title: Beyond Tracheostomy: Noninvasive Ventilation and Potential Positive Implications for Speaking and Swallowing.
abstract: For more than a decade, there has been a trend toward increased use of noninvasive positive pressure ventilation (NPPV) via mask or mouthpiece as a means to provide ventilatory support without the need for tracheostomy. All indications are that use of NPPV will continue to increase over the next decade and beyond. In this article, we review NPPV, describe two common forms of NPPV, and discuss the potential benefits and challenges of NPPV for speaking and swallowing based on the available literature, our collective clinical experience, and interviews with NPPV users. We also speculate on how future research may inform clinical practice on how to best maximize speaking and swallowing abilities in NPPV users over the next decade.
authors.affiliation: Department of Speech & Hearing Sciences, Portland State University, Northwest Center for Voice & Swallowing.
authors.forename: Deanna
authors.initials: D
authors.lastname: Britton
authors.affiliation: Division of Pulmonary and Critical Care Medicine, University of Washington Medical Center, Seattle, Washington.
authors.forename: Joshua O
authors.initials: JO
authors.lastname: Benditt
authors.affiliation: Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, Arizona.
authors.forename: Jeannette D
authors.initials: JD
authors.lastname: Hoit
mesh_terms: D003679:Deglutition; D006801:Humans; D008397:Masks; D063087:Noninvasive Ventilation; D011175:Positive-Pressure Respiration; D014139:Tracheostomy