Secretion Management in Tracheostomized Infants using Unconventional Approaches and Outcomes: A Case Series.

American Journal of Perinatology
Hevil Shah, Sudarshan R Jadcherla

Abstract

This study aimed to increase the understanding of secretion management in infants with tracheostomies. In this case series, we describe objective evidence for an unconventional approach in infants refractory to conventional management techniques. Case study of two NICU infants utilizing high-resolution manometry was undertaken using personalized oral stimulation protocols with fruity foods. Oral stimulation improved infant swallowing to clear secretions and reduce the need for suctioning. Innovative oral stimulation protocols are needed to improve swallowing in high-risk infants.

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