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The F.O.T.T. Approach to Tracheostomy Tube Management (TTM): Return to Physiology

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Abstract

The treatment of patients with tracheostomy tubes places rigorous demands on an interprofessional and interdisciplinary team. The successful treatment of tracheostomised patients with brain injury is dependent on more than selection of the right tracheostomy tube. It requires an in-depth knowledge of physiology and a thorough understanding of the changes caused by the brain damage, which often affect the complex system of respiration and swallowing. In this chapter we outline an interprofessional approach of tracheostomy tube management (TTM). The primary responsibility for assessment, goal setting, treatment planning, and evaluation should be allocated to those members of staff who have the most experience and a solid background in F.O.T.T. Continuing education is vital, to establish conceptually sound knowledge and provide background experience in the treatment of this particularly complex problem.

Keywords

  • Breathing-swallowing coordination
  • Dynamic stability
  • Protective mechanism
  • Reflexive coughing
  • Cleaning (the aerodigestive tract)
  • Therapeutic deflation of the cuff
  • Therapeutic suctioning
  • Interprofessional cooperation

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Sticher, H., Gratz, C. (2021). The F.O.T.T. Approach to Tracheostomy Tube Management (TTM): Return to Physiology. In: Nusser-Müller-Busch, R., Gampp Lehmann, K. (eds) Facial-Oral Tract Therapy (F.O.T.T.) . Springer, Cham. https://doi.org/10.1007/978-3-030-51637-6_10

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  • DOI: https://doi.org/10.1007/978-3-030-51637-6_10

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