Aplicación de Passy Muir para deglucion y el habla

Propósito / Meta:

Este curso cubre la fisiología básica de la función de la vía aérea superior e identifica el efecto de una traqueotomía en la fisiología y la función. Explica cómo Passy Muir Valve y proporciona instrucciones paso a paso sobre la aplicación de la válvula. Se discuten algunas consideraciones de solución de problemas y tratamiento, incluida la revisión de estudios de casos de pacientes.

Los resultados del aprendizaje:

Los participantes podrán:

1. Identificar los efectos de una traqueotomía en la función aerodigestiva superior
2. Describir los beneficios para el uso de la válvula de habla y tragar con el ventilador mecánico
3. Explicar los pasos para evaluar al paciente y colocar la valvula de habla

Aplicación de la Válvula Passy Muir con ventilador mecanico

Descripción del curso:

Este curso revisa los beneficios de la Passy Muir Valvedescribe la evaluación, la resolución de problemas y las técnicas avanzadas de colocación, cuando se implementan de manera multidisciplinaria, permiten a los médicos colocar con éxito una Passy Muir Valve en pacientes adultos con traqueotomía y ventilación mecánica.

Los resultados del aprendizaje:

1. Enumerar los beneficios de intervención intervención rápida y el uso de válvulas en el paciente adulto y pediátricos.
2. Identificar las diferentes Passy Muir Valvesaccesorios y adaptadores para la aplicación de de la Válvula en línea con el ventilador mecánico.
3. Enumerar los pasos sobre cómo evaluar los ajutses del ventilador mecánico y los parámetros del paciente.
4. En el caso de estudio, podra describir cómo: evaluar a los pacientes apropiados antes de la colocación de la Passy Muir Valve evaluar el tamaño y la permeabilidad de las vías respiratorias; y coloque la válvula correctamente en línea con el ventilador.
5. Enumerar los principios para: ajustes comunes del ventilador que mantendrán ventilación adecuada

Facing COVID-19: No Patient with Tracheostomy Left Behind

Descripción del curso:

Part three of our series on COVID-19 addresses the needs of patients with tracheostomies and the healthcare professionals who take care of them. This course will provide an overview of what is known to date about how the coronavirus is impacting patients with tracheostomies and what steps for assessment and treatment should be considered for this high-risk patient population. The patient’s rights and responsibilities when dealing with healthcare matters will be reviewed, including the impact on HIPAA with this new world of crisis care, telehealth, and remote work. This course also will begin a discussion about what the patient population may look like in the future.

Los resultados del aprendizaje:

Los participantes podrán:

1. Describe special considerations for assessing patients with tracheostomies.
2. Describe patient’s rights and responsibilities with healthcare matters.
3. List steps to consider in the provision of assessment and treatment for patients with tracheostomies.
4. Describe the roles of healthcare practitioners in the face of COVID-19.
5. List criteria for interventions for patients following tracheostomy, including during and after COVID-19.
6. Describe considerations for speaking valve use with patients with COVID-19, including proper handling, use, and cleaning.
7. List three considerations for interventions as impacted by COVID-19, including what changes are occurring with both speech-language pathology and respiratory therapy care.

El manejo de la vía respiratoria: Como un equipo

Descripción del curso:

Airway management teams have been reported to have an impact on reducing length of stay, decannulation time and preventable adverse events, by providing education and facilitating consistent care and timely decision making. The focus of this presentation will be to provide the HCP with some ideas on how to start an airway management team in their facility, and offer tools to help them keep it going.

Los resultados del aprendizaje:

1. Los participantes podrán enumerar los beneficios de tener un equipo de gestión con pacientes después de la traqueotomía, incluido el impacto en la atención al paciente.
2. Los participantes podrán describir la investigación reciente que apoya el uso de un equipo interdisciplinario.
3. Los participantes podrán explicar los pasos para seleccionar e implementar un equipo.
4. Los participantes podrán enumerar las profesiones potenciales que conformarían un equipo.
5. Participants will be able to describe what is involved in team rounds and what type o follow-up is typically needed by these patients.

Evaluación y tratamiento de disfagia en el paciente con traqueotomía: impacto en la calidad de vida

Descripción del curso:

Es bien sabido que el paciente con traqueotomía tiene un alto riesgo de aspiración y complicaciones asociadas. Por esta razón, las evaluaciones oportunas y exhaustivas de la deglución son esenciales. Esta presentación se centra en la evaluación basada en la evidencia y las estrategias de tratamiento para manejar mejor la disfagia en el paciente adulto con traquetomia adultos con traqueotomía.

Los resultados del aprendizaje:

Los participantes podrán:

1. Explicar los cambios fisiológicos después de la traqueotomía que pueden afectar negativamente la función de deglución.
2. Describir cómo Passy Muir puede mejorar la seguridad y la eficiencia de la deglución.
3. Enumerar las técnicas apropiadas de evaluación y tratamiento de la deglución para el paciente con traqueotomía.

Debido al tema, este curso solo está aprobado para ASHA (Patología del habla y lenguaje) y crédito de educación continua de enfermería. Este curso no está aprobado para crédito respiratorio AARC.

Assessment for Use of the Passy Muir Valve with the Pediatric Population: Non-Ventilator Use

Descripción del curso:

The course reviewed clinical information regarding indication and timing of tracheostomy in children and its impact on function and development, including communication and oral feeding. Specific assessment and therapy techniques using the Passy-Muir valve, case presentations, and resources were presented.

Objectives:

1. Identify the timing and indications of pediatric tracheostomy.
2. Review the physiological impact of tracheostomy on development and the positive impact of the Passy-Muir Valve.
3. Describe specific evaluation and treatment techniques.

Basic Application of the PMV: An Interactive Discussion

Descripción del curso:

This course began with a review of application of a no-leak valve when a patient is not on a ventilator. Discussion with participants was held in a round table format to allow interaction with the presenter for an elevated question and answer period to clarify and assist with the application principles and techniques encountered in clinical settings and unique to the attendees.

Los resultados del aprendizaje:

1. Identify proper assessment and intervention techniques for use of the PMV when the patient is not on a ventilator.
2. Explain the safe and efficacious use of a no-leak Valve with patients for both communication and swallowing.
3. List the parts of a care plan applicable to the clinical setting.

Basic Ventilator Application for the Non-Respiratory Therapist

Descripción del curso:

This course was designed to provide the non-respiratory therapist (RT), such as speech language pathologists and nursing, with a basic understanding of ventilators. It included an overview of terminology for basic understanding of ventilators and better communication with RTs for care of patients. Participants received step-by-step instruction for assessment parameters for inline use of a speaking valve.

Los resultados del aprendizaje:

1. Demonstrate understanding of basic ventilator terminology and patient assessment for successful in-line valve use.
2. List the data obtained from the ventilator needed to assess patient candidacy for valve placement.

Debido al tema, este curso solo está aprobado para ASHA (Patología del habla y lenguaje) y crédito de educación continua de enfermería. Este curso no está aprobado para crédito respiratorio AARC.

Dysphagia Basics following Tracheostomy in the Adult Patient: Considerations for the Non-Speech-language Pathologist (Non-SLP)

Descripción del curso:

Nurses and respiratory therapists may treat patients with compromised health, including a diagnosis of dysphagia. Consequences of dysphagia include malnutrition and dehydration, aspiration pneumonia, prolonged hospitalizations, choking, and even death. This course is intended to provide healthcare professionals, other than speech-language pathologists, with basic information about swallowing and swallowing disorders in adults, including a basic overview of the special considerations for patients with tracheostomies. Topics will include a review of swallowing terminology; normal swallowing; shared systems of breathing and swallowing, including the impact of a tracheostomy; signs and symptoms of aspiration; causes of dysphagia; and highlights of assessment and treatment options. With increased knowledge of normal and disordered swallowing, the healthcare professional may be more equipped to recognize dysphagia in their patients and thus minimize dysphagia related health complications. This course specifically addresses considerations related to respiratory therapy and nursing care.

Objectives:

Los participantes podrán:

1. List the stages of normal swallowing.
2. Describe physiologic changes after tracheostomy that may negatively impact swallowing function.
3. Explain how dysphagia is assessed and treated.
4. Explain how the Passy Muir Valve can improve swallowing.

Due to the topic, this course is only approved for AARC (Respiratory Therapy) and nursing continuing education credit. This course is not approved for ASHA credit.

Pediatric Application of the Passy Muir Valve: Considerations with Mechanical Ventilation

Descripción del curso:

This course covered assessment, trouble-shooting, and advanced placement techniques for successful use of a Passy-Muir Valve with pediatric patients on mechanical ventilation. A review of cuffed/cuffless trachs, pressure ventilation, and pediatric circuit connections were included. Pediatric case studies enhanced learning of concepts.

Objectives:

1. Review the benefits of early intervention and Passy-Muir Valve use with pediatric patients on the mechanical ventilation.
2. Identify the Passy-Muir valves, accessories, and adaptors that are typically used for pediatric circuit connections.
3. Describe how to assess pediatric baseline mechanical ventilator settings and patient parameters.
4. Describe how to assess proper airway size and patency; and how to place a Valve in-line with the ventilator circuit.
5. List the principals for common ventilator adjustments (during both volume and pressure ventilation) that will maintain adequate ventilation in the absence of a cuff.
6. Explain the importance of appropriate alarm settings to promote safe use of the Passy-Muir valve, as well as other ventilator mode options that enhance successful use of the in-line valve.

Ventilator Application of the No-leak Valve: An Interactive Discussion

Descripción del curso:

This course is intended to provide respiratory therapists, and other members of the mechanically ventilated patient care team, with the primary operational principles of application of a no-leak valve placed in the circuit of a mechanical ventilator. Specific technical aspects of ventilator placement and operation will be provided, followed by an open discussion which will allow participants to interact with the presenter in order to answer questions and clarify the techniques and principles discussed. The interactive aspect of this course is intended to assist the participant in applying the principles and techniques discussed to the clinical setting unique to each attendee.

Objectives:

1. The participant will be able to identify primary goals for use of a no-leak Valve during mechanical ventilator support.
2. The participant will be able to explain the operational principles determining safe and effective ventilator accommodations during no-leak Valve use with mechanical ventilation.
3. The participant will be able to develop a care plan for application of a no-leak Valve with the mechanical ventilator applicable to their own clinical setting.

Clinical Round Table: Answering Questions Related to Speaking Valve Use

Descripción del curso:

This webinar provided an interactive, round table format during which the host clinical specialists answered clinical questions posed by the audience, related to working with patients following tracheostomies. The panel demonstrated multidisciplinary communication through a question-and-answer format, asking respiratory therapy and speech-language pathology-specific questions to each other.

Los resultados del aprendizaje:

1. Describe the impact of tracheostomies on physiology and what steps may be taken to improve airway patency.
2. List concepts related to troubleshooting speaking valve use.
3. Answer questions related to evidence-based care of patients with tracheostomies.

Puzzle-solving: What are the parts and pieces to Valve placement?

Descripción del curso:

This webinar reviewed the parts of a tracheostomy tube, including proper identification of tracheostomy tube size, cannulas, and cuffs. It included the types of Passy-Muir Valves, their differences, and how to place them on a tracheostomy tube hub. Valve accessories and how to use them for proper inline placement of the Valve with mechanical ventilation were demonstrated.

Los resultados del aprendizaje:

1. Label the parts of a tracheostomy tube, including size and other specifications.
2. List similarities and differences between the PMVs, including proper selection for patient use.
3. Describe what accessories are used to place a Valve inline with mechanical ventilation, including the appropriate sequence and how to place them.

Trachlore: Misconceptions, Misinformation, and Myths

Descripción del curso:

This course examined the common misconceptions about tracheotomy and the care related to cuff management. Discussion about changes in physiology that may follow placement of a tracheostomy tube and inflated cuff was reviewed. Using evidence-based literature, this course provided information for better decision-making when caring for a patient with tracheostomy.

Los resultados del aprendizaje:

1. Discuss the changes in airway physiology following tracheostomy tube placement.
2. List common misconceptions about tracheostomies and speaking valves.
3. Describe the truth behind the myths to improve care of patients with tracheostomies.

Only the Basics: Introduction to Tracheostomy Tubes and No-leak Speaking Valves

Descripción del curso:

This introductory course is designed to teach students and novice clinicians basic information about tracheostomy and no-leak speaking valves. The presentation will review changes in upper airway physiology after tracheostomy and will describe indications, benefits, and components of tracheostomy tubes. The design of a no-leak speaking valves and the essential elements for placing it will be presented. Demonstrations of cuff inflation and deflation and Valve placement and removal will be provided to enhance learning.

Los resultados del aprendizaje:

1. Describe the components of various tracheostomy tubes as they related to airway patency.
2. Detail changes in upper airway physiology after tracheotomy.
3. Explain the design and benefits of the no-leak speaking valve.
4. Describe essential elements of Valve placement and use.

Recognizing the Differences: Tracheostomy Tubes and Cuff Types

Descripción del curso:

This course is intended to provide clinical professionals with the ability to recognize tracheostomy tubes and cuff differences for pediatrics and adults. Different brands and styles of tracheostomy tubes will be reviewed to provide insight regarding tube selection, proper sizing considerations, and components of the tubes. This course will show the various types of tracheostomy tube cuffs, discussing some of the reasons why certain cuffs or cuffless tracheostomy tubes may be used. Following this course, the participant will know where to find information on trach brand, size, and type when working with a patient following a tracheostomy.

Los resultados del aprendizaje:

1. Identify and label different brands of tracheostomy tubes.
2. Identify adult, pediatric, and neonate tracheostomy tubes.
3. Identify the components of a tracheostomy tube.
4. Describe the differences between a cuffed and cuffless tracheostomy tube.
5. List specialty tracheostomy tubes.