The RISCI committee. Without these passionate clinicians yesterday would not have taken place. A special shout out to Sarah Morgan Bec Mark Bevan and Aimi Forrest for organizing a great day (all in their spare time). See you next year in Salisbury 🫁

Are you a person living with a spinal cord injury?
We are currently collaborating with icord to identify future priorities for spinal cord injury research. Please help us by completing the following short survey: ubc.ca1.qualtrics.com/jfe/form/SV_9K…

More info here: icord.org/studies/2023/0…

A great 3 days ISCoS Meetings & opportunity to share our work re the value of SLT in SCI ➡️ dedicated & expert input helps restore verbal communication & ability to eat & drink Mersey and West Lancashire NHS Research @MWLNHS NWRSIC

Take a look⬇️ Updated weaning guidelines for #SCI with advice for early voice restoration and swallowing #slpeeps #dysphagia SLTsinCC

Have you had experience of rehabilitation following a critical illness as a patient or a carer? If so, please see the information below. ICUsteps Critical Care Support Network Intensive Care Society 💙 ICNARC FICMNews BACCN 💙 Royal College of Occupational Therapists Chartered Society of Physiotherapy RCSLT 💙 UK Critical Care Nursing Alliance Royal College of Anaesthetists RCGP

Thrilled to see this paper come together and work with such a wonderful team. Oropharyngeal #dysphagia in Acute Cervical Spinal Cord Injury. Take a look ⬇️ #MDT #slpeeps @SONHStrust

Delighted to receive an Early Career Scholar Award ISCoS Meetings recognisibg dysphagia in patients with SCI. Huge thanks to The SRI for support & colleagues Sharon Leigh Sarah Morgan Belen Lopez for their dedication to clinical excellence. More data and research needed 🏆

Wonderful collaboration & opportunity to share our work ISCoS Meetings #slpeeps
Use of FEES in spinal cord injury - helps identify laryngeal pathology & early return to oral intake #dysphagia

Fantastic conference to be part of, sharing ideas & research for improving care in #SCI
The role of the larynx in respiratory function & weaning- should we be routinely assessing the upper airway?
#Dysphagia & silent aspiration are common features
RISCI

#Dysphagia following acute cervical spinal cord injury is common
Aspiration is often silent-our data 56%
Use of imaging such as #FEES allows for early detection & management
Teams should consider & assess for dysphagia in this population
#slpeeps

SAVE THE DATE 24th June 2022
RISCI Conference Hosted by Stoke Mandeville Hospital at The Holiday Inn, Aylesbury. “The Rehabilitation Journey of the Ventilated Patient”. Please email [email protected] to register your interest. Call for abstracts to follow shortly

Are you a UK based speech therapist working with adults that have a tracheostomy? If yes, please consider completing the #survey . Follow the link for more information 👇
redcap.link/85k0iyg0
#tracheostomy #dysphagia
RCSLTResearch Adult SLT RCSLTTracheCEN

👀 JOB ALERT:
Band 7 SLT team lead - med/surg @SONHStrust
Opportunities for:
✅ Service development projects
✅ FEES/VFS training and development
✅ Friendly & supportive SLT team with regular CPD & supervision. Closes 5th Dec #slpeeps

SAVE THE DATE - the next RISCI conference will be held virtually on 19th November 2021 from 9 - 12:15. Calls to register your interest and submissions for abstracts for our quick fire presentations will be coming soon!

‘Pharyngeal dysfunction, as measured by #FEES exam, was present in 37 (74%) patients. Patient goals, in decreasing order of frequency, included: eating and drinking, speaking, walking, returning home, and toileting’ Important role for #slpeeps in #criticalcare

Thanks to The SRI for supporting research discussions today with SLTs from Spinal Units in UK, Australia and India to showcase the added value of SLT in SCI.
Let's do it! 😊
Dr Emma Wallace Sarah Morgan Hannah Chalke Sharon Leigh jennyhalse
Teresa Pitts, PhD ISCoS Meetings

Size matters: ETT size >7.5 associated with aspiration & laryngeal injury #dysphagia

➡️Shinn et al 2019 journals.lww.com/ccmjournal/Abs…

➡️Krisciunas et al 2020 journals.lww.com/ccmjournal/Cit…

➡️Plowman et al 2021 sciencedirect.com/science/articl…

#slpeeps #ICUrehab #DRS2021

Post extubation #dysphagia (PED) possible impact on clinical outcomes:
-delayed return to oral feeding
-prolonged stay in #ICU
-increased rate of tube feeding
-re-intubation
-increase resource use

Pathophysiology & mechanisms from Dr Marc Moss ⬇️ #DRS2021

Causes of ⬇️ UES pressure:
-swallowing
-eructation (burping)
-sleep (deep phases)
-expiration
-advanced age

Causes of ⬆️ UES pressure:
-stress
-inspiration
-phonation
-intra-oesophageal acid
-oesophageal distension
#DRS2021 #slpeeps From Dr Julina Ongkasuwan

Upper oesophageal sphincter =
high pressure zone separating pharynx from oesophagus

Comprises 3 muscles:
-Inferior pharyngeal constrictor
-Cricopharyngeus
-Circular cervical oesophagus

Most of the tone & pressure in UES from CP
#DRS2021 #slpeeps