Pediatric Dysphagia With Advanced Respiratory Support and Tracheostomies
Presented by Hema Desai and Jennifer Raminick
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Nonfinancial: Jennifer Raminick and Hema Desai have no competing nonfinancial interests or relationships with regard to the content presented in this course.
This course is designed to equip clinicians with the knowledge and skills needed to recognize the indications for advanced respiratory support in children, evaluate the impact of different respiratory interventions on breathing and dysphagia risk, and manage dysphagia effectively in pediatric patients with tracheostomies, ventilators, and advanced respiratory support. By the end of this course, participants will be well prepared to provide holistic care to children with complex respiratory needs, enhancing their overall well-being.
Learning Objectives
- Recognize three indications for advanced respiratory support in children
- Identify three forms of noninvasive respiratory support and impact on breathing in children
- Examine how ventilator support impacts the respiratory system and musculature
- List three indications for a tracheostomy in children
- Describe three risks for dysphagia due to tracheostomy placement
- List three components of a dysphagia evaluation for children with tracheostomy
- Identify three ways that a speaking valve may improve swallow function
Meet your instructors
Hema Desai
Hema Desai is an inpatient speech pathologist who has worked with infants and children with feeding and swallowing disorders since 2000. She has her board-certification specialties in swallowing and swallowing disorders (BCS-S) and neonatal touch and massage (NTMTC) and is a clinical lactation education counselor (CLEC). Hema…
Jennifer Raminick
Jen Raminick graduated from California State University, Long Beach, and has been a speech-language pathologist at a pediatric acute care hospital for more than eight years. She has earned her board-certified specialist accreditation in swallowing and has multiple leadership roles in the hospital, including chair of the…
Chapters & learning objectives
1. What Is Noninvasive Ventilatory Support?
This chapter will help the clinician understand and identify indications for advanced respiratory support for children.
2. Types of Noninvasive Ventilation
This chapter will describe the various types of noninvasive respiratory support methods for children, including CPAP, BiPAP, HFNC, and oxygen via nasal cannula, as well as help clinicians understand their unique impact on pediatric breathing.
3. Invasive Respiratory Support
In this chapter, we will delve into ventilator support for pediatric patients, starting with a comprehensive overview of ventilator basics and a detailed exploration of how this life-saving intervention influences the respiratory system and musculature in children.
4. Tracheostomies
This chapter will detail the decision-making process behind tracheostomy placement in pediatric patients. The clinician will learn about the key indications for a tracheostomy, as well as its advantages and potential disadvantages in the context of pediatric care.
5. Dysphagia and Tracheostomy
In this chapter, the clinician will gain insight into the potential risk for dysphagia associated with tracheostomy placement. Additionally, the latest literature on dysphagia in the context of tracheostomy placement will be reviewed.
6. Dysphagia Evaluation With Tracheostomy in Children
The clinician will learn how to perform a comprehensive dysphagia assessment by listing the components, including cognition, secretion management, oral mechanism evaluation, and cranial nerve examination, for a pediatric patient with a tracheostomy.
7. Speaking Valves
In this chapter, the clinician will learn the mechanism of action and potential benefits of speaking valves in enhancing swallow function. Criteria for patient candidacy, contraindications, and speaking valve assessment will also be discussed.
More courses in this series
Pediatric Respiratory System Development and Aspiration
Hema Desai and Jennifer Raminick
Pediatric Respiratory Disorders and Impact on Swallowing
Hema Desai and Jennifer Raminick
Pediatric Dysphagia With Advanced Respiratory Support and Tracheostomies
Hema Desai and Jennifer Raminick