What might explain why the patient still could not phonate

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Reference no: EM133753691

Problem

A 37-year-old woman had acute kidney and liver failure; eventually she required a tracheotomy and underwent multiple failed intubations. Her respiratory status was not stable, but the patient wanted to eat so the speech-language pathologist was consulted. She noted that with the no. 8 tracheotomy cuff down the patient was unable to phonate and suggested that if possible the medical staff consider either downsizing the tracheotomy tube or placing a no. 8 fenestrated trach. A no. 8 fenestrated was placed the next day and the speech-language pathologist went back for another evaluation. At this time, the patient was still unable to phonate. What might explain why the patient still could not phonate? Could the speech-language pathologist still check the patient's swallow even if she did not hear voicing?

Reference no: EM133753691

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