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Pediatric Medullary Stroke, Severe Dysphagia, and Multimodal Intervention
We present a 7-year-old male with 22q11.2 deletion syndrome (velocardiofacial syndrome) and velopharyngeal insufficiency who underwent pharyngeal flap surgery at an outside hospital whose post-operative course was complicated by adenovirus, viral myocarditis, and dorsal medullary stroke. He required a tracheostomy and gastrostomy tube. He was discharged from that hospital and readmitted to our hospital 4 months later for increased oxygen requirement, requiring a 5 month admission in the intensive care unit s. His initial VFSS revealed absent UES opening with the entire bolus remaining in the pyriform sinuses resulting in...
Source: Dysphagia - October 27, 2021 Category: Speech-Language Pathology Source Type: research

Effect of Capsaicin Atomization-Induced Cough on Sputum Excretion in Tracheotomized Patients After Hemorrhagic Stroke: A Randomized Controlled Trial
Conclusions Capsaicin atomization-induced cough can effectively promote sputum excretion of hemorrhagic stroke patients undergoing tracheotomy and has a good safety profile. The Clinical Trial registration number of this study is ChiCTR2000037772 (http://www.chictr.org.cns). Supplemental Material https://doi.org/10.23641/asha.16821352.PMID:34694869 | DOI:10.1044/2021_JSLHR-21-00151
Source: Journal of speech, language, and hearing research : JSLHR - October 25, 2021 Category: Speech-Language Pathology Authors: Chao Wu Yijie Zhang Li Yang Fang Shen Chen Ma Meifen Shen Source Type: research

Incidence and Risk Factors for Dysphagia Following Non-traumatic Subarachnoid Hemorrhage: A Retrospective Cohort Study
AbstractThe aim of the study is to investigate dysphagia incidence and establish factors which may reliably predict dysphagia risk in individuals presenting with non-traumatic subarachnoid hemorrhage (SAH). A retrospective chart audit of 250 patients (151 females and 99 males) consecutively admitted with non-traumatic SAH to a major, tertiary neurosurgery referral center in Australia was conducted. Demographics, medical, and surgical information, along with speech –language pathology (SLP) assessment data were collected. Differences between dysphagic and non-dysphagic groups were evaluated usingt tests,χ2, and Fisher â€...
Source: Dysphagia - August 7, 2018 Category: Speech-Language Pathology Source Type: research

Changes in Swallowing and Cough Functions Among Stroke Patients Before and After Tracheostomy Decannulation
This study suggests that if patients show improvement in swallowing and coughing after their stroke, a multidisciplinary approach to tracheostomy decannulation would be needed to achieve better rehabilitation outcomes.
Source: Dysphagia - June 18, 2018 Category: Speech-Language Pathology Source Type: research

Swallowing Function and Kinematics in Stroke Patients with Tracheostomies
This study demonstrated that stroke patients with tracheostomies had inferior swallowing function and kinematics than those without tracheostomies. A prospective longitudinal study is needed to elucidate the effect of a tracheostomy on swallowing recovery in stroke patients.
Source: Dysphagia - December 23, 2016 Category: Speech Therapy Source Type: research

A Day in the Life of an Acute Care SLP
Editor’s Note: This is an excerpt from a guest blog post that originally appeared on Tactus Therapy. In the post, speech-language pathologist Brenda Arend shares highlights of a typical day working in acute care at Providence St. Peter Hospital in Olympia, Washington. 8:30 a.m.: Assigning patients The first part of my day is spent opening up patient charts in our EPIC electronic medical record and assigning three SLPs to see patients in our 380-bed hospital. Two or three SLPs cover a caseload that ranges from 15 to 30 patients, although recently we see as many as 42. In addition, we also provide outpatient video fluo...
Source: American Speech-Language-Hearing Association (ASHA) Press Releases - June 9, 2016 Category: Speech Therapy Authors: Brenda Arend Tags: Speech-Language Pathology acute care Aphasia Cognitive Rehabilitation Dysphagia Health Care Swallowing Disorders Source Type: blogs

Screening adult patients with a tracheostomy tube for dysphagia: a mixed-methods study of practice in the UK.
CONCLUSIONS & IMPLICATIONS: Current practice in the UK for screening patients with a tracheostomy for swallow problems is varied and often suboptimal. Despite the evidence for enhancing outcomes, MDT working is still perceived as problematic. A swallow screening tool for use with this population, to enhance MDT working whilst also ensuring that practice fits in line with current evidence, may improve patient safety and care. PMID: 26575499 [PubMed - as supplied by publisher]
Source: International Journal of Language and Communication Disorders - November 17, 2015 Category: Speech Therapy Authors: Ginnelly A, Greenwood N Tags: Int J Lang Commun Disord Source Type: research