Overview

There is a growing population of infants requiring tracheostomy tubes for airway stabilization and lung maturation for NICU and PICU survivors. This advanced lecture will provide clinicians with information regarding the medical rationale for infants that are candidates for tracheostomy tube placement, implications of tracheostomy tubes on the development of infant oral feeding, and interventions to support safe oral feeding for these medically complex infants. This lecture will utilize evidence-based practice to provide clinicians with assessment, treatment, and goal writing strategies for this growing population. Discussion of pre-feeding oral motor, secretion management, ventilator settings and tracheostomy cuff considerations will be provided, as well as advancing infants to oral feeding with consideration for selection of bottle, nipple, flow rate, positioning, and monitoring swallow coordination. This lecture will discuss initial oral feeding interventions and the progression of feeding skills beyond their hospitalization.

Learning Outcomes

After attending this webinar, the participant will be able to:

1. Deduct rationale for infant requirement of tracheostomy tubes and implications on development.
2. Determine at least 2 risk factors for feeding dysfunction associated with oral feeding an infant with a tracheostomy.
3. Interpret oral feeding behaviors for infants with tracheostomy tubes as typical or atypical during the oral, pharyngeal, and esophageal phase of feeding.

Additional Learning Outcome for Nursing:

• List at least 2 rationales for infant requirement of tracheostomy tubes and implications on development.

Timed Agenda:

• 1:00 – 1:05 Introduction to topic
• 1:05 – 1:15 Medical conditions for infants that require tracheostomy tubes and impact on oral feeding and development
• 1:15 – 1:20 Medical equipment to support an artificial airway and aerodigestive tract function: Tracheostomy tube components and ventilator settings
• 1:20 – 1:30 Assessment/treatment of Oral Phase: Oral motor skills, secretion management, cough activation, and tastes
• 1:30 – 1:45 Assessment/treatment of Pharyngeal/Esophageal Phases: Progression to oral feeding and management of tracheostomy tube, positioning, videofluoroscopy, oral feeding care plan
• 1:45 – 1:50 Summary
• 1:50 – 2:00 Question/Answer session

Instructional Method

Live webinar includes lecture, PowerPoint slides, handouts, question and answer session, learning assessment and course evaluation. On-demand webinar includes lecture, PowerPoint slides, handouts, recorded question and answer session, learning assessment and course evaluation.

Course Completion Requirements

The learner must view the entire webinar, complete the course evaluation, and complete the post-webinar learning assessment to receive education credit. Login and logout times will be recorded and documented.

Learners must complete the entire course to receive ASHA CEUs. No partial credit awarded. ASHA CE Provider approval and use of the Brand Block does not imply endorsement of course content, specific products, or clinical procedures.

ASHA CEUs available for the live webinar on November 29, 2022 only.

Nursing: Provider approved by the California Board of Registered Nursing, Provider #16677 for 1 Contact Hour. Participant required to attend 80% of the activity to receive CE.

Dr. Brown’s Medical is an AOTA Approved Provider of professional development. PD activity approval ID# 0000005563. This webinar is offered at 0.1 CEUs, educational level, Advanced. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.

NOTES

For questions re: webinars or CE credit, please contact us at medinfo@drbrownsmedical.com

For ADA accommodations, please call: 844.967.6767

Cancellation policy: If Dr. Brown’s Medical is unable to provide webinar at stated date and time, the registered learner will be notified via email
of rescheduled date. Contact us at medinfo@drbrownsmedical.com to review the course cancellation policy.