The use of tracheostomy speaking valves in mechanically ventilated patients results in improved communication and does not prolong ventilation time in cardiothoracic intensive care unit patients

Sutt, Anna‐Liisa; Cornwell, Petrea; Mullany, Daniel; Kinneally, Toni; Fraser, John F.

doi:10.1016/j.jcrc.2014.12.017

Cited by 61 publications

(54 citation statements)

References 30 publications

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“…When it is associated with mechanical ventilation, it poses a positive impact on the quality of life for supplying patients' psychological and physiological needs 17,22,23 .…”

Section: Resultsmentioning

confidence: 99%

“…By restricting communication, the use of mechanical ventilation brings about the reduction of information exchange, depression, social withdrawal, and motivation to participate in caring, making patients dependent on non-verbal strategies as well as the support of devices such as the speaking valve and the use of Positive End-Expiratory Pressure (PEEP) 22 . Survey held at an Intensive Care Unit showed that before the adoption of the speaking valve in patients who subsequently died, none of them could communicate in an effective way, but after the adoption of the valve, five out of a total of 14 patients admitted to the ICU had the chance of verbal communication with their family members before dying.…”

Section: Communicationmentioning

confidence: 99%

“…Survey held at an Intensive Care Unit showed that before the adoption of the speaking valve in patients who subsequently died, none of them could communicate in an effective way, but after the adoption of the valve, five out of a total of 14 patients admitted to the ICU had the chance of verbal communication with their family members before dying. Apart from enabling verbal communication, it improves swallowing, however, its impact on the respiratory mechanics due to the loss of the alveolar recruitment caused by the reduction of lung volumes at the end of the expiration has still been unknown, leading to alveolar collapse and atelectasis, consequently, extending their length of stay in the ICU 22 .…”

Section: Communicationmentioning

confidence: 99%

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A comunicação do paciente traqueostomizado: uma revisão integrativa

et al. 2016

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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.

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“…When it is associated with mechanical ventilation, it poses a positive impact on the quality of life for supplying patients' psychological and physiological needs 17,22,23 .…”

Section: Resultsmentioning

confidence: 99%

Section: Communicationmentioning

confidence: 99%

Section: Communicationmentioning

confidence: 99%

See 1 more Smart Citation

A comunicação do paciente traqueostomizado: uma revisão integrativa

et al. 2016

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“…Here, the use of a fenestrated tracheostomy tube in combination with a fenestrated inner cannula is advantageous, because the work of breathing is minimised by the low airflow resistance afforded by these tubes [4, 5]. Even more importantly, swallowing, communication, postural stabilisation, and weight-bearing ability are better supported by dual-cannula fenestrated tracheostomy tubes, particularly when a speaking valve is mounted [6–9]. …”

Section: Introductionmentioning

confidence: 99%

Leakage Characteristics of Dual-Cannula Fenestrated Tracheostomy Tubes during Positive Pressure Ventilation: A Bench Study

Berlet

Marchon

2016

Anesthesiology Research and Practice

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This study compared the leakage characteristics of different types of dual-cannula fenestrated tracheostomy tubes during positive pressure ventilation. Fenestrated Portex5 Blue Line Ultra5, TRACOE5 twist, or Rüsch5 Traceofix5 tracheostomy tubes equipped with nonfenestrated inner cannulas were tested in a tracheostomy-lung simulator. Transfenestration pressures and transfenestration leakage rates were measured during positive pressure ventilation. The impact of different ventilation modes, airway pressures, temperatures, and simulated static lung compliance settings on leakage characteristics was assessed. We observed substantial differences in transfenestration pressures and transfenestration leakage rates. The leakage rates of the best performing tubes were <3.5% of the delivered minute volume. At body temperature, the leakage rates of these tracheostomy tubes were <1%. The tracheal tube design was the main factor that determined the leakage characteristics. Careful tracheostomy tube selection permits the use of fenestrated tracheostomy tubes in patients receiving positive pressure ventilation immediately after stoma formation and minimises the risk of complications caused by transfenestration gas leakage, for example, subcutaneous emphysema.

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“…Prior research on this important topic is limited to observational studies (6), case series (7), and before-after trials (8). Limitations to these designs have included unclear inclusion/exclusion criteria, ambiguity and variation in the ‘intervention,’ and bias all of which make it problematic to infer which patients might be appropriate for and benefit from an in line speaking valve.…”

mentioning

confidence: 99%