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A prospective evaluation of speaking tracheostomy tubes for ventilator dependent patients
Author(s) -
Sparker Ann W.,
Nevlud Gail N.,
Watkins Carol N.,
Robbins K. Thomas,
Jahrsdoerfer Robert A.
Publication year - 1987
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198701000-00017
Subject(s) - tracheostomy tube , medicine , selection (genetic algorithm) , cuff , tube (container) , intensive care medicine , surgery , computer science , engineering , mechanical engineering , artificial intelligence
The effectiveness of speaking tracheostomy tubes for ventilator dependent patients has not been clearly established. Only a few reports by authors using the device are available. We describe our experience with 23 patients who were evaluated for insertion of the speaking tracheostomy tube. Nineteen patients were determined to be appropriate candidates and we observed significant benefits from its use in 15 of these patients. The major problems were air leaks around the cuff, nonavailability of smaller sizes, and dependence on an assistant during its use. Careful screening is important when selecting candidates for the device since inappropriate selection may cause further frustration and a sense of failure for the patient.