Managing Speech and Swallowing with Trach/Ventilator Dependence

Course Number

This course is FREE for professional members of, pro memberships $189/year: Become a Member

Presenter: Rik Lemoncello, PhD, CCC-SLP
Course Preview:

This workshop will provide SLPs with important information to understand, assess, and manage speech and swallowing challenges with adult patients who have tracheostomy tubes and/or use ventilators for respiratory support. Dr. Lemoncello will present in a dynamic format with hands-on demonstrations with tracheostomy tubes, ventilator circuits, and speaking valve placement. An adult living with a tracheostomy tube who uses a speaking valve and nighttime ventilator will also share her experiences and tips for SLPs working with this population.


Upon completion of this course, participants will be able to:

  • describe anatomy and physiology of breathing, coughing, speech, and swallowing
  •  identify parts and features of four major brands of tracheostomy tubes
  •  describe major ventilator modes and settings with impact on speech and swallowing
  •  define the impact of a tracheostomy tube on airflow and pressures for speech and swallowing
  •  identify three communication options for someone with a tracheostomy tube
  •  describe the dysphagia evaluation for an adult with a tracheostomy tube
  •  identify three swallowing maneuvers and strategies appropriate for adults with tracheostomy tubes
About Rik: Rik Lemoncello, PhD, CCC-SLP is Associate Professor in the School of Communication Sciences and Disorders at Pacific University-Oregon. With 15 years of clinical experience, he specializes in adult, medical speech-language pathology. He has worked in acute, inpatient rehabilitation, skilled nursing, long-term acute care, and outpatient centers. He was trained in tracheostomy/ventilator management at Spaulding Rehabilitation Hospital in Boston, MA. His current scholarship focuses on medical SLP, evidence-based practices, graduate student education, and cognitive rehabilitation.
Additional Information
This course is offered for 0.7 ASHA CEUs (Intermediate Level, Professional Area)

Course Timeline:

45 minutes: Typical speech production and airflow
45 minutes: Typical swallowing, airflow, and pressures
60 minutes: Tracheostomy tubes, parts, and features (hands-on)
45 minutes: Overview of ventilators, settings, and alarms
45 minutes: Examples 
45 minutes: Impact of tracheostomy tubes on speech & swallowing
45 minutes: Weaning/decannulation process & role of the SLP
30 minutes: Communication options
45 minutes: Swallowing management
15 minutes: Conclusion and Q&A

Disclosure Statement: 

Financial: Rik Lemoncello is a speaker for and receives royalties.
Nonfinancial: No relevant nonfinancial relationships exist.

Copyright © 2020 All rights reserved.
Learning Management System (LMS) is copyrighted by Copyright © 2017 Vector Solutions
113.27.1385.1: JPR-OH-WEB05