title: Cuff deflation: rehabilitation in critical care.
abstract: This is a case series of rehabilitation failures that resulted in severe reactive depression from patients unnecessarily bereft of verbal communication by being left to breathe or be ventilated via tracheostomy tubes, with or without inflated cuffs, for months to years.
authors.affiliation: From the Department of Physical Medicine and Rehabilitation, Rutgers New Jersey Medical School, Newark, New Jersey (JRB, L. Saporito); Department of Pulmonology, University Hospital of São João, Faculty of Medicine, University of Porto, Porto, Portugal (MRG, L. Soares); and Departamento de Neumología, Hospital Clinico Universitario San Joan D'Alacant, Alicante, Spain (PLR).
authors.forename: John R
authors.initials: JR
authors.lastname: Bach
authors.forename: Miguel R
authors.initials: MR
authors.lastname: Gonçalves
authors.forename: Pedro Landete
authors.initials: PL
authors.lastname: Rodriguez
authors.forename: Louis
authors.initials: L
authors.lastname: Saporito
authors.forename: Luisa
authors.initials: L
authors.lastname: Soares
mesh_terms: D000275:Adjustment Disorders / Q000209:etiology*; D000328:Adult; D003422:Critical Care; D006801:Humans; D008297:Male; D008875:Middle Aged; D009136:Muscular Dystrophies / Q000534:rehabilitation*; D063087:Noninvasive Ventilation / Q000009:adverse effects / Q000379:methods; D013060:Speech; D013119:Spinal Cord Injuries / Q000534:rehabilitation*; D014139:Tracheostomy / Q000009:adverse effects / Q000379:methods*; D055815:Young Adult