Send us a text 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 n...
Send us a text 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. Support t...
Send us a text 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. Support t...
Send us a text 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 communic...
Send us a text 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 t...
Send us a text 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...
Send us a text 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 pati...
Send us a text 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 nee...
Send us a text 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 ...
Send us a text 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...
Send us a text This conversation focuses on non-invasive ventilation (NIV) as a critical technique in respiratory therapy, emphasizing its role in preventing the need for invasive mechanical ventilation and tracheostomy. Dr. Jerry Gentile explains the principles of NIV, the importance of patient cooperation, and the steps involved in initiating and monitoring the therapy. The discussion also covers the application of NIV in post-acute care settings, potential complications, and the overall cl...
Send us a text This conversation delves into the importance of non-invasive ventilation techniques in preventing invasive mechanical ventilation and tracheostomy. Dr. Jerry Gentile explains the mechanics, indications, contraindications, and various modes of non-invasive ventilation, emphasizing the role of healthcare professionals in ensuring patient comfort and effective treatment. Support the show https://tracheostomyeducation.com instagram.com/tracheostomyeducation linkedin.com/in/nicole-d...
Send us a text The conversation focuses on the alarms set on mechanical ventilators. Dr. Jerry Gentile explains the general ventilator alarm guidelines, including apnea parameters, FIO2 settings, and pressure alarms. He emphasizes the importance of adhering to these guidelines and avoiding dangerous practices like setting high pressure limits too high. Jerry also discusses the reasons for alarms going off and highlights the need for a backup ventilator. The conversation concludes with a...
Send us a text This episode is part 2 of mechanical ventilation series. This conversation provides an in-depth discussion on mechanical ventilation, focusing on the different modes of ventilation including assist control, SIMV, and CPAP. You can also learn about lung compliance. The hosts also discuss adjusting ventilator settings to improve patient trigger and different stages of a mechanically delivered breath. Support the show https://tracheostomyeducation.com ins...
Send us a text In this episode, Dr. Jerry Gentile discusses mechanical ventilation and its importance in critical and emergency settings. Mechanical ventilation applies positive pressure breaths to patients with impaired ventilation, compromised airways, or respiratory failure. Respiratory therapists need a thorough understanding of mechanical ventilation, airway mechanics, and human anatomy to effectively manage intubated or tracheostomized patients. The three primary indications for invasiv...
Send us a text In this episode, Nicole DePalma and Dr. Jerry Gentile discuss the process of intubation and the confirmation of ET tube placement. They also cover complications that can arise from intubation, such as airway insecurity, dental injuries, and vocal fold damage. The importance of speech pathologists in assessing patients for swallowing disorders after extubation is highlighted. The hosts also touch on the criteria for extubation and the use of a bougie in difficult intubations. Su...
Send us a text In this episode of the Tracheostomy Education Podcast, the hosts discuss the process of intubation and other artificial airways. They cover topics such as the first steps during a code blue, indications for intubation, contraindications to intubation, and the anatomy and physiology of the airway. They also talk about who typically performs intubation, how to choose the correct size ET tube, and the steps for intubation. Additionally, they mention subglottic ET tubes and other a...
Send us a text 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 tr...
Send us a text 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. Support th...
Send us a text 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 ...