Swallowing disorders in tracheostomised patients: a multidisciplinary/multiprofessional approach in decannulation...

Area of Science:

• Medical Rehabilitation
• Respiratory Care
• Speech-Language Pathology

Background:

• Tracheal cannula removal is a key goal for tracheostomised patients.
• Cannulas can cause discomfort, hinder communication, and impair swallowing.
• Coordination among rehabilitation professionals is vital for recovery.

Purpose of the Study:

• To highlight the importance of tracheal cannula management in patient rehabilitation.
• To emphasize the link between cannula management and swallowing disorders.
• To address the lack of uniform protocols for decannulation.

Main Methods:

• Review of scientific literature on tracheostomy cannula management and decannulation.
• Analysis of the impact of tracheal cannulas on respiratory, phonatory, and swallowing functions.
• Examination of criteria for decannulation, including patient consciousness.

Main Results:

• Tracheal cannula management is integral to treating swallowing disorders and preventing complications.
• No uniform protocols currently exist for tracheostomy cannula management or decannulation.
• Patient consciousness is often cited as a decannulation criterion, but consensus is lacking.

Conclusions:

• Integrated rehabilitation approaches are necessary for effective tracheal cannula management.
• Standardized protocols are needed to guide decannulation and improve patient outcomes.
• Further research is required to establish clear guidelines for decannulation.