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Related Concept Videos

Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...
Tracheostomy Decannulation01:21

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Tracheostomy Suctioning I: Pre-Procedural Steps01:26

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Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
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First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...

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Related Experiment Video

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Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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[Automated postlaryngectomy telephone test].

T Haderlein1, K Riedhammer, A Maier

  • 1Abteilung für Phoniatrie und Pädaudiologie, Universitätsklinikum Erlangen, Bohlenplatz 21, 91054, Erlangen. Tino.Haderlein@informatik.uni-erlangen.de

HNO
|February 6, 2009
PubMed
Summary
This summary is machine-generated.

A new objective method using automatic speech recognition for the postlaryngectomy telephone test (PLTT) was developed. This automated approach offers an efficient and equivalent measure of speech intelligibility for individuals with a tracheoesophageal voice.

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Area of Science:

  • Speech-Language Pathology
  • Biomedical Engineering
  • Otolaryngology

Background:

  • Laryngectomy significantly impacts speech intelligibility.
  • Subjective assessments like the postlaryngectomy telephone test (PLTT) are common but can be variable.
  • Objective and efficient methods for evaluating speech post-laryngectomy are needed.

Purpose of the Study:

  • To present an objective, automated version of the postlaryngectomy telephone test (PLTT).
  • To evaluate the efficacy of automatic speech recognition (ASR) for measuring speech intelligibility in post-laryngectomy patients.
  • To compare ASR-derived speech intelligibility metrics with traditional subjective PLTT scores.

Main Methods:

  • Thirty-one patients with tracheoesophageal substitute voice underwent evaluation.
  • Speech intelligibility was measured using automatic speech recognition (ASR), calculating word accuracy and recognition rates.
  • ASR metrics were compared against subjective intelligibility scores from 11 naïve listeners performing the PLTT.

Main Results:

  • Subjective PLTT intelligibility averaged 47% among listeners.
  • Automated word accuracy and recognition rates were considerably lower, around 0% and 15% respectively.
  • A high correlation (over 0.9) was observed between subjective and automatic evaluations in some cases.

Conclusions:

  • Automatic speech recognition offers an efficient and objective method for assessing speech intelligibility.
  • The ASR-based measure is equivalent to the overall postlaryngectomy telephone test (PLTT) intelligibility value.
  • This automated approach can streamline the evaluation of speech in post-laryngectomy patients.