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In this episode of the Tracheostomy Education Podcast, Nicole and Jerry discuss swallowing management for patients with tracheostomy and mechanical ventilation. They explore the increased risk of aspiration, the importance of thorough assessments by speech pathologists, and the use of instrumental assessments like FEES and modified barium swallow studies. The conversation also touches on innovations in swallowing assessment, including subglottic suctioning, and emphasizes the need for individualized care in managing swallowing disorders.

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In this episode of the Tracheostomy Education Podcast, Nicole and Jerry discuss the critical aspects of swallowing management for patients with tracheostomies. They explore the high risk of aspiration, the role of speech language pathologists, and the impact of cuffs on swallowing safety. The conversation emphasizes the importance of proper assessment and the need for a multidisciplinary approach to care, including dietary considerations and respiratory support. 

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In 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.

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In 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.  

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In this episode, Nicole and Dr. Jerry Gentile continue their deep dive into the critical role of humidification in respiratory care. They break down the science of humidity, the different types of humidifiers, and their practical applications, particularly for patients with tracheostomies. The discussion highlights why maintaining proper humidity levels is essential for airway health, preventing complications, and improving patient comfort. Nicole and Dr. Gentile also explore the effectiveness of various humidification devices, considerations for clinical use, and how to tailor humidification strategies to individual patient needs. Tune in for expert insights on optimizing respiratory care through proper humidification!

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In 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.

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In this episode of the Tracheostomy Education Podcast, Dr. Jerry Gentile discusses the intricacies of admitting patients from acute to post-acute care facilities. He emphasizes the importance of understanding Medicare requirements, the challenges of staffing and resource allocation, and the critical role of respiratory therapists in patient assessment and care planning. The conversation also highlights the need for effective communication between healthcare teams to ensure patient safety and optimal outcomes.

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This episode of the Tracheostomy Education Podcast features Dr. Jerry Gentile discussing the complexities of admitting patients from acute care to skilled nursing facilities. The conversation covers the admission process, the role of patient review instruments (PRI), financial dynamics of care, challenges in ventilator management, and the criteria for accepting patients based on their stability and medical needs. Dr. Gentile emphasizes the importance of skilled care and the need for proper training in facilities to ensure patient safety and effective treatment.

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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.

00:00
Introduction to the Conversation

00:01
Understanding Tracheostomy vs. Laryngectomy

02:53
Surgical Indications and Risks

05:33
Voice Restoration Post-Laryngectomy

08:20
TEP Device Management and Concerns

11:08
Eating and Drinking with a TEP

14:11
Emergency Management for Laryngectomy Patients

15:09
Oxygen and Medication Delivery Challenges

17:21
Care Management and Best Practices

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In this episode, Dr. Jerry Gentile discusses the high flow nasal cannula, its mechanisms, benefits, components, and patient suitability.  Nicole DePalma discusses the risks and considerations for safe swallowing with high flow nasal cannula. The conversation emphasizes the importance of interdisciplinary collaboration in managing patients on high flow nasal cannula.

00:00
Introduction to High Flow Nasal Cannula

04:14
Understanding Low Flow vs High Flow Nasal Cannula

07:13
Components and Mechanisms of High Flow Nasal Cannula

13:07
Physiological Benefits of High Flow Nasal Cannula

19:20
Indications for High Flow Nasal Cannula Use

24:54
Risks and Considerations with High Flow Nasal Cannula

31:08
Swallowing Safety and High Flow Nasal Cannula

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