Swallowing Management of the Tracheostomized Pediatric Patient- Case Presentations

Katy Peck, MA, CCC-SLP, CBIS
Children's Hospital Los Angeles, CA

Case: 3 year 8 month old female with severe pulmonary hypoplasia, secondary to congenital diaphragmatic hernia (CDH), s/p repair, GERD with history of pyloric stenosis s/p pyloromyotomy.

Katy Peck, MA, CCC-SLP, CBIS is a Pediatric Speech-Language Pathologist with over 10 years experience with infants through young adults with complex medical needs. She is recognized as a Certified Brain Injury Specialist by the American Brain Injury Association and is ASHA board certified. She has worked full-time at Children's Hospital Los Angeles (CHLA) for the past 4 years, specializing in feeding/swallowing, acquired brain injury, and meeting the needs of medically fragile children who require mechanical ventilation. She is the lead Speech Pathologist responsible for training staff in swallowing, Modified Barium Swallow Study, and assessment/treatment for patients with tracheostomy. She is the co-chair of the Dysphagia Team and active participant in the NICU Task Force developed to define the role of speech therapy in the NICU at CHLA. She is a co-investigator for a research study designed in collaboration with the CHLA Pulmonology Department to determine safety, comfort, and overall benefits of Passy Muir Valve use in the chronically ventilated pediatric population. This study is currently in the pre-submission stage of publication.

Christina Costa, MS, CCC-SLP
All Children's Hospital, St. Petersburg, FL

Case: A previously healthy 6 year old male requiring a tracheostomy, ventilator, and G-tube after the diagnosis of Guillain-Barré.




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