Swallowing With a Tracheostomy Tube in Place: Does Cuff Inflation Matter?

Davis, Daniel G.; Bears, Sean; Barone, James E.; Corvo, Philip R.; Tucker, James B.

doi:10.1177/08866602017003004

Cited by 3 publications

(29 citation statements)

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“…Of the 10 accepted articles (Table 1), all were prospective case series [39][40][41][42][43][44][45][46][47]. Study sample sizes ranged from 11 [40] to 40 [42] patients and included heterogeneous diagnoses in all but two studies [41,45].…”

Section: Study Characteristics and Methodological Quality Assessmentmentioning

confidence: 99%

“…Study sample sizes ranged from 11 [40] to 40 [42] patients and included heterogeneous diagnoses in all but two studies [41,45]. Nine of the included studies [39][40][41][42][43][44][45][46]48] were published in English and one was published in Japanese [47].…”

Section: Study Characteristics and Methodological Quality Assessmentmentioning

confidence: 99%

“…Six studies had portions of their patient sample meeting our inclusion criteria; however, they were excluded following author contact as the pertinent outcomes were not extractable [19,30,33,[36][37][38]. A total of 10 articles were accepted for analysis [39][40][41][42][43][44][45][46][47] (Table 1).…”

Section: Literature Retrievedmentioning

confidence: 99%

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A Systematic Review of Tracheostomy Modifications and Swallowing in Adults

et al. 2020

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Dysphagia occurs in 11% to 93% of patients following tracheostomy. Despite its benefits, the tracheostomy often co-exists with dysphagia given its anatomical location, the shared pathway of the respiratory and alimentary systems, and the medical complexities necessitating the need for the artificial airway. When tracheostomy weaning commences, it is often debated whether the methods used facilitate swallowing recovery. We conducted a systematic review to determine whether tracheostomy modifications alter swallowing physiology in adults. We searched eight electronic databases, nine grey literature repositories and conducted handsearching. We included studies that reported on oropharyngeal dysphagia as identified by instrumentation in adults with a tracheostomy. We accepted case series (n > 10), prospective or retrospective observational studies, and randomized control trials. We excluded patients with head and neck cancer and/or neurodegenerative disease. Two independent and blinded reviewers rated abstracts and articles for study inclusion. Data abstraction and risk of bias assessment was conducted on included studies. Discrepancies were resolved by consensus. A total of 7079 citations were identified, of which, 639 articles were reviewed, with ten articles meeting our inclusion criteria. The studies were heterogeneous in study design, patient population, and outcome measures. For these reasons, we presented our findings descriptively. All studies were limited by bias risk. This study highlights the limitations of the evidence and therefore the inability to conclude whether tracheostomy modifications alter swallowing physiology.

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Section: Study Characteristics and Methodological Quality Assessmentmentioning

confidence: 99%

Section: Study Characteristics and Methodological Quality Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of Tracheostomy Modifications and Swallowing in Adults

et al. 2020

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“…Generally, a cuffed tube is inserted, as this helps prevent aspiration of saliva and secretions. However, it has been demonstrated that an inflated tracheostomy cuff is more likely to lead to patients aspirating (Davis, Bears, Barone, Corvo & Tucker, 2002). Tracheostomy is associated with a high incidence of silent aspiration (aspiration without clinical signs), and it has been argued that all patients with tracheostomy should undergo instrumental examination of their swallowing function (Matthews & Coyle, 2010).…”

Section: Tracheostomymentioning

confidence: 99%

Dysphagia and Respiratory Infections in Acute Ischemic Stroke

Langdon¹

2012

Acute Ischemic Stroke

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“…Furthermore, while some research has suggested aspiration risk to be greater when swallowing with a tracheostomy cuff inflated compared with deflated (Davis et al . , Ding and Logemann ), these studies had methodological limitations. Hence, there is no robust evidence to support a difference in swallowing according to tracheostomy presence or absence, or as conditions change along the decannulation pathway.…”

Section: Introductionmentioning

confidence: 99%

Patterns of return to oral intake and decannulation post-tracheostomy across clinical populations in an acute inpatient setting

Pryor

Ward

Cornwell

et al. 2016

International Journal of Language & Communication Disorders

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The data provide benchmarks enabling comparison by overall cohort as well as by specialist clinical populations, each with differing reasons for tracheostomy insertion. The data would suggest that tracheostomy patients should not be looked upon as a singular cohort; rather, evaluation of factors with specific attention made to underlying aetiology and individual clinical presentation is essential.

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Swallowing With a Tracheostomy Tube in Place: Does Cuff Inflation Matter?

Cited by 3 publications

References 0 publications

A Systematic Review of Tracheostomy Modifications and Swallowing in Adults

A Systematic Review of Tracheostomy Modifications and Swallowing in Adults

Dysphagia and Respiratory Infections in Acute Ischemic Stroke

Patterns of return to oral intake and decannulation post-tracheostomy across clinical populations in an acute inpatient setting

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