Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1333
Title: Saliva management options for difficult-to-wean people with tracheostomy following severe acquired brain injury (ABI): A review of the literature
Epworth Authors: Checklin, Martin
Other Authors: Etty-Leal, Mary
Iseli, Tim
Potter, Nicholas
Fisher, Sally
Chapman, Lauren
Keywords: Acquired Brain Injury
ABI
Saliva Management
Tracheostomy
Tracheostomy Decannulation
Dysphagia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute, Epworth HealthCare, Melbourne, Victoria, Australia
Issue Date: Oct-2014
Publisher: Taylor & Francis
Citation: Brain Inj. 2015;29(1):1-10
Abstract: Primary objective: To evaluate the evidence on saliva management options in those people who have a tracheostomy in situ following an acquired brain injury and to ascertain whether any of these treatments may facilitate tracheostomy decannulation. Methods: The search was conducted on Medline, Embase, Cinahl and Central databases since 1990 and the evidence has been critiqued and summarized. Saliva management options were identified and analysed to see whether they had evidence or clinical support for the population. Main outcomes and results: There is a paucity of evidence in this area and clinical decisionmaking requires evidence from other populations. Saliva management issues in this population are most likely to be related to dysphagia. Treatment options include behavioural/compensatory therapies which should be tried in all cases, with adjunct pharmaceutical therapies or surgical options to reduce saliva volume as clinically appropriate. Conclusion and future directions: This group of people is complex and requires a multidisciplinary team to guide decision-making. High quality control studies looking at the effectiveness of dysphagia therapy and guidelines regarding botulinum toxin injections are recommended.
URI: http://hdl.handle.net/11434/1333
DOI: 10.3109/02699052.2014.967298
PubMed URL: https://www.ncbi.nlm.nih.gov/pubmed/25313955
ISSN: 0269-9052
1362-301X
Journal Title: Brain Injury
Type: Journal Article
Type of Clinical Study or Trial: Literature Review
Appears in Collections:Rehabilitation

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