| Dysphagic patients with tracheotomies: a multidisciplinary approach to treatment and decannulation management. | |
| | |
MedLine Citation:
|
PMID: 17024547 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
In 2000 a multidisciplinary protocol for weaning dysphagic patients from the tracheotomy tube and a decannulation decision chart created according to principles of the F.O.T.T.((R)) Concept (Face and Oral Tract Therapy) were introduced in the Swiss Neurological Rehabilitation Centre REHAB in Basel. In the present study we introduce these guidelines and present an evaluation of the treatment and decannulation procedure. We retrospectively compared data from patients before and after introduction of the multidisciplinary procedure with regard to mean cannulation times and success of decannulation. Furthermore, we analyzed the rehabilitation progress of the group who underwent multidisciplinary treatment as well as the participation of the speech language therapist. The results show that the treatment introduced to improve swallowing functions and wean patients from the tracheotomy tube led to a fast and safe decannulation of our patients. The mean length of cannulation time was reduced significantly. After decannulation the patients showed clear functional improvements. Interdisciplinary treatment using the approach discussed in this study can be considered efficient and an important basis for further functional progress in the rehabilitation process. |
| | |
Authors:
|
Ulrike Frank; Mark Mäder; Heike Sticher |
Related Documents
:
|
10449977 - Complications of pancreatic surgery and the role of perioperative nutrition. 1541787 - Clinical comparison of tolerance to elemental or polymeric enteral feedings in the post... 12056787 - Lack of effectiveness of short-term intravenous micronutrient nutrition in restoring pl... 105777 - Early postoperative feeding with elemental diet. 15045037 - New additions to the intensive care armamentarium. 21422677 - Ratio of urinary potassium to urinary sodium and the potassium and edema status in neph... |
Publication Detail:
|
Type: Journal Article Date: 2006-10-06 |
Journal Detail:
|
Title: Dysphagia Volume: 22 ISSN: 0179-051X ISO Abbreviation: Dysphagia Publication Date: 2007 Jan |
Date Detail:
|
Created Date: 2007-02-02 Completed Date: 2007-05-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8610856 Medline TA: Dysphagia Country: United States |
Other Details:
|
Languages: eng Pagination: 20-9 Citation Subset: IM |
Affiliation:
|
Department of Linguistics, University of Potsdam, Potsdam, Germany. ufrank@ling.uni-potsdam.de |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Deglutition Disorders / rehabilitation, surgery* Humans Middle Aged Nervous System Diseases / rehabilitation Patient Care Team* Retrospective Studies Time Factors Tracheotomy* Treatment Outcome* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The influence of orolingual pressure on the timing of pharyngeal pressure events.
Next Document: Utility of ambulatory pH monitoring and videofluoroscopy for the evaluation of patients with globus ...