Tracheostomy and Ventilator Dependence In Adults and Children: Learning Through Case Studies




Assessment and Management of Tracheostomy and Ventilator Dependence in Children and Adults.

A wide variety of tracheostomy and ventilator dependency cases are presented, including congenital, acquired, and progressive illnesses; surgical cases; and COVID-19 pandemic case studies. The case studies also address both pediatrics and adults in many settings, such as outpatient, inpatient acute care and rehabilitation, ICU, and home care. Written in an engaging tone that focuses on the humans behind the diagnoses, the case studies offer a holistic approach that integrates what is known about physiology and treatment methods into the context of actual patients and their lives.

Sourced from speech pathologists, respiratory therapists, nurses, and physicians from around the world, the well-rounded clinical perspectives in these challenging and thought-provoking case studies will facilitate learning and enhance the knowledge of health care professionals, thus helping to improve the care and outcomes of pediatric and adult patients with tracheostomy or ventilator dependence. The book may also be used to supplement academic coursework for health care professionals in fields such as medical speech-language pathology by providing real-world examples of patient care for problem-based learning.  

Key Features

  • Full-color clinical photographs featuring patients and interventions
  • Background information related to the specific issue and physiologic underpinnings
  • Case history of the patient, including the environment where treated
  • The problem to be solved or goal to be achieved
  • The decisions that led to the plan, treatment, or intervention
  • The logic, physiologic basis, or research behind the treatment/intervention strategies
  • Peer-reviewed references

Table of Contents:

  • Chapter 1: Introduction
  • Chapter 2: Finding the Best-Fitting Tracheostomy Tube
  • Chapter 3: Establishing Phonation and/or Verbal Communication in Challenging Patients Across Settings
  • Chapter 4: Evaluation and Treatment of Swallowing Function
  • Chapter 5: Patients With Ventilator Dependence
  • Chapter 6: Ventilator Weaning
  • Chapter 7: Unique and/or Off-Label Interventions
  • Chapter 8: Decannulation
  • Chapter 9: Education That Made a Difference

Additional Photos

What's Included

  • 7" x 10" softcover
  • 271 pages
  • ©2024

Target Audience

For clinicians, educators, and students in the fields of speech pathology, otolaryngology, nursing, and respiratory care.


Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow, is a leading expert, accomplished researcher, and frequently invited national and international lecturer. Her areas of expertise include swallowing function, esophageal dysphagia, and management of patients with tracheostomy tubes and speaking valves.

Currently, Dr. Gross is a consultant and clinical specialist for Swallowing Diagnostics, Inc., Parkland, FL. She was the Director of Research at The Children's Institute in Pittsburgh, PA., and prior to this position, she was Director of the Swallowing Disorders Center at the University of Pittsburgh Medical Center and Assistant Professor of Otolaryngology in the School of Medicine.

Dr. Gross has published several scientific papers and clinical book chapters. Most recently, she was the primary editor of a case study textbook that focuses on tracheostomy and ventilator dependence in adults and children. Her primary area of research examines interactions between breathing and swallowing in neurologic and respiratory disease. Over the past 10 years, she has expanded her clinical work and research to include non-pathologic forms of esophageal dysphagia.

Speaker Disclosures:

Financial — Roxann Diez Gross is presenter of online CE courses by Northern Speech Services; receives royalties.

Nonfinancial — Roxann Diez Gross has no relevant nonfinancial relationships to disclose.

Kristin A. KingPhD, CCC-SLP, With over 25 years of experience in medical, academic, and industry settings, Kristin brings a unique perspective to medical speech-language pathology. With a focus on neurological disease processes, her research and teachings have investigated traumatic brain injury, swallowing disorders, and aspects of critical care (tracheostomy and mechanical ventilation).  She regularly speaks both domestically and internationally, publishes in peer-reviewed journals, and publishes frequently in clinical journals. She also has acted as an expert witness on these same topics.

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