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. 2025 Feb;51(2):421-425.
doi: 10.1007/s00134-024-07779-9. Epub 2025 Feb 3.

Troubleshooting above cuff vocalisation

Claire S Mills  1   2 , Emilia Michou  3   4 , Heidi J Siddle  5   6 , Chris Bojke  7 ; ACoUSTiC Study Group
Collaborators, Affiliations

Troubleshooting above cuff vocalisation

Claire S Mills et al. Intensive Care Med. 2025 Feb.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflicts of interest: CM is a paid Consultant to Atos Medical UK, leading the development above cuff vocalisation safety guidelines. All other authors declare no conflict of interest in relation with this publication. Ethical approval: Ethical approval was obtained from the School of Medicine Research Ethics Committee at the University of Leeds (05/02/2019/MREC 18-037) for the survey and qualitative interview studies. Consent to participate: Informed consent was obtained from all individual participants included in the studies. Consent for publication: All authors consent to publication.

Figures

Fig. 1
Fig. 1
Tracheostomy tube with subglottic suction port. The blue arrow indicates where the airflow is applied to the port for above cuff vocalisation. The white arrows indicate the direction of airflow through the vocal folds and exiting via the oral cavity
See this image and copyright information in PMC

References

    1. Mills CS, Michou E, King N et al (2022) Evidence for above cuff vocalization in patients with a tracheostomy: a systematic review. Laryngoscope 132:600–611. 10.1002/lary.29591 - PubMed
    1. Pandian V, Cole T, Kilonsky D et al (2020) Voice-related quality of life increases with a talking tracheostomy tube: a randomized controlled trial. Laryngoscope 130:1249–1255. 10.1002/lary.28211 - PubMed
    1. Kothari M, Bjerrum K, Nielsen LH et al (2017) Influence of external subglottic air flow on dysphagic tracheotomized patients with severe brain injury: preliminary findings. Ann Otol Rhinol Laryngol 126:199–204. 10.1177/0003489416683192 - PubMed
    1. Mills CS, Michou E, Bellamy MC et al (2022) Determining the prevalence, implementation approaches, and opinions of above cuff vocalization: a survey of health care professionals. Arch Phys Med Rehabil 103:394–401. 10.1016/j.apmr.2021.08.016 - PMC - PubMed
    1. Mills CS, Michou E, Bellamy MC et al (2024) Worth a try or a last resort: healthcare professionals’ experiences and opinions of above cuff vocalisation. Int J Lang Commun Disord 59:932–946. 10.1111/1460-6984.12970 - PubMed

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