, fostering nurse/ patient interaction 27. Fatigue of a tetraplegic patient using a speaking valve in the tracheostomy has driven multidisciplinary team to adapt a pen comprised of a stick and conductive urethane foam attached to the upper jaw, a resin plate and an IPad enabled the communication with the team, reducing this patient's depression due to the absence of communication 28,29 . Experienced speech-language pathologists in delivering care to tracheostomized patients reported an increase in tracheostomized patients' referrals for deglutition screening before starting the oral diet 30 .…”

Section: Resultsmentioning

confidence: 99%

A comunicação do paciente traqueostomizado: uma revisão integrativa

et al. 2016

View full text Add to dashboard Cite

It is an integrative review aiming at knowing the scientific production and analyze the strategies on the communication of the tracheostomized patient. The search on the site of the Virtual Health Library (Biblioteca Virtual em Saúde -BVS), with the descriptors "communication and tracheostomy", resulted in publications of the Latin American and Caribbean Health Sciences Literature (Literatura Latino-Americana e do Caribe de Informação em Ciências da Saúde -LILACS), International Literature (MEDLINE), and Coleciona SUS databases. Scientific articles published between 2001 and 2015 were considered, as they represented the period of the greatest scientific production involving adults, and unrestrictedly for Spanish, English and Portuguese idioms or the type of study. Sixteen (16) publications, comprising 15 articles and 1 thesis, were selected, which were classified by categories: knowledge, communication and supporting resources. From the analyzed publications, it is verified that the concern on the communication of tracheostomized patients has been an increasing theme in the context of the scientific production in the past decade. Keywords: Communication; Tracheostomy; Adult RESUMO Trata-se de revisão integrativa com objetivo de conhecer a produção científica e analisar as estratégias acerca da comunicação do paciente traqueostomizado. A busca no portal da Biblioteca Virtual em Saúde (BVS), com os descritores "communication and tracheostomy", resultou em publicações das bases de dados Literatura Latino-Americana e do Caribe de Informação em Ciências da Saúde (LILACS), Literatura Internacional (MEDLINE) e Coleciona SUS. Foram considerados os artigos científicos publicados no perí-odo de 2001 a 2015, por representar o período com maior produção científica, que envolvessem adultos e, sem restrição quanto aos idiomas espanhol, inglês e português nem para o tipo do estudo. Foram selecionados 16 publicações, composta por 15 artigos e uma tese, as quais foram classificadas por categorias: conhecimento, comunicação, e recursos auxiliares. Diante das publicações analisadas, verifica-se que a preocupação acerca da comunicação do paciente traqueostomizado é tema crescente no contexto da produção científica nessa última década.

show abstract

“…Mitate et al discussed the use of a talking tracheostomy tube and modified mouthstick stylus in a ventilator‐dependent patient with spinal cord injury . The patient was unable to vocalize with traditional tracheostomy tube but achieved voice for about 10 minutes with an older version of the talking tracheostomy tube called vocalaid (Portex Ltd, Hythe, Kent) …”

Section: Discussionmentioning

confidence: 99%

Voice‐Related Quality of Life Increases With a Talking Tracheostomy Tube: A Randomized Controlled Trial

et al. 2019

View full text Add to dashboard Cite

Objective: The primary objective of our study was to determine the quality of life (QOL) using a talking tracheostomy tube. Methods: Randomized clinical trial (NCT2018562). Adult intensive care unit patients who were mechanically ventilated, awake, alert, attempting to communicate, English-speaking, and could not tolerate one-way speaking valve were included. Intervention comprised a Blue Line Ultra Suctionaid (BLUSA) talking tracheostomy tube (Smiths Medical, Dublin, OH, US). Outcome measures included QOL scores measured using Quality of Life in Mechanically Ventilated Patients (QOL-MV) and Voice-Related Quality of Life (V-RQOL), Speech Intelligibility Test (SIT) scores, independence, and satisfaction.Results: The change in V-RQOL scores from pre-to postintervention was higher among patients using a BLUSA (Smiths Medical) compared to those who did not (P = 0.001). The QOL-MV scores from pre-to postintervention were significantly higher among patients who used a BLUSA (Smiths Medical) compared to patients who did not use BLUSA (Smiths Medical) or a one-way speaking valve (P = 0.04). SIT scores decreased by 6.4 points for each 1-point increase in their Sequential Organ Failure Assessment scores (P = 0.04). The overall QOL-MV scores correlated moderately with the overall V-RQOL scores (correlation coefficient = 0.59). Cronbach alpha score for overall QOL-MV was 0.71. Seventy-three percent of the 22 intervention patients reported the ability to use the BLUSA (Smiths Medical) with some level of independence, whereas 41% reported some level of satisfaction with the use of BLUSA (Smiths Medical). The lengths of stay was longer in the intervention group.Conclusion: Our study suggests that BLUSA (Smiths Medical) talking tracheostomy tube improves patient-reported QOL in mechanically ventilated patients with a tracheostomy who cannot tolerate cuff deflation.

show abstract

Speaking Tracheostomy Tube and Modified Mouthstick Stylus in a Ventilator-Dependent Patient with Spinal Cord Injury

Cited by 8 publications

References 12 publications

Communicating with conscious and mechanically ventilated critically ill patients: a systematic review

Communicating with conscious and mechanically ventilated critically ill patients: a systematic review

A comunicação do paciente traqueostomizado: uma revisão integrativa

Voice‐Related Quality of Life Increases With a Talking Tracheostomy Tube: A Randomized Controlled Trial

Contact Info

Product

Resources

About