Avsnitt
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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 Conversation00:01
Understanding Tracheostomy vs. Laryngectomy02:53
Surgical Indications and Risks05:33
Voice Restoration Post-Laryngectomy08:20
TEP Device Management and Concerns11:08
Eating and Drinking with a TEP14:11
Emergency Management for Laryngectomy Patients15:09
Oxygen and Medication Delivery Challenges17:21
Care Management and Best PracticesSupport the show
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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 Cannula04:14
Understanding Low Flow vs High Flow Nasal Cannula07:13
Components and Mechanisms of High Flow Nasal Cannula13:07
Physiological Benefits of High Flow Nasal Cannula19:20
Indications for High Flow Nasal Cannula Use24:54
Risks and Considerations with High Flow Nasal Cannula31:08
Swallowing Safety and High Flow Nasal CannulaSupport the show
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Saknas det avsnitt?
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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 clinical significance of this approach in managing respiratory failure.
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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.
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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 mention of ventilator-associated events and the importance of preventive measures.
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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.
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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 invasive mechanical ventilation are airway compromise due to disease, hyperventilation resulting from impaired drive or gas exchange difficulties, and hypoxemic respiratory failure. The management of mechanically ventilated patients requires a multidisciplinary collaboration, including physicians, nurses, respiratory therapists, and family support.
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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.
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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 alternative airways like the laryngeal mask airway.
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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 trachs and the use of subglottic trachs. The conversation provides valuable insights into the anatomy and considerations of tracheostomy tubes.
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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.
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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 tracheostomy for long-term mechanical ventilation. The episode concludes with a brief discussion on tracheostomy in pediatric patients.
Get a free download of Anatomy of Tracheostomy AirflowSupport the show
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Patients with tracheostomy are at high risk for preventable adverse events. Join Dr. Jerry Gentile and Nicole DePalma as they delve into all things tracheostomy. We hope to improve the safety, care, and lives of patients with tracheostomy. If you are a healthcare administrator or care provider including physicians, respiratory therapist, speech-language pathologist, nurse, patient or family member interested in learning more about tracheostomy, then this podcast is for you!
Support the show
https://tracheostomyeducation.com
instagram.com/tracheostomyeducation
linkedin.com/in/nicole-de-palma-708b16b
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