, Volume 8, Issue 3, pp 266–269 | Cite as

Dysphagia and expiratory air flow

  • Arthur A. Siebens
  • Donna C. Tippett
  • Nell Kirby
  • Joseph French


Expiratory air flow preserves the freedom of the upper airway from foodway contamination in patients with dysphagia. Valving the tracheostomy cannula, “quad coughing,” the Heimlich maneuver, the “supraglottic swallow,” and coupling to a ventilator each has a place among the measures used for treating aspiration.

Key words

Expiratory air flow Tracheostomy “Quad coughing” Heimlich maneuver Dysphagia Deglutition Deglutition disorders 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Linden P, Siebens AA: Dysphagia: predicting laryngeal penetration.Arch Phys Med Rehab 64:281–284, 1983Google Scholar
  2. 2.
    Siebens AA, Kirby NA, Poulos DA: Cough following transection of spinal cord at C-6.Arch Phys Med Rehab 45:1–8, 1964Google Scholar
  3. 3.
    Kirby NA, Bamerias MJ, Siebens AA: An evaluation of assisted cough in quadriparetic patients.Arch Phys Med Rehab 47:705–710, 1966Google Scholar
  4. 4.
    Heimlich JH: A life-saving maneuver to prevent food choking.JAMA 234:398–401, 1975Google Scholar
  5. 5.
    Logemann J:Evaluation and Treatment of Swallowing Disorders. San Diego, CA: College Hill Press, Inc, p 152, 1983Google Scholar
  6. 6.
    French J, Siebens AA, Kummel J, Kirby N, Eisele J: Preserving communication and airway clearance in tracheotomized children and adults.Arch Phys Med Rehab 65:651, 1984Google Scholar
  7. 7.
    French J, Kummell J, Siebens AA: Adapting the Hopkins speaking valve for use with a Shiley cannula. 14th RESNA Conference 1991, pp 376–378Google Scholar
  8. 8.
    Cameron JL, Reynolds J, Zuidema GD: Aspiration in patients with tracheostomies.Surg Gynecol Obstet 136:68–70, 1973Google Scholar
  9. 9.
    Bach JR, Alba AS: Tracheotomy ventilation: a study of efficacy with deflated cuffs and cuffless tubes.Chest 97:679–682, 1990Google Scholar
  10. 10.
    Tippett DC, Siebens AA: Using ventilators for speaking and swallowing.Dysphagia 6:94–99, 1991Google Scholar
  11. 11.
    Donner MW, Selbiger ML: Cinefluorographic analysis of pharyngeal swallowing in neuromuscular disorders.Am J Med Sci 251:600–616, 1961Google Scholar
  12. 12.
    Jones B, Kramer SS, Donner MW: Dynamic imaging of the pharynx.Gastrointest Radiol 10:213–224, 1985Google Scholar
  13. 13.
    Jones B, Donner M:Normal and Abnormal Swallowing. New York: Springer-Verlag, 1990Google Scholar
  14. 14.
    Bosma JF, Donner MW: A memorial.Dysphagia 7:128, 1992Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1993

Authors and Affiliations

  • Arthur A. Siebens
    • 1
    • 2
  • Donna C. Tippett
    • 1
    • 2
  • Nell Kirby
    • 1
  • Joseph French
    • 1
  1. 1.Department of Rehabilitation MedicineGood Samaritan Hospital of MarylandBaltimoreUSA
  2. 2.The Johns Hopkins School of Medicine; and Department of Speech-Language PathologyGood Samaritan Hospital of MarylandBaltimoreUSA

Personalised recommendations