Podcasts about tracheostomy

Send us a textLeah and Shakeema Smiley discuss the challenges and triumphs of navigating life with a child in the NICU, particularly focusing on the experience of having a tracheostomy. Shakeema shares her personal journey with her daughter Lori, who was born prematurely and required extensive medical care. The conversation highlights the emotional and practical aspects of caring for a child with special needs, the importance of advocacy, and the power of hope and community support.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Send us a textIn this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole discuss various communication options for patients with tracheostomy tubes. They explore the anatomy of normal voicing, the importance of speaking valves, contraindications for their use, and techniques for above the cuff vocalization. The conversation also covers strategies for capping and decannulation, emphasizing the significance of airflow management in improving patient outcomes.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Send us a textIn this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole DePalma discuss the various communication options available for patients with tracheostomy tubes. They explore the anatomy of normal voicing, the impact of tracheostomy on communication, the consequences of communication barriers, and the different methods to facilitate communication, including nonverbal strategies and leak speech. The conversation emphasizes the importance of effective communication in healthcare settings and the need for tailored approaches to meet individual patient needs. This is part 1 of 2.  Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Send us a textIn this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile and Nicole DePalma discuss the critical role of humidification,  particularly for patients with tracheostomies. The conversation covers the definitions of humidity, the physiological processes of the upper airway, and the implications of bypassing natural humidification through artificial airways. The importance of adequate humidification is emphasized to prevent complications such as thick secretions and mucus plugging, and discusses practical strategies for managing these issues in clinical settings.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

We discuss the basics of evaluation for tracheostomy placement, periprocedural care, and post-procedure complications with Vinciya Pandian, PhD, ACNP, FCCM, tracheostomy nurse practitioner and researcher. Learn more at the Intensive Care Academy! Find us on Patreon here! Buy your merch here!

This conversation delves into the critical differences between tracheostomy and laryngectomy procedures, focusing on their indications, risks, and management. The discussion highlights the permanent nature of laryngectomy, the importance of voice restoration techniques, and the role of the TEP device. Emergency management strategies for laryngectomy patients are also explored, emphasizing the need for specialized care and understanding of airway management.00:00Introduction to the Conversation00:01Understanding Tracheostomy vs. Laryngectomy02:53Surgical Indications and Risks05:33Voice Restoration Post-Laryngectomy08:20TEP Device Management and Concerns11:08Eating and Drinking with a TEP14:11Emergency Management for Laryngectomy Patients15:09Oxygen and Medication Delivery Challenges17:21Care Management and Best PracticesSupport the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Send us a text Written by: Dr. Tharaniya Vallipuram (Internal Medicine Resident) & Dr. Liang Chen (General Internal Medicine & ICU Fellow) Reviewed by: Dr. Jed Lipes (Intensivist & General Internist) & Dr. Evan Wong (Intensivist & General Surgeon)Don't forget to check out Episode 238 - Tracheostomy 101 before listening to this week's episode on tracheostomy associated emergencies!Support the show

Wisconsin's Midday News has your Now at Noon headlines. Guests include ESPN Wisconsin's Jason Wilde and ABC News Political Analyst Steve Roberts. we wrap up with final thoughts of the Election Day hangover.

We pulled out another favorite out this week - Dr. Zanotti's deep-dive on tracheostomy emergencies. Tracheostomies are common in ICU patients. Every intensivist should be capable of recognizing and providing initial management to potentially serious complications associated with tracheostomies. Dr. Zanotti is joined by Drs. Laura Bontempo and Sara Manning, emergency physicians and educators with a special interest in the topic. Dr. Laura Bontempo is an associate professor of emergency medicine and serves as Assistant Director for Faculty Development & Resident Education in the Department of Emergency Medicine at the University of Maryland Medical School. Dr. Sara Manning is an Assistant Professor of Clinical Emergency Medicine, in the Department of Emergency Medicine at the Indiana University School of Medicine. Additional Resources: Tracheostomy Emergencies. LJ Bontempo and SL Manning. Emerg Med Clin N Am 2019: pubmed.ncbi.nlm.nih.gov/30454773/ Link to Onepager on Tracheostomy Emergencies: onepagericu.com/trach-emergencies Bleeding Tracheostomy. Kenji Inaba MD. Presented at Essentials of EM: www.facebook.com/EssentialsofEM/v…163679590380038/ Book Recommendations: Who Moved my Cheese?: An A-Mazing Way to Deal with Change in Your Work and in Your Life. By Spencer Johnson, et al: amzn.to/3pq0CkR Where the Red Fern Grows. By Wilson Rawls: amzn.to/3AawH6a

In this episode, Nicole and Dr. Jerry Gentile continue the discussion on the anatomy of tracheostomy tubes. They discuss cuff and cuffless tracheostomy tubes, fenestrated tubes, and the complications associated with them. In this conversation, Jerry and Nicole discuss various aspects of tracheostomy tubes, including fenestrated trachs, tracheostomy tube capping, different trach tube materials, dimensions of trach tubes, and different types of cuffs. They also touch on custom trachs and the use of subglottic trachs. The conversation provides valuable insights into the anatomy and considerations of tracheostomy tubes.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

In this episode, Nicole DePalma and Dr. Jerry Gentile discuss the anatomy of tracheostomy tubes. They cover the different components of the tube, such as the hub, outer and inner cannula, and flange. They also explain the differences between double lumen and single lumen tubes, as well as the appropriate sizing of the outer cannula. The conversation also touches on the purpose of the inner cannula, the use of adjustable flanges, and the importance of cuff management.https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

Patients with tracheostomy are at high risk for preventable adverse events.  Join Dr. Jerry Gentile and Nicole DePalma as they delve into all things tracheostomy.  We hope to improve the safety, care, and lives of patients with tracheostomy.  If you are a healthcare administrator or care provider including physicians, respiratory therapist, speech-language pathologist, nurse, patient or family member interested in learning more about tracheostomy, then this podcast is for you!https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

In this episode, Nicole DePalma and Dr. Jerry Gentile provide an introduction to tracheostomy. They discuss the differences between tracheostomy and tracheotomy, how a patient breathes through a tracheostomy, and the indications for a tracheostomy. They also explain the different procedures for placing a tracheostomy tube, including surgical and percutaneous methods. The potential complications of prolonged intubation and tracheostomy are explored, as well as the benefits of a tracheostomy for long-term mechanical ventilation. The episode concludes with a brief discussion on tracheostomy in pediatric patients.Get a free download of Anatomy of Tracheostomy Airflow https://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

In this episode, we provide a broad introduction to tracheostomies. This includes indications and contraindications, tracheostomy equipment, procedural options and potential complications of tracheostomies. The medicine minute discusses the TRACMAN trial published in JAMA in 2013. Written by: Drs . Tharaniya Vallipuram (Internal Medicine Resident) and Liang Chen (General Internal Medicine & ICU Fellow)Reviewed by: Drs. Peter Goldberg (Intensivist, Respirologist) and Jed Lipes (Intensivist, General Internist)Sound Editing by: Tony WalshSupport the Show.

Instructor Lisa Treleaven demonstrates how to clear a tracheostomy tube with a pediatric patient, using a model, during an April 6 training class at Connally Memorial Medical Center in Floresville for EMS personnel from Wilson County Emergency Services District 4 and Karnes County EMS. As part of their ongoing training, the EMS technicians received updated instruction in how to address problems related to a tracheostomy — an emergency procedure in which an incision is made into a patient's neck, and a tube inserted to assist the patient in breathing.Article Link

Live Nursing Review with Regina MSN, RN! Every Monday & Wednesday we are live. LIKE, FOLLOW, & SUB @ReMarNurse for more.   It's my Birthday Day Week and I have a special gift for the ReMar Nurses! Join this week and use my special code: BIRTHDAY     ► Create Free V2 Account - http://www.ReMarNurse.com ► Get Quick Facts Next Gen - https://bit.ly/QF-NGN ► Subscribe Now - http://bit.ly/ReMar-Subscription ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/   Quick Facts for NCLEX Next Gen Study Guide here - https://bit.ly/QF-NGN Study with Professor Regina MSN, RN every Monday as you prepare for NCLEX Next Gen.   ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat testers pass NCLEX with a 99.2% student success rate! ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students to pass boards - fast!

The impact of early tracheostomy on neurodevelopmental outcomes of infants with severe bronchopulmonary dysplasia exposed to postnatal corticosteroids.Taha A, Akangire G, Noel-Macdonnell J, Gladdis T, Manimtim W.J Perinatol. 2023 Dec 29. doi: 10.1038/s41372-023-01864-5. Online ahead of print.PMID: 38158399As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

Discussing tracheostomy management in a critical setting. Book: The Value of Everything by Mazzucato

In this episode, join the hilarious Comedian Jay Washington as he dives into the world of comedy, sharing insightful anecdotes and behind-the-scenes stories from his comedic journey. From navigating the stand-up circuit to the art of crafting a perfect punchline, Jay brings his unique perspective and infectious humor to the table. But that's not all – get ready for a surprising twist as Jay opens up about his personal experience with a tracheotomy. This candid conversation adds a layer of depth to the laughter, offering listeners a glimpse into the challenges and triumphs that shape Jay's life both on and off the stage. Tune in for laughter, genuine moments, and a side of storytelling you won't find anywhere else! . --- Support this podcast: https://podcasters.spotify.com/pod/show/taquita-love/support

Welcome back to our second podcast from sunny San Diego! Stay classy, San Diego! Peter and Leon are again joined by Matteo, Jarrod, and Calvin for rapid fire cases! In this episode they discuss approaches to: Rapid Fire Scenario 1 - Tracheostomy tube displacement. Rapid Fire Scenario 2 - Hypoxemic patient going into Cardiac arrest Topicalization Techniques Handling the Soiled Airway - Video Laryngoscopy vs. Direct Laryngoscopy. Join us as the team reflects on the benefits of spending time immersed in difficult airway scenarios. Airway management goes beyond mere intubation and involves cognitive skills, team management, and situational awareness. The Difficult Airway Course is a valuable experience for those interested in enhancing their airway management skills.

Emily speaks with critical care physician Hannah Wunsch about her book The Autumn Ghost, which tells the story of a polio epidemic in Copenhagen in the 1950s, and how it gave birth to the invention of the modern ventilator and the field of ICU medicine. Find show notes, transcript, and more at thenocturnists.com.  

The podcast crew is joined by MCHD In-Charge Paramedics, Ben Breaux, and Jesus Contreras to discuss a critical case that demonstrates why continuing education and intentional mental reps are vital in emergency care. We've discussed the "how-to" when approaching the crashing tracheostomy patient. Let's add an actual MCHD case and a little review on top of that previous foundation. REFERENCES 1.https://www.tracheostomy.org.uk/storage/files/NTSP_GREEN_Tracheostomy_Algorithm.pdf

How confident are you in your trach and vent knowledge? What about the interprofessional collaboration, patient advocacy, and therapeutic techniques we should be fighting for with this population?  In this episode of the Swallow Your Pride Podcast, Rachael Silveira, a passionate tracheostomy specialist, teamed up with Dr. Nicole López, a surgical critical care fellow, to address the gaps in tracheostomy care they witnessed. They noticed that patients were falling through the cracks and not receiving the optimal care they deserved. And let me tell you, their journey to revolutionize tracheostomy care is nothing short of awe-inspiring. Get the show notes at: https://syppodcast.com/289 [00:02:48] Collaboration and Advocacy for Tracheostomy Care [00:06:41] Roles of Surgeons and Speech-Language Pathologists in Tracheostomy Care [00:09:15] Culture Shift in Tracheostomy Care [00:10:17] Gaining Knowledge in Tracheostomy Care [00:11:50] Collaboration and Education in Tracheostomy Management [00:18:02] Inline pacing and ventilator settings [00:19:26] Collaboration between SLPs and physicians [00:22:39] Setting patients up for success in the next level of care [00:26:17]Collaboration and Communication in Tracheostomy Care [00:27:25]The Impact of Providing a Voice to Patients [00:28:02] The Ideal Course and Setup for Tracheostomy Care [00:34:26] Evaluating Secretions and Managing Tracheostomy [00:35:09] Tube Exchange and Downsize Considerations [00:39:00] Collaboration and Communication in Tracheostomy Care [00:43:49] Importance of interdisciplinary collaboration in tracheostomy care and patient outcomes. [00:44:01] Challenges in tracheostomy management and the need for better communication and education. [00:45:11] Advocacy for the use of fees (Fiberoptic Endoscopic Evaluation of Swallowing) in tracheostomy patients and its impact on patient care. The post 289 – Tracheostomy Care Isn't What It Used to Be: Insights from an SLP and a Surgeon appeared first on Swallow Your Pride Podcast.

Question-based and quick review of important subject of patients in need of invasive active airway intervention (as opposed to those who benefit from non-invasive intervention or those who just need supplemental oxygenation without a need for active airway). We discuss endotracheal intubation (including crash intubation, RSI, Elective ETI) and we discuss alternatives including crycothyrotomy versus long-term surgical airway indication (i.e. Tracheostomy).

Live Nursing Review with Regina MSN, RN! Every Monday & Wednesday we are live. LIKE, FOLLOW, & SUB @ReMarNurse for more.     Sign up for the NCLEX 30-Day Challenge Review now at http://www.ReMarNurse.com/30Days   Quick Facts for NCLEX Next Gen Study Guide here - https://bit.ly/QF-NGN Study with Professor Regina MSN, RN every Monday as you prepare for NCLEX Next Gen.   ► Create Free V2 Account - http://www.ReMarNurse.com ► Get Quick Facts Next Gen - https://bit.ly/QF-NGN ► Subscribe Now - http://bit.ly/ReMar-Subscription ► GET THE PODCAST: https://remarnurse.podbean.com/ ► WATCH LESSONS: http://bit.ly/ReMarNCLEXLectures/ ► FOLLOW ReMar on Instagram: https://www.instagram.com/ReMarNurse/ ► LIKE ReMar on Facebook: https://www.facebook.com/ReMarReview/   ReMar Review features weekly NCLEX review questions and lectures from Regina M. Callion MSN, RN. ReMar is the #1 content-based NCLEX review and has helped thousands of repeat testers pass NCLEX with a 99.2% student success rate! ReMar focuses on 100% core nursing content and as a result, has the best review to help nursing students to pass boards - fast!

Military Medicine & WarDocs present: "A Ready Medical Force Special Collection" MILMED-D-22-00478R1: “An Analysis of Head and Neck Surgical Workload During Recent Combat Operations from 2002-2016” EPISODE SUMMARY Discover the critical insights from Dr. Caryn Stern and CDR Shane Jensen, MD on the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts. This episode dives into their Military Medicine paper, which analyzes head and neck surgical workload at forward MTF's spanning 2 decades, and the importance of their findings for our military healthcare teams. Learn how this valuable information can be used to improve training and skill sustainment initiatives for future operations. We discuss the essential knowledge and skills that general surgeons need to have when deploying, such as those identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We stress the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy, and the goal of getting life-saving treatment within an hour. Lastly, we examine the need for specialized teams of head and neck surgeons and the equipment they require to provide comprehensive support to Role 3 Military Treatment Facilities. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Roles 1 and 2 MTFs. Don't miss this fascinating episode as we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma, and the importance of data collection and documentation in making informed decisions.   EPISODE CHAPTERS (0:00:01) – Trauma Data Collection in Recent Conflicts (0:13:34) - Combat Medical Procedures and Training (0:19:18) - Head & Neck Trauma Care in Combat (0:29:31) – Improving Head & Neck Trauma Care   EPISODE CHAPTER SUMMARIES (0:00:01) - Trauma Data Collection in Recent Conflicts We explore the prevalence of head and neck trauma cases managed by deployed surgeons during recent conflicts and how this information can be used to improve training and skill sustainment initiatives for future operations. The authors describe how they gathered data from the Department of Defense Trauma Registry, and how they divided the procedures into five groups: dental, ophthalmologic, airway, ear, face, mandible maxilla, neck, and oral. They discuss how these injuries are prevalent in theater and the importance of their findings. (0:13:34) - Combat Medical Procedures and Training (6 Minutes) We discuss the knowledge and skills that general surgeons need to have when deploying, such as the tasks identified in the Individual Critical Task List (ICTL) and the Knowledge Skills and Abilities (KSA) project. We bring up the importance of having an airway plan for facial fractures, securing an airway for mid-phase instability, and using external fixation for most fractures. We also touch on the goal of getting life-saving treatment within an hour and explore what medics can be trained to do in head and neck injuries requiring a tracheostomy or lateral canthotomy. (0:19:18) - Head & Neck Trauma Care in Combat (10 Minutes) We look at the need for specialized teams of head and neck surgeons and the equipment they require in order to provide comprehensive support to Role 3 MTFs. We discuss the challenges of providing this specialized care, including the need for rapid telehealth support and feedback to those at Role 1 and 2 MTFs. We then focus on the importance of data collection and documentation and the impact this has on the ability of epidemiologists to access the data needed to make informed decisions. Finally, we analyze the next steps needed to improve the training and equipping of units for managing head and neck trauma. (0:29:31) - Improving Head & Neck Trauma Care We discuss the importance of medical evacuation teams and their role in providing care to injured service members. We examine the impact of recent conflicts on the availability of resources for head and neck trauma cases and how this has necessitated the use of specialized teams and equipment. We also look at the training requirements for medical evacuation teams and the need for increased coordination between different branches of the military.   EPISODE KEYWORDS Head & Neck Trauma, Military Medicine, Deployed Surgeons, Individual Critical Task List, Knowledge Skills & Abilities, Airway Plan, Mid-Phase Instability, External Fixation, Tracheostomy, Specialized Teams, Telehealth Support, Data Collection, Documentation, Medical Evacuation Teams, Training Requirements, Coordination, Military Branches   #Military #Medical #Podcast #WarDocs #HeadandNeckTrauma #SurgicalTeams #ICTLS #KSAs #MilitaryMedicine #Telemedicine #Training #AustereEnvironments #JointTraumaSystem #JTS   Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to improve military and civilian healthcare and foster patriotism by honoring the legacy, preserving the oral history, and showcasing military medicine career opportunities, experiences, and achievements. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes  Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible, and 100% of donations go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.           Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast

Today we are joined by Joy Norton Tracheostomy Clinical Nurse Specialist St James's Hospital. Joy talks us through her role, how it has evolved over the years and gives us some background on the Trachy CNS role in St James's Hospital. She also details the plans for the future of the Tracheostomy CNS team. Please like and subscribe our podcast wherever you listen. Any feedback or future podcast suggestions, please email icueducationteam@stjames.ie

The eleventh in our series on the thorax describes the Trachea, Bronchi and Tracheostomy. See our website for accompanying diagrams

As SLPs, we are often dreaming of the changes we'd like to make in our facilities to help patients have better outcomes and to have our skills and services utilized more fully. Maybe we dream of earlier trach downsizes, fewer PEGs, and more consults on the critical patients who need us most... My guest this week is back with part two of Curating a Multidisciplinary Tracheostomy Dream Team to show us the way! In this episode of SYP, I continue the conversation with Rachael Silveira, MA, CCC-SLP about her experience with curating the dream team through a tracheostomy team initiative! She shares the details of what previous research shows and what the research on the trach team at her hospital found, who to go to when looking for your physician champion, and what they could do differently in future research. Haven't left a review yet? All you have to do is go to your podcast platform of choice and let us know what you think! Thanks for your support of this show! Your support is what keeps Swallow Your Pride coming back with new episodes each week. In this episode, you'll hear about: -The change in hospital culture as a result of the trach team -How to find the physician champion for your trach team -The importance of being a team player on the interdisciplinary team -Additional research on trach teams to guide your own initiative Listen to the full episode here: https://syppodcast.com/275 As always, thanks for listening! The post 275 – Curating a Multidisciplinary Tracheostomy Dream Team – Part 2 – Rachael Silveira M.A., CCC-SLP appeared first on Swallow Your Pride Podcast.

Have you dreamt of improving patient outcomes, reducing adverse events for your facility, and establishing yourself as the go-to team member for all things trachs and valves? My guest this week is showing us how she's done exactly that! In this episode of SYP, I have a conversation with Rachael Silveira, MA, CCC-SLP about her experience with curating the dream team through a tracheostomy team initiative! She shares the details of why the team is needed, who is on the team, how she got buy-in, and what the outcomes of teams like this one are for our patients. Haven't left a review yet? All you have to do is go to your podcast platform of choice and let us know what you think! Thanks for your support of this show! Your support is what keeps Swallow Your Pride coming back with new episodes each week. In this episode, you'll hear about: -Why a trach team is important for patients AND facilities -The timeline of the trach team initiative -What the data showed from the trach team -How to educate colleagues and family members about trachs and valves Listen to the full episode here: https://syppodcast.com/274 As always, thanks for listening! The post 274 – Curating a Multidisciplinary Tracheostomy Dream Team – Part 1 – Rachael Silveira M.A., CCC-SLP appeared first on Swallow Your Pride Podcast.

Tidal Volume is a podcast from ATS Peds focusing on core concepts of pediatric pulmonology. The goal is to bring in depth focus on these core concepts for residents, fellows, early career pulmonologists or even senior faculty looking for a refresher.In episode 7, Ryan Thomas MD from Michigan State University discusses tracheobronchitis in children with tracheostomy tubes with Dan Craven MD and Moshe Prero MD from Case Western Reserve University/Rainbow Babies and Children's Hospital and Alexander Gipsman MD from Children's Hospital  of Philadelphia. We discuss their review article Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem and why they decided to write on this topic.  We also discuss the importance of tracheobronchitis in this patient population, the risk factors for infection, the microbiology of the airway,  and the diagnosis and treatment of tracheobronchitis in children with tracheostomy tubes.  Guests:  Daniel Craven, MD, Case Western Reserve UniversityMoshe Prero, MD, Case Western Reserve UniversityAlexander Gipsman, MD, Children's Hospital of Philadelphia Host:  Ryan Thomas, MD,  Michigan State University ReviewersChristina Barreda, MD, University of Wisconsin Elizabeth Fiorino, MD, Hofstra University Production/EditingRyan Thomas, MD,  Michigan State University Contact Information:TidalVolumeATSPeds@gmail.com Twitter Accounts:Ryan Thomas, MD@MSUPedsPulm@ATSPeds References  Gipsman A, Prero M, Toltzis P, Craven D. Tracheobronchitis in children with tracheostomy tubes: Overview of a challenging problem. Pediatr Pulmonol. 2022 Apr;57(4):814-821. Akangire G, Manimtim W, Nyp M, et al. Factors leading to rehospitalization for tracheostomized and ventilator-dependent infants through 2 years of age. J Perinatol. 2017;37(7):857-863. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36(5):309-332.  Griese M, Felber J, Reiter K, et al. Airway inflammation in children with tracheostomy. Pediatr Pulmonol. 2004;37(4):356-361.  Willson DF, Conaway M, Kelly R, Hendley JO. The lack of specificity of tracheal aspirates in the diagnosis of pulmonary infection in intubated children. Pediatr Crit Care Med. 2014;15(4):299-305.  Cline JM, Woods CR, Ervin SE, Rubin BK, Kirse DJ. Surveillance tracheal aspirate cultures do not reliably predict bacteria cultured at the time of an acute respiratory infection in children with tracheostomy tubes. Chest. 2012;141(3):625-631.  Rusakow LS, Guarín M, Wegner CB, Rice TB, Mischler EH. Suspected respiratory tract infection in the tracheostomized child: the pediatric pulmonologist's approach. Chest. 1998;113(6):1549-1554.  Goldstein I, Wallet F, Nicolas-Robin A, Ferrari F, Marquette CH, Rouby JJ. Lung deposition and efficiency of nebulized amikacin during escherichia coli pneumonia in ventilated piglets. Am J Respir Crit Care Med. 2002;166(10):1375-1381.  Herrmann G, Yang L, Wu H, et al. Colistin-tobramycin combinations are superior to monotherapy concerning the killing of biofilm Pseudomonas aeruginosa. J Infect Dis. 2010;202(10):1585-1592.  Tamma PD, Turnbull AE, Milstone AM, Lehmann CU, Sydnor ER, Cosgrove SE. Ventilator-associated tracheitis in children: does antibiotic duration matter? Clin Infect Dis. 2011;52(11):1324-1331.  Chastre J, Wolff M, Fagon JY, et al. Comparison of 8 vs 15 days of antibiotic therapy for ventilator-associated pneumonia in adults: a randomized trial. JAMA. 2003;290(19):2588-2598.  Silva RC, Ojano-Dirain CP, Antonelli PJ. Effectiveness of pediatric tracheostomy tube cleaning. Arch Otolaryngol Head Neck Surg. 2012;138(3):251-256.  Morrison JM, Hassan A, Kysh L, Dudas RA, Russell CJ. Diagnosis, management, and outcomes of pediatric tracheostomy-associated infections: A scoping review. Pediatr Pulmonol. 2022 May;57(5):1145-1156.  Jutras C, Autmizguine J, Chomton M, et al. Inhaled antibiotics for the prevention of respiratory tract infections in children with a tracheostomy. Front Pediatr. 2021;9:633039.

This is a chat with Tamas Szakmany about the paper 'Impact of early tracheostomy versus late or no tracheostomy in nonneurologically injured adult patients: a systematic review and meta analysis' and his editorial 'When more could mean less intervention: the tale of tracheostomy timing in critical illness' The post CCP Podcast: When to do the tracheostomy appeared first on Critical Care Practitioner.

In this episode, we will hear from Addie Begley,a neonatal nurse practitioner at Children's Mercy. She will be leading a discussion focusing on the Infant Tracheostomy and Home Ventilator Program, and the services the clinic offers for its patients.

The Tracheostomy Decision  Part 2 with Dr. Parisa Kaviany and Dr. Maria ArroyoObjectives:By the end of listening to this episode, learners should be able to:Describe how we know when we're at our goal ventilator settings Understand the process of following up with pulmonology and the home care company's respiratory therapist Troubleshoot common home vent questions, including tube positioning Identify key parent resources About our guests:Dr. Parisa Kaviany is a former Children's National Resident, she completed her pediatric pulmonology fellowship at Johns Hopkins and we were lucky enough to get her back as a pulmonologist. Dr. Kaviany's research interest is health disparities among children with asthma. Dr. Maria Arroyo  did her pulmonology fellowship at Children's National in DC and stayed as an attending, she also works at The HSC Pediatric Center, a subacute care facility in Washington, DC. Dr. Arroyo is THE person you want your patients' parents to meet when they're making the tracheostomy decision.Mentioned in this episode:Family Reflections: a website about deciding about home ventilationATS Trach Education PDF: A pediatric tracheostomy education PDF from the American Thoracic SocietyLilly's little lungs: one family's story of going home with a preemie who needs a trach and vent, the account follows her through a successful LTR.How to support PedsCrit:Please rate and review on Spotify or Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show.Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes, and visit @critpeds on Twitter and @pedscrit on Instagram for real time show updates.Support the showSupport the show

The Tracheostomy Conversation with Dr. Parisa Kaviany and Dr. Maria ArroyoObjectives:By the end of listening to this episode, learners should be able to:Describe the typical stakeholders involved in a tracheostomy decision.Understand the caregiver, spatial, and technical requirements of living at home with a tracheostomy.Describe the requirements that must be met prior to discharge to an acute care facility.Differentiate the ventilator weans that must take place prior to discharge home vs prior to discharge to an acute care facility. About our guests:Dr. Parisa Kaviany is a former Children's National Resident, she completed her pediatric pulmonology fellowship at Johns Hopkins and we were lucky enough to get her back as a pulmonologist. Dr. Kaviany's research interest is health disparities among children with asthma. Dr. Maria Arroyo  did her pulmonology fellowship at Children's National in DC and stayed as an attending, she also works at The HSC Pediatric Center, a subacute care facility in Washington, DC. Dr. Arroyo is THE person you want your patients' parents to meet when they're making the tracheostomy decision.Mentioned in this episode: Family Reflections: a website about deciding about home ventilationATS Trach Education PDF: A pediatric tracheostomy education PDF from the American Thoracic Society Lilly's little lungs: one family's story of going home with a preemie who needs a trach and vent, the account follows her through a successful LTR.How to support PedsCrit:Please rate and review on Spotify or Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes, and visit @critpeds on Twitter and @pedscrit on Instagram for real time show updates.Support the showSupport the show

Dr Ben McNaughten talking about Tracheostomy Troubleshooting in the Emergency Setting. This talk is part of the Paediatric Emergencies 2022 event. To get your CME certificate for listening to this podcast please visit https://www.paediatricemergencies.com/conference/paediatric-emergencies-2022/

In this episode, we discuss the SETPOINT 2 trial, which evaluated the controversy around the timing of tracheostomy. 

In this episode of our Special Educational Needs Podcast 'SEND in the experts with Georgina Durrant', Georgina Durrant chats to Nana Marfo a disability advocate who speaks on the issues faced by disabled people within the labor market and in general society. Nana's fight for a voice and presence all stem from his own experience living with a permanent tracheostomy tube that enables him to breath and talk.Resources linked to this episode:Tracheostomy Teaching Resource: https://www.twinkl.co.uk/l/tibfsDisability Awareness Powerpoint https://www.twinkl.co.uk/l/1l0p8mEducation Health Care Plan Information Resource Pack https://www.twinkl.co.uk/l/1188d8International Day of Persons with Disabilities Activity Pack https://www.twinkl.co.uk/l/10xm5x

For this podcast, I continued my conversation with Jessica Wolff. We discussed what their life was like once they brought Lily home. She explains how they adjusted to caring for Lily with her tracheostomy along with the necessary life-saving equipment and how all of that completely changed once COVID hit. We discussed how the plan for Lily's decannulation went completely sideways, how they coped with it, and how they learned that Lily actually needed a full laryngotracheal reconstructive surgery. Jessica proudly shares how Lily is doing today, medically, developmentally and emotionally and how they are navigating everything as a family, especially in preparation for sweet Lily to head to Preschool! We conclude the episode speaking about Nolan, Jessica and Pat's son who they welcomed earlier this year who also spent some time in the NICU. Jessica shares some great information and advice pertinent to other families who are either currently in the NICU and weighing the heavy decision of a tracheostomy for their child, or for the families who have a child at home with a tracheostomy, as well as families who have suffered or may suffer a loss. Listeners will be surprised to hear some of the unexpected emotions that Lily and the Wolff family has had to work through once Lily had her trach removed. And again, you will be amazed by how strong and resilient Lily and the entire Wolff family is! I hope you enjoy the episode! Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Finn + Emma: http://shrsl.com/2py7dEmpowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode38Episode 37 Show Notes: https://empoweringnicuparents.com/episode37Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

For our most recent podcast episode, I sat down with Jessica Wolff, a mother who has endured loss and 2 very different NICU journeys. For part one of this podcast, she shares personal details on her very complicated twin pregnancy and the difficult choices they had to make along the way. She reflects back on regrets both she and her husband, Pat have experienced as well as what helped them cope through their daughter, Lily's 256-day NICU stay. Jessica explains what helped them make the decision whether or not Lily should have a tracheostomy placed and she speaks candidly about what their expectations were after Lily's tracheostomy placement, versus their reality. She offers frank advice for NICU families, especially those with similar situations who have children with feeding issues, ostomies, bronchopulmonary dysplasia or BPD, pain medication withdrawal, tracheostomies, and what going home looked like for their family with a ventilator-dependent child. You will be amazed by what this family has been through, but even more so by their strength and resiliency. Sweet Lily has touched so many lives in her short 4 years, and this is just the beginning of her story, I know she'll pull on your heart strings as well. So sit back and listen to part one of this family's story with Jessica Wolff. Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech Products: https://www.neotechproducts.com/NICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode37Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

Article dicussed in today's episode:Virtual Deliberate Practice Module for Tracheostomy Change Training: An Application of Educational Design Research

Infants in the NICU are patients that require specialized care with unique clinical considerations. Specific recommendations must be considered for all systems of NICU patients and the skin is not any different. Infants who are being cared for in the NICU, especially those that were born premature have an increased risk for skin trauma. On this episode, we review some of the skin care guidelines and recommendations available for clinical practice of NICU patients. As NICU clinicians, is is important to not only be aware of the anatomical variations of a term and preterm infant's skin, but to also know how that guides their clinical care and treatment plan. Many of the topics we cover on this episode have been standards of care for years, but there are also new recommendations for practice and products available based on recent research findings. NICU clinicians will hear a great review as well as up-to-date clinical recommendations for skin care of our specialized population in the NICU. The episode will also be beneficial for parents to hear the clinical practice guidelines and recommendations for term and preterm infants as well as some of the variations that may exist between different institutions. Our NICU Roadmap: A Comprehensive NICU Journal: https://empoweringnicuparents.com/nicujournal/NeoTech Products: https://www.neotechproducts.com/Solly Baby: http://shrsl.com/2py8hNICU Mama Hats: https://empoweringnicuparents.com/hats/NICU Milestone Cards: https://empoweringnicuparents.com/nicuproducts/Empowering NICU Parents Show Notes: https://empoweringnicuparents.com/episode36Empowering NICU Parents Instagram: https://www.instagram.com/empoweringnicuparents/Empowering NICU Parents FB Group: https://www.facebook.com/groups/empoweringnicuparentsPinterest Page: https://pin.it/36MJjmH

In this episode of the podcast, we will discuss tracheostomy emergencies. Tracheostomies are common in ICU patients. Every intensivist should be capable of recognizing and providing initial management to potentially serious complications associated with tracheostomies. Our guests are Drs. Laura Bontempo and Sara Manning, emergency physicians and educators with a special interest in the topic. Dr. Laura Bontempo is an associate professor of emergency medicine, and serves as Assistant Director for Faculty Development & Resident Education, in the Department of Emergency Medicine at the University of Maryland Medical School. Dr. Sara Manning is an Assistant Professor of Clinical Emergency Medicine, in the Department of Emergency Medicine at the Indiana University School of Medicine. Additional Resources: Tracheostomy Emergencies. LJ Bontempo and SL Manning. Emerg Med Clin N Am 2019: https://pubmed.ncbi.nlm.nih.gov/30454773/ Link to Onepager on Tracheostomy Emergencies: https://onepagericu.com/trach-emergencies Bleeding Tracheostomy. Kenji Inaba MD. Presented at Essentials of EM: https://www.facebook.com/EssentialsofEM/videos/1163679590380038/ Book Recommendations: Who Moved my Cheese?: An A-Mazing Way to Deal with Change in Your Work and in Your Life. By Spencer Johnson, et al: https://amzn.to/3pq0CkR Where the Red Fern Grows. By Wilson Rawls: https://amzn.to/3AawH6a

This month we're back from our break and we're tackling a topic that is known to make even the most experienced practitioners a bit flustered...Tracheostomy emergencies. The number of Tracheostomies and Larnygectomies in the UK is increasing and so is our chance of being called to a Tracheostomy emergency. These can be high-stress situations, that require time-critical intervention, thats why this month we're speaking to an expert and founder of the National Tracheostomy Safety Project Dr Brendan Mcgrath. Find further learning at www.generalbroadcast.org.uk

Contributor: Aaron Lessen, MD Educational Pearls: Tracheostomy bleeding is a rare but potentially life-threatening complication that usually occurs within the first month of tracheostomy tube placement No matter how severe the bleeding, every patient should be evaluated to rule out a tracheo-innominate fistula between the tracheostomy and the innominate artery If the patient is currently bleeding and has a cuffed tracheostomy tube, over-inflate the balloon to compress the bleeding vessel Consider replacing an uncuffed tracheostomy tube with a cuffed tube or an ET tube If the tracheostomy was performed in the last seven days, use a bougie or bronchoscope to replace the uncuffed tube due to increased risk of opening a false track into the subcutaneous tissue If bleeding cannot be controlled, follow mass-transfusion protocols, and as a last resort, remove the tube and insert a finger into the stoma to manually compress the artery References Bontempo LJ, Manning SL. Tracheostomy Emergencies. Emerg Med Clin North Am. 2019;37(1):109-119. Khanafer A, Hellstern V, Meißner H, et al. Tracheoinnominate fistula: acute bleeding and hypovolemic shock due to a trachea-innominate artery fistula after long-term tracheostomy, treated with a stent-graft. CVIR Endovasc. 2021;4(1):30. Manning Sara, Bontempo Laura. Complications of Tracheostomies. In: Mattu A and Swadron S, ed. ComPendium. Burbank, CA: CorePendium, LLC. https://www.emrap.org/corependium/chapter/reckOdDn9Ljn7sBLy/Complications-of-Tracheostomies. Updated August 17, 2021. Accessed June 5, 2022.   Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD, MPH & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

Editor's Summary by Linda Brubaker, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the May 17, 2022 issue.

Paramedic Stephan Rippee joins our podcast team today to share a trach story from his early days in EMS.

In this week's episode, Indu Jacob, member of the WA Professional Education committee, chats to Rachelle Robinson, Senior Speech Pathologist in Head and Neck Oncology at the Prince of Wales Hospital, Sydney. Rachelle explores the role of a speech pathologist in adult tracheostomy management. Refer to Speech Pathology Australia's Learning Hub for details of Rachelle's upcoming Live Online event. Speech Pathology Australia acknowledges the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past, present and future. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community, and acknowledge that sovereignty was never ceded.

Brandon Hopkins, MD discusses how a care pathway approach to tracheostomy care is improving patient care and reducing costs across Cleveland Clinic.

Dr. Romaine Johnson talks us through the challenges of pediatric tracheostomy care and the importance of building high reliability tracheostomy teams. --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/v6eJb2 --- SHOW NOTES In this episode, Dr. Romaine Johnson joins Dr. Gopi Shah and Dr. Ashley Agan to discuss the essentials of building a successful pediatric tracheostomy program and the importance of a multidisciplinary team. He emphasizes that the triage and management of pediatric tracheostomy patients must be approached through the lens of long-term care. He states that essential members of the multidisciplinary pediatric tracheostomy team include pediatric pulmonologists, advanced practice nurses/nurse practitioners, respiratory and speech therapists, as well as social workers and case managers. Dr. Johnson also describes his multidisciplinary clinic set up through which patients are able to see all members of their care team at a single visit, thereby improving the quality and safety of care. Dr. Johnson provides some key insights into the management of inherited pediatric tracheostomies with regards to how and when to up-size a trach as well as the role of palliative care in complex pediatric tracheostomy cases. Finally, we go into some notes on how to manage bleeding complications in pediatric tracheostomy patients, including the role of a pulmonary sick plan, and management of anterior/posterior tracheal erosions. --- RESOURCES Dr. Johnson's YouTube Channel https://www.youtube.com/channel/UCMyWMjLbWbi_jM_tk7-57eg Dr. Johnson regularly posts procedure videos, as well as videos from the Harry Barnes society virtual grand round series.