Trachealkanülen-Management in der F.O.T.T.: der Weg zurück zur Physiologie

  • Heike Sticher
  • Claudia Gratz

Zusammenfassung

Die therapeutische Behandlung neurologischer Patienten mit 7 Trachealkanüle hat sich in Deutschland seit Mitte der 80er Jahre zum breiteren Aufgabenbereich von Ergotherapeuten, Physiotherapeuten, Logopäden und Krankenpflege entwickelt. Sie stellt hohe Anforderungen an ein interdisziplinäres Team.

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Literatur

  1. Addington WR et al. (1999) Assessing the laryngeal cough reflex and the risk of developing pneumonia after stroke. Arch Phys Med Rehabil Vol 80Google Scholar
  2. Affolter F (1990) Wahrnehmung Wirklichkeit und Sprache. Neckar, Villingen-SchwenningenGoogle Scholar
  3. Bonanno PC (1971) Swallowing dysfunction after Tracheostomy Ann. Surg Vol. 174, No. 1Google Scholar
  4. Buchholz DW (1996) What is Dysphagia? Dysphagia 11:23–24PubMedCrossRefGoogle Scholar
  5. Buckwalter JA, Sasaki CT (1984) Effect of tracheotomy on laryngeal function Otolaryngologic Clinics of North-America Vol. 17Google Scholar
  6. Butcher RB (1982) Treatment of chronic aspiration as a complication of cerebrovascular accident. Laryngoscope 92Google Scholar
  7. Cameron JL et al. (1973) Aspirations in patients with tracheostomies. Department of Surgery, The John Hopkins Medical Institutions, BaltimoreGoogle Scholar
  8. Davies P (1991) Im Mittelpunkt. Rehabilitation und Prävention 25. Springer, BerlinGoogle Scholar
  9. Davies P (1994) Wieder Aufstehen. Rehabilitation und Prävention 30. Springer, BerlinGoogle Scholar
  10. DeVita MA (1990) Swallowing disorders in patients with prolonged orotracheal intubation or tracheostomy tubes. Critical care medicine Vol. 18, No. 12:1328–1330PubMedCrossRefGoogle Scholar
  11. Dikeman KJ, Kazandjian MS (1997) Communication and swallowing management of tracheostomized and ventilator dependent adults. Singular Publishing Group Inc., San DiegoGoogle Scholar
  12. Edwards S (1996) Neurological Physiotherapy. Churchill Livingstone, New YorkGoogle Scholar
  13. Ehrenberg H (1998) Atemtherapie in der Physiotherapie. Pflaum, MünchenGoogle Scholar
  14. Engström B (2001) Ergonomie-Sitzen im Rollstuhl. Posturalis BooksGoogle Scholar
  15. Frank U et al. (2007) Dysphagic patients with tracheotomies: a multidisciplinary approach to treatment and decannulation management. Dysphagia 22:20–29PubMedCrossRefGoogle Scholar
  16. Frost EAM (1977) Respiratory Problems associated with head trauma. Neurosurgery Vol. 1, No. 3Google Scholar
  17. Gratz C, Woite D (2004) Die Therapie des Facio-Oralen-Traktes bei neurologischen Patienten: Zwei Fallbeispiele. Schulz-Kirchner, IdsteinGoogle Scholar
  18. Graumüller S et al. (2002) Spätkomplikationen und Nachsorge nach Tracheotomie unter besonderer Berücksichtigung der Punktionstracheotomie in der neurologischen Frührehabilitation. Neurol Rehabil 8:122–127. Hippocampus, Bad HonnefGoogle Scholar
  19. Groher ME (1997) Dysphagia, Diagnosis and Management. Butterworth, Newton, MAGoogle Scholar
  20. Hadjikoutis S, Pickersgill TP, Dawson K, Wiles CM (2002) Abnormal Patterns of breathing during swallowing in neurological disorders. Brain 123; 9:1963–1873Google Scholar
  21. Heidler MD (2007) Rehabilitation schwerer pharyngo-laryngo-trachealer Sensibilitätsstörungen bei neurologischen Patienten mit geblockter Trachealkanüle. Neurol Rehabil 13(1):3–14Google Scholar
  22. Higgins DM et al. (1997) Dysphagia in the patient with a tracheostomy: Six cases of inappropriate cuff deflation or removal. Heart u. Lung Vol. 26, No. 3Google Scholar
  23. Kapandji (1985) Funktionelle Anatomie der Gelenke (3), Bd 3: Rumpf und Wirbelsäule. Enke, StuttgartGoogle Scholar
  24. Klahn MS, Perlman AL (1999) Temporal and durational patterns associating respiration and swallowing. Dysphagia 14:131–138PubMedCrossRefGoogle Scholar
  25. Leder SB et al. (1996) Effect of occlusion of a tracheotomy Tube on aspiration Dysphagia 11:254–158PubMedCrossRefGoogle Scholar
  26. Lipp B und Schlaegel W (1997) Das Tracheostoma in der neurologischen Frührehabilitation. Forum Logopädie 8–11. Schulz-Kirchner, IdsteinGoogle Scholar
  27. Mack B (2002) Sitzphilosophie bei hirnverletzten Menschen im Wachkoma B.A.T.S.A.. Vortrag an der 35. APO-Jahrestagung, Montreux, SchweizGoogle Scholar
  28. Mang H (1992) Atemtherapie: Grundlagen, Indikationen und Praxis. Schattauer, StuttgartGoogle Scholar
  29. Martin BJW, Logemann JA, Shaker R, Dodds WJ (1994) Coordination between respiration and swallowing respiratory phase relationships and temporal intergration. J. Appl Physiol 76:714–723PubMedGoogle Scholar
  30. Morgan AS, Mackay LE (1999) Causes and complications associated with swallowing disorders in traumatic brain injury. Journal of Head Trauma Rehabil 14(5):454–461CrossRefGoogle Scholar
  31. Nash M Swallowing problems in the tracheotomized patient Aspiration and Swallowing disorders 0030–6665/Google Scholar
  32. Sasaki CT (1985) Surgery of the larynx »Laryngeal physiology«, Chapter 3. W.B. Sounders and companyGoogle Scholar
  33. Sasaki CT et al. (1977) The effect of tracheostomy on the laryngeal closure reflex. Laryngoscope 87:1428–1433PubMedCrossRefGoogle Scholar
  34. Seidl et al. (2007) Pilot study of a neurophysiological dysphagia therapy for neurological patients. Clinical Rehabilitation 21:686–697Google Scholar
  35. Selley WG, Flack FC, Ellis RE, Brooks WA (1989) Respiratory patterns associated with swallowing: Part 1 The normal adult pattern and changes with age. Age and Aging 18:168–172CrossRefGoogle Scholar
  36. Selley WG, Flack FC, Ellis RE, Brooks WA (1989) Respiratory patterns associated with swallowing: Part 2 Neurologically impaired dysphagic patients. Age and Aging 18:173–176CrossRefGoogle Scholar
  37. Smith et al. (1989) Coordination of eating, drinking and breathing in adults Chest. The cardiopulmonary and critical care journal 96:578–582Google Scholar
  38. Umphred DA (2000) Neurologische Rehabilitation, Bewegungskontrolle und Bewegungslernen in Theorie und Praxis. Rehabilitation und Prävention, Bd 52. Springer, BerlinGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Heike Sticher
    • 1
  • Claudia Gratz
    • 2
  1. 1.Burgfelderhof 40Basel
  2. 2.F.O.T.T. Therapiezentrum BurgauBurgau

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