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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 https://orcid.org/0000-0002-9299-6727
  • Belén Briceño Meneses Hospital San Juan de Dios de Curicó; Universidad de Talca
  • Macarena Venegas-Mahn Hospital Clínico de la Universidad de Chile; 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; Universidad de las Américas https://orcid.org/0000-0001-8319-2228
  • Ariela González Varas Hospital San José https://orcid.org/0000-0002-1976-3927
  • Ying Wang Hospital Hernán Henríquez Aravena
  • Rocío Vera-González Hospital San José de Victoria; Universidad Mayor https://orcid.org/0000-0003-1723-9029
  • 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; Laboratorio de Neuropsicología y Neurociencias Clínicas https://orcid.org/0000-0002-4897-8863
  • 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

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