{"id":20519,"date":"2024-10-01T14:06:30","date_gmt":"2024-10-01T21:06:30","guid":{"rendered":"https:\/\/www.passy-muir.com\/?page_id=20519"},"modified":"2024-10-01T14:06:30","modified_gmt":"2024-10-01T21:06:30","slug":"current-research-pediatric","status":"publish","type":"page","link":"http:\/\/1.passy-muir.com\/es\/current-research-pediatric\/","title":{"rendered":"Investigaciones actuales relacionadas con el uso de la v\u00e1lvula de habla en la poblaci\u00f3n pedi\u00e1trica"},"content":{"rendered":"<div class=\"l3-header-con no-banner\">\n<div class=\"l3-header-icon\">\n\t\t<img decoding=\"async\"  src=\"\/wp-content\/uploads\/2017\/05\/Clinicians_0.png\" alt=\"journal\" \/>\n\t<\/div>\n<div class=\"l3-header-text\">\n\t\t\tSalud Aerodigestiva\n                         <\/div>\n<\/p><\/div>\n<div style=\"clear:both\"><\/div>\n\r\n<ul class=\"breadcrumb\">\r\n\t<li class=\"active\">Rinc\u00f3n del M\u00e9dico<\/li>\r\n\t<li class=\"dropdown\">\r\n\t\t<a href=\"#\" class=\"dropdown-toggle\" data-toggle=\"dropdown\">See All Articles <b class=\"caret\"><\/b><\/a>\r\n\t\t<ul class=\"dropdown-menu\">\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-2-1-ethical\/\"><a href=\"\/wp-content\/uploads\/2019\/01\/AH_2018_web_lr.pdf#page=4\">\nImpacto en el cuidado del paciente y consideraciones\n\u00e9ticas<\/a>\r\n<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-2-1-management\/\">Understanding the Management of Patients Undergoing Prolonged Weaning...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-2-1-trach-tube-cuff\/\"><a href=\"\/wp-content\/uploads\/2019\/01\/AH_2018_web_lr.pdf#page=12\">Manguito para tubo de traqueostom\u00eda: Prop\u00f3sito y\npr\u00e1ctica a trav\u00e9s del manejo en equipo<\/a>\r\n<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-2-1-complications-management\/\">Case Study: Management of Complications Following SCI and the Role of SLPs...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"translation-block\"><a href=\"\/wp-content\/uploads\/2019\/01\/AH_2018_web_lr.pdf#page=20\">Terapia de ox\u00edgeno de alto flujo y la PMV<sup>\u00ae<\/sup><\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-2-1-international-research\/\">Articles Representing International Research on Tracheostomy...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-1-1-protocol\/\">Having a Protocol for Clinical and Research Use of the Passy Muir\u00ae...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"translation-block\"><a href=\"\/wp-content\/uploads\/2016\/08\/Aerodigestive-Health_compressed.pdf#page=6\">\nConsideraciones para la Evaluaci\u00f3n de Candidatura a\nPMV<sup>\u00ae<\/sup> en la poblaci\u00f3n pedi\u00e1trica<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-1-1-assessment\/\">Candidacy for Passy Muir\u00ae Valve Placement in Infants and Young Children...\r\n<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-1-1-casestudy\/\"><a href=\"\/wp-content\/uploads\/2016\/08\/Aerodigestive-Health_compressed.pdf#page=14\">\nClaves para el \u00e9xito: Un caso de estudio de Terapia Respiratoria Pedi\u00e1trica<\/a><\/a><\/li>\r\n\r\n\t\t\t<li class=\"translation-block\">Perspectiva de los m\u00e9dicos sobre la v\u00e1lvula parlante <span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/talkmuir-6-1-evidence\/\">Evidence Based Support for Using a PMV\u00ae In-line...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/talkmuir-6-1-effects\/\">Effects of PMV\u00ae In-line with Mechanical Ventilation...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/talkmuir-6-1-mechanical-vent\/\">Speaking Valve Use During Mechanical Ventilation...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/talkmuir-6-1-current-research\/\"><a href=\"\/wp-content\/uploads\/2019\/01\/pm-newsletter-v6i1.pdf#page=19\">\nInvestigaci\u00f3n actual relacionada con la ventilaci\u00f3n mec\u00e1nica y el uso de V\u00e1lvulas de Hablas<\/a><\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-dependence\/\">Infants and Children with Tracheostomy and Ventilator Dependence<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-protocol-transitioning\/\"><a href=\"\/wp-content\/uploads\/2019\/11\/AH_2019.pdf#page=13\">De la ICU a la atenci\u00f3n domiciliaria: un protocolo para la transici\u00f3n<\/a><\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-complex-care\/\"><a href=\"\/wp-content\/uploads\/2019\/11\/AH_2019.pdf#page=15\">Brindar cuidados complejos para ni\u00f1os complejos: un enfoque multidisciplinario<\/a><\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-improving-communication\/\">Protocols Assist with Improving Communication for Patients...<\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-patient-outcomes\/\"><a href=\"\/wp-content\/uploads\/2019\/11\/AH_2019.pdf#page=21\">Tener protocolos de uso cl\u00ednico para mejorar los resultados de los pacientes<\/a><\/a><\/li>\r\n\r\n\t\t\t<li class=\"translation-block\"><a href=\"\/wp-content\/uploads\/2019\/11\/AH_2019.pdf#page=24\">Uso de la v\u00e1lvula <span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup> junto con la terapia de ox\u00edgeno de alto flujo<\/a><\/li>\r\n\r\n\t\t\t<li class=\"translation-block\"><a href=\"\/wp-content\/uploads\/2019\/11\/AH_2019.pdf#page=30\">El papel de las presiones en la degluci\u00f3n y Impacto de la V\u00e1lvula <span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup><\/a><\/li>\r\n\r\n\t\t\t<li class=\"\"><a href=\"\/es\/journal-3-1-relevance\/\">Clinical Relevance of the Sensorimotor Pathways in Dysphagia...<\/a><\/li>\r\n\r\n\t\t<\/ul>\r\n\t<\/li>\r\n<\/ul>\r\n\n<h2 class=\"journal--title\"><a href=\"https:\/\/www.passy-muir.com\/wp-content\/uploads\/2016\/08\/Aerodigestive-Health_compressed.pdf#page=21\">Investigaciones actuales relacionadas con el uso de la v\u00e1lvula de habla en la poblaci\u00f3n pedi\u00e1trica<\/h2>\n<p><\/a><\/p>\n<h3 class=\"journal--speaker\"> Jessica Nourse, SLP.D, CCC-SLP <\/h3>\n<div class=\"about_author\"> <strong>Sobre el Autor<\/strong><br \/>\n \t \t<img decoding=\"async\" alt=\"Jessica Nourse\" class=\"small_speaker\" src=\"\/wp-content\/uploads\/2019\/01\/Nourse-1.jpg\"\/><\/p>\n<div class=\"about_text\">\nJessica Shaw, MS, CCC-SLP<\/p><\/div>\n<\/p><\/div>\n<p>Current research documents that use of a <span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup> Valve during eating and drinking decreases laryngeal penetration and aspiration in adults (Muz et al., 1989; Stachler et al., 1996; Dettelback et al., 1995; Suiter, McCullough, &#038; Powell, 2003; Elpern et al., 2000). Improvements in oropharyngeal functioning for patients with tracheostomies can result in improved outcomes related to morbidity and accrued healthcare related expenses. The investigators of this study conducted research on the effect of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> on swallowing in pediatric patients with tracheostomies. Twelve patients were identified for inclusion in the study, all of whom could tolerate a speaking valve for the purpose of phonation and for whom modified barium swallow studies were indicated. Each participant wore two valves during the study, a <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> and a sham valve, and was trialed with two consistencies of liquids and solids. Two speech-language pathologists, who were unaware of the valve status, rated the modified barium swallow study results with the Rosenbeck 8 Point Penetration and Aspiration Scale (PAS). Findings of the study were inconclusive regarding the effect of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> on penetration and aspiration, however, five patients out of the 12 participants demonstrated improvements in PAS with the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> in place. A significant difference was noted with the presence of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> in the decrease of pyriform sinus residue across all patients. Overall, patients who underwent tracheotomy due to respiratory failure or prematurity demonstrated more improvement in their pharyngeal functioning with use of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> as compared to patients with upper airway obstructions.<\/p>\n<p>Previous research has demonstrated that vocal exploration and social interaction is essential for normal speech and language development, which can be limited with the presence of a tracheostomy tube (Kalson &#038; Stein, 1985; Simon, Fowler, &#038; Handler, 1983). Supporting attainment of developmental outcomes for infants and children with tracheostomy tubes, while acknowledging the medical fragility and comorbidities that often accompany the need for treatment within the neonatal intensive care unit remains an area of concern. In this article, the authors document a protocol for use of <span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup> Valve within a neonatal intensive care unit (NICU). The authors identified a need for a systematic, team-based approach to assessing speaking valve readiness and tolerance for both nonmechanically ventilated and mechanically ventilated neonatal patients. Their protocol was formalized in 2010 and is used by the multidisciplinary team of neonatologists, ENT nurse practitioners, speechlanguage pathologists, and respiratory therapists. The protocol implementation resulted in an increased number of referrals for speaking valve trials with neonatal patients, as well as an improvement in quality of patient care. The authors identified two possible future uses of their protocol: (1) measurement of caregiver\/infant bonding pre- and post-speaking valve use; and (2) measurements of weaning from mechanical ventilation with use of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> with neonatal patients.<\/p>\n<p>Speaking valves can be an integral part of advancing language growth in pediatric patients with tracheostomies (Lewis &#038; Carron, 2003). Respiratory therapy and speech-language pathology goals are often intertwined when working with patients with tracheostomies, making interdisciplinary coordination of care essential (Torres &#038; Sirbegovic, 2004). The authors of this article document the interdisciplinary protocol for <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> use within their hospital, including measures of patient candidacy and exclusion criteria. A critical aspect of their protocol was the emphasis on the interdisciplinary team developing individualized treatment plans to improve consistency of speaking valve wear, thereby increasing length of tolerance. Through interdisciplinary collaboration and standardization of care, pediatric patients received the optimal benefit of speaking valve use within a systematic and safe framework.<\/p>\n<p>Previous research studies consistently and effectively demonstrated the negative effect of tracheostomy placement on the expressive language skills of infants and children (Karlson &#038; Stein, 1985; Hill &#038; Singer, 1990; Singer et al., 1991; Ross, 1982; Simon, Fowler, &#038; Handler, 1983; Kaman &#038; Watson, 1991). Limited research has been available regarding expressive language development through use of speaking valves targeting restoration of voicing in infants and children with tracheostomies.<\/p>\n<p>Investigators of this study identified that pediatric patients with tracheostomies often spend prolonged periods within healthcare settings (hospitals, rehabilitation centers), during which a collaborative, team-based approach for speaking valve use would be beneficial. The researchers conducted a retrospective evaluation of inpatient pediatric tracheostomy cases to determine the percent of patients able to tolerate the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span>, whether phonation was achieved with the Valve and which secondary benefits (improved secretion management, restoration of coughing ability, and improvements in feeding and swallowing) were observed. Twelve cases were reviewed, with 10 children able to tolerate Valve placement during initial evaluation and three subsequent trials. All of the 10 children were able to achieve phonation by the completion of the trials, and significant improvement in vocal quality was noted for the six children who demonstrated hydrophonic vocal quality during the initial Valve placement. A productive cough was noted for all children, and one of the two children who were noted to have secretion management concerns, demonstrated significant improvement with decreased oral pooling of secretions.<\/p>\n<p>This article is from the Fall 2017 Pediatric Issue of Aerodigestive Health. <a href=\"\/wp-content\/uploads\/2016\/08\/Aerodigestive-Health_compressed.pdf#21\">Click here<\/a> to view Current Research Related to Speaking Valve Use with the Pediatric Population.<\/p>\n<hr>\n<h4>Referencias:<\/h4>\n<ol>\n<p>Hofman, L., Bolton, J., and Ferry, S. (2008). <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> use in a children\u2019s hospital: An interdisciplinary approach. SIG 3 Perspectives on Voice and Voice Disorders, 18, 76-86. doi: 10.1044\/vvd18.2.76<\/p>\n<p>Hull, E.M., Humas, H.M., Crowley, R.A., and Kharasch, V.S. (2005). Tracheostomy speaking valves for children: Tolerance and clinical benefits. Pediatric Rehabilitation, 8(3), 214-219. doi: 10.10801\/13638490400021503<\/p>\n<p>Ongkasuwan, J., Turk, C.L., Rappazzo, C.A., Lavergne, K.A., Smith, E.O., and Friedman, E.M. (2014). The effect of a speaking valve on laryngeal aspiration and penetration in children with tracheostomies. Laryngoscope, 124, 1469-1474. <\/p>\n<p>Stevens, M., Finch, J., Justice, L., and Geiger, E. (2011). Use of the <span class=\"pmv_ws\"><span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span> Valve<\/span> in the neonatal intensive care unit. Neonatal Intensive Care, 24(7), 22-23.<\/p>\n<\/ol>","protected":false},"excerpt":{"rendered":"Aerodigestive Health Current Research Related to Speaking Valve Use with the Pediatric Population Jessica Nourse, SLP.D, CCC-SLP About the Author Jessica Shaw, MS, CCC-SLP Current research documents that use of a <span class=\"pm_ws\"><span class=\"pm_ws\">Passy Muir<\/span><\/span><sup>\u00ae<\/sup> Valve during eating and drinking decreases laryngeal penetration and aspiration in adults (Muz et al., 1989; Stachler et al., 1996; Dettelback et [&hellip;]","protected":false},"author":91,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yst_prominent_words":[1962,724,1971,373,65,372,371,72,62,191,1964,1969,1963,3031,1970,202,81],"class_list":["post-20519","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/pages\/20519","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/users\/91"}],"replies":[{"embeddable":true,"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/comments?post=20519"}],"version-history":[{"count":5,"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/pages\/20519\/revisions"}],"predecessor-version":[{"id":20525,"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/pages\/20519\/revisions\/20525"}],"wp:attachment":[{"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/media?parent=20519"}],"wp:term":[{"taxonomy":"yst_prominent_words","embeddable":true,"href":"http:\/\/1.passy-muir.com\/es\/wp-json\/wp\/v2\/yst_prominent_words?post=20519"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}