Effect of a One-Way Tracheotomy Speaking Valve on the Incidence of Aspiration in Previously Aspirating Patients with Tracheotomy |
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Authors: | Steven B Leder |
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Institution: | (1) Department of Surgery, Section of Otolaryngology, Yale University School of Medicine, New Haven, Connecticut, USA, US |
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Abstract: | The purpose of the present study was to investigate the incidence of aspiration in previously aspirating patients with tracheotomy
after use of a one-way tracheotomy tube speaking valve. Twenty consecutive inpatients from the acute care setting of a large
urban tertiary care teaching hospital were included. All subjects had objective documentation of aspiration by a fiberoptic
endoscopic evaluation of swallowing prior to placement of a one-way tracheotomy speaking valve, from 2 to 7 days of valve
use with intelligible speech production, and no surgery to the upper aerodigestive tract except tracheotomy. Results indicated
that incidence of aspiration was not affected by use of a one-way tracheotomy speaking valve. These results are in agreement
with previous observations that subjects either aspirated or swallowed successfully regardless of tracheotomy tube occlusion
status. Also, no significant differences were found between aspiration status and time since tracheotomy, time off ventilator,
or duration of valve use. It was concluded that use of a one-way speaking valve provided mostly nondeglutitive benefits and
should not be considered to promote successful swallowing for patients with tracheotomy in the acute care setting. |
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Keywords: | : Aspiration — Silent aspiration — Tracheotomy — Tracheotomy tube — Speaking valve — Fiberoptic endoscope — Dysphagia — Deglutition — Deglutition disorders |
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