Verbal communication for the ventilator-dependent patient requiring an inflated tracheotomy tube cuff: A prospective, multicenter study on the Blom tracheotomy tube with speech inner cannula

被引：20

作者：

Leder, Steven B. ^{[1
]}

Pauloski, Barbara R. ^{[2
]}

Rademaker, Alfred W. ^{[3
]}

Grammer, Tracy ^{[4
,5
]}

Dikeman, Karen ^{[6
]}

Kazandjian, Marta ^{[6
,7
]}

Mendes, Joseph ^{[1
]}

Logemann, Jeri A. ^{[2
]}

机构：

[1] Yale Univ, Sch Med, Dept Surg, Otolaryngol Sect, New Haven, CT 06520 USA

[2] Northwestern Univ, Dept Commun Sci & Disorders, Evanston, IL USA

[3] Northwestern Univ, Sch Med, Robert H Lurie Comprehens Canc Ctr, Biostat Core Facil,Dept Prevent Med, Chicago, IL USA

[4] Oklahoma Univ Med, Dept Otolaryngol, Oklahoma City, OK USA

[5] Oklahoma Univ Med, Dept Rehabilitat Med, Oklahoma City, OK USA

[6] Silvercrest Ctr Nursing & Rehabil, Dept Rehabil, New York, NY USA

[7] New York Hosp Queens, Ctr Digest Dis & Swallowing Disorders, Dept Speech Pathol & Swallowing, Flushing, NY USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2013年 / 35卷 / 04期

关键词：

speech; intelligibility; communication; tracheotomy tube; mechanical ventilation; TRACHEOSTOMY TUBE; VOICE INTENSITY;

D O I：

10.1002/hed.22990

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background The purpose of this study was to present our findings on the impact of the Blom tracheotomy tube with speech inner cannula on voice production abilities and speech intelligibility scores of ventilator-dependent patients requiring a fully inflated tracheotomy tube cuff. Methods Prospective single group case-series design permitted consecutive accrual of 23 adult inpatients from acute care and rehabilitation settings. Maximum ambient room noise, voice intensity, phonation duration of vowel /a/, and speech intelligibility scores were determined over 3 sessions. Results All participants achieved audible voicing with the Blom tracheotomy tube. Voice intensity was significantly greater than ambient room noise by >10 dB SPL (p = .003). Speech intelligibility scores improved significantly from 80% to 85% (p = .03). Phonation duration averaged from 3.30 to 3.45 seconds. There were no significant changes in oxygen saturation (p > .05), and no significant complications occurred. Conclusion The Blom tracheotomy tube with speech inner cannula permitted individuals requiring mechanical ventilation with a fully inflated tracheotomy tube cuff to produce excellent speech intelligibility for verbal communication. (c) 2012 Wiley Periodicals, Inc. Head Neck, 2013

引用

页码：505 / 510

页数：6