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IMPORTANT: Starting from Wednesday, May 22, 2024, all manuscripts accepted for publication in 2025 must also be published in an English version. This translation must be managed and funded by the authors, as the journal will no longer cover these costs.

The Revista Chilena de Fonoaudiología accepts manuscripts on an ongoing basis throughout the calendar year. The journal operates under a "continuous publication" model.

Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part II: Improving phonation to facilitate communication

Authors

  • Rodrigo Tobar-Fredes Universidad de Chile
  • Belén Briceño Meneses Hospital San Juan de Dios de Curicó y Departamento de Ciencias de la Fonoaudiología, Universidad de Talca
  • Macarena Venegas-Mahn Hospital Clínico de la Universidad de Chile y Clínica Las Condes
  • Marisis Orellana Villouta Hospital Clínico de la Universidad de Chile
  • Inés Fuentealba Miranda Clínica Las Condes
  • Axel Pavez Reyes Hospital de Urgencia Asistencia Pública y Escuela de Fonoaudiología, Universidad de Las Américas
  • Ariela González Varas Hospital San José
  • Ying Wang Hospital Hernán Henríquez Aravena
  • Rocío Vera-González Hospital San José de Victoria y Escuela de Fonoaudiología, Universidad Mayor
  • Pablo Vásquez Lara Instituto Nacional del Cáncer
  • Nelson Saá-Barra Hospital del Salvador
  • Javiera Zúñiga Reyes Hospital Carlos Cisternas de Calama
  • Gabriel Salgado Maldonado Instituto Nacional del Tórax, y Laboratorio de Neuropsicología y Neurociencias Clínicas
  • Felipe Salazar Barra Clínica Dávila
  • Felipe Jiménez Rojas Hospital San Pablo de Coquimbo
  • Pilar Opazo-García Hospital San Juan de Dios de La Serena
  • Edison Gutiérrez Cifuentes Hospital Regional de Talca
  • Pamela Heusser Sagredo Hospital Clínico UC Christus
Vol. 19 (2020): noviembre
https://doi.org/10.5354/0719-4692.2020.60187

Abstract

The COVID-19 disease was declared a pandemic by the World Health Organization. When most severe, it generates a condition that requires treatment in intensive care units, which, when extended in time, requires implementing of a tracheostomy to facilitate invasive ventilatory support. Although ventilatory support has important advantages that favor recovery and rehabilitation, it generates various complications for patients’ communication, a condition that adds to the effects of COVID-19 and the frequent history of previous endotracheal intubation. The aim of this article is to provide guidance and clinical tools for the treatment of phonation to facilitate communication in people with tracheostomy and COVID-19. For this, the recommendations of the existing available literature are considered, under a pragmatic analysis and based on our experience of treating more than 561 infected patients. The characteristics of communication in this population, its treatment, considerations for the use of specific techniques and guidelines to improve quality of life are exposed. Always with an approach oriented to the care and protection of users and the health team, in particular speech-language pathologists in the country.

Keywords:

Communication, Voice, Tracheostomy, COVID-19, Critical care, Speech pathology

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How to Cite
Tobar-Fredes, R., Briceño Meneses, B., Venegas-Mahn, M., Orellana Villouta, M., Fuentealba Miranda, I., Pavez Reyes, A., González Varas, A., Wang, Y., Vera-González, R., Vásquez Lara, P., Saá-Barra, N., Zúñiga Reyes, J., Salgado Maldonado, G., Salazar Barra, F., Jiménez Rojas, F., Opazo-García, P., Gutiérrez Cifuentes, E., & Heusser Sagredo, P. (2020). Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part II: Improving phonation to facilitate communication. Revista Chilena De Fonoaudiología, 19, 1–9. https://doi.org/10.5354/0719-4692.2020.60187
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Revista Chilena de Fonoaudiología
Facultad de Medicina
Universidad de Chile
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