Breathing and Swallowing Reciprocity: Two Systems in Shared Spaces

Presented by Angela Mansolillo

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Video Runtime: 59 Minutes; Learning Assessment Time: 53 Minutes

Breathing and swallowing are physiological systems that utilize the shared spaces of the oral cavity, pharynx, and airways and are therefore interdependent. This course will provide respiratory therapists, speech pathologists, nurses, and other practitioners interested in dysphagia with an examination of breathing-swallow coordination in healthy people and in patients with disordered respiration, swallowing, or both. Clinicians will be provided with criteria for assessment of patients likely to exhibit disordered respiratory-swallow coordination, and potential interventions will be evaluated for implementation. After all, if you can’t breathe, you can’t swallow.

Meet your instructor

Angela Mansolillo

Angela Mansolillo is a speech-language pathologist and board-certified specialist in swallowing disorders with more than 25 years of experience. She is currently a senior speech-language pathologist at Cooley Dickinson Hospital in Northampton, Massachusetts, where she provides evaluation and treatment services for adults and…

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Chapters & learning objectives

What Does Normal Breathing-Swallow Coordination Look Like?

1. What Does Normal Breathing-Swallow Coordination Look Like?

Chapter 1 will examine respiratory-swallow coordination in healthy people, including respiratory patterning during swallowing, lung volumes at swallow initiation, and swallow apnea onset and durations.

Dyscoordination in Patient Populations

2. Dyscoordination in Patient Populations

This chapter will examine the evidence for dyssynchronized breathing and swallowing in a variety of patient populations, including stroke and neuromuscular disease, COPD and obstructive sleep apnea, head and neck cancer, and aging individuals.

The Impact of Respiratory Interventions

3. The Impact of Respiratory Interventions

Noninvasive positive-pressure ventilation and nasal cannula represent significant innovations in management of patients in respiratory distress, but what is their impact on swallow function?

Assessment and Intervention Options

4. Assessment and Intervention Options

In chapter 4, clinicians will be provided with options for identification of dysphagia in patients with respiratory disease. Options for intervention will be examined.