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Caring For Patients with Tracheostomy & Ventilator Dependency: A Pract
Live Webcast

Caring For Patients with Tracheostomy & Ventilator Dependency: A Practitioner’s Guide to Managing Communication and Swallowing

Faculty :
Jerome Quellier
7 Hours 30 Minutes
Product Code:
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Media Type:
Live Webcast
Access for 90 day(s) after program date.

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Develop a comprehensive management plan for adults living with acute & long-term tracheostomy


As medical technology and intervention evolves, more patients are faced with temporary and long-term tracheostomy/ventilation as a part of their recovery. The very presence of a tracheostomy tube may elicit visceral reaction to secretion management and dehumanize the patient who is unable to exercise their decision making capacity, orally communicate their needs, and interact socially with staff or family. Practitioners in acute hospitals, transitional rehabilitation units, skilled long-term settings, and homecare arenas are challenged to not only understand the basic functionality of a tracheostomy tube, but complete daily cares, assist their patients with swallowing and oral communication, and even train non-medical care providers. Management of the tracheostomized patient is often assumed to be complex. This misconception may become a barrier for placement in an environment most conducive to overall rehabilitation; to foster social closeness with staff, friends and family; and ultimately result in prolonging the weaning process.


This course will outline and compare the basic components of a tracheostomy tube, decision making surrounding the most appropriate type of tube to use for various populations, and the risks/benefits of placement. Through review of daily cares, the assessment and placement of a speaking valve, and dysphagia characteristics for this population, course participants will build the skills and confidence necessary to develop a comprehensive management plan. Attendees of this seminar will leave with a solid foundation of general knowledge, critical thinking algorithms, and an understanding of the roles and responsibilities of their specialty when faced with tracheostomized patients. 





Course Content


Anatomy and Physiology of Tracheostomy

  • Definition of terminology used
  • Surgical vs. Percutaneous Tracheostomy


Clinical Features of a tracheostomy tube


Intubation and Tracheostomy—Benefits and Risks

  • Endotracheal tube advantages/disadvantages
  • Tracheostomy tube advantages/disadvantages


Sizing tracheostomy tubes


Manufacturers of Tracheostomy tubes


Special Considerations of managing a tracheostomy tube

  • Cuff pressures
  • Essential daily cares
    • Necessary supplies
    • Cannula cleaning/exchanging
    • Maintaining stoma and skin integrity
  • Minimal Leak technique vs. minimal occlusive volume


Speaking Valves

  • Anatomy & physiology of common speaking tubes
  • Population and timing
  • Warning/Precautions
  • Assessment and placement guidelines
  • Trouble shooting during valve assessment/use
  • Ventilator modifications for safety and success
  • Inline speaking valves
    • Decision making for the respiratory therapists
    • Tidal volumes
    • Peak inspiratory pressures
    • Minimal vent parameters to facilitate successful application


Fenestrated tracheostomy tubes


Dysphagia and the tracheotomized patient

  • Post extubation consideration
  • Effect of tracheostomy on swallowing
  • Effect of cervical bracing on tracheotomized patient
  • Assessment of swallowing
    • Blue Dye vs. Fees vs. MBSS
  • Impact of speaking valve upon swallowing


Multidisciplinary care of a patient with tracheostomy

  • Role of SLP, nurse, and respiratory therapist
  • Review a sample of policy/procedure


Case Study 




Jerome Quellier Related seminars and products: 2


JEROME QUELLIER, MS, CCC-SLP, is a licensed Speech-Language Pathologist with over 20 years of acute care experience whose clinical subspecialties include swallowing, traumatic brain injury, stroke rehabilitation, oral-pharyngeal cancer rehabilitation, and assisting patients in palliative decision making for the dysphasic patient.  He is currently a Clinical Specialist at a Level 1 trauma hospital in Saint Paul, Minnesota, treating neurologically impaired adults and geriatrics and managing Tracheoesophageal Prosthesis (TEP) care. Additionally, he treats head and neck cancer patients in conjunction with the Department of Radiation Oncology, amd trains hospital-based rehab staff, nurses, and internal medicine residents on the management of this unique population.


Mr. Quellier has been a faculty member at the University of Minnesota-Duluth and adjunct faculty at the University of Wisconsin, teaching graduate coursework on tracheostomy and head and neck cancer. He also possesses extensive experience in quality and process improvement for rehabilitation services. Mr. Quellier received his bachelor’s and master’s degrees from the University of Wisconsin-Eau Claire. During his professional tenure, he has been a direct care provider in hospitals, skilled nursing facilities and homecare settings, and has acted as the shared services coordinator between various community hospitals. 

Target Audience

Speech-Language Pathologists, Speech-Language Pathology Assistants, Occupational Therapists, Certified Occupational Therapy Assistants, Physical Therapists, Physical Therapist Assistants, Nurse Managers, Nurses, Respiratory Therapists, Rehab Directors, Licensed Practical Nurses

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