Key Recommendations for Practitioners
The research emphasizes three main areas: personal protection, telepractice, and post-mechanical ventilation intervention. Here are some of the most critical points:
1. Personal Protection and Prevention
- Use N95 masks or higher-grade PPE during aerosol-generating procedures.
- Implement engineering controls such as barriers and proper ventilation.
- Follow strict hygiene protocols, including proper donning and doffing of PPE.
2. Telepractice for Voice Therapy
Telepractice has become an essential tool for delivering voice therapy during the pandemic. The research highlights several best practices:
- Ensure a stable and high-quality internet connection for both clinician and patient.
- Use synchronous (real-time) and asynchronous (stored information) methods to maximize effectiveness.
- Conduct thorough patient history and perceptual-auditory assessments using validated tools like GRBAS or CAPE-V scales.
3. Post-Mechanical Ventilation Interventions
Patients who have undergone mechanical ventilation may experience voice and swallowing disorders. Key recommendations include:
- Assess vocal function using maximum phonation time and s/z ratio.
- Implement semi-occluded vocal tract exercises to improve glottal closure and reduce inflammation.
- Monitor and adjust therapy based on the patient's recovery and response to exercises.
Encouraging Further Research
While the guidelines provide a solid foundation, the authors emphasize the need for ongoing research to refine and validate these recommendations. Practitioners are encouraged to contribute to the growing body of evidence by documenting their experiences and outcomes.
Conclusion
By adhering to these guidelines, practitioners can continue to deliver high-quality voice therapy while minimizing the risk of COVID-19 transmission. The integration of telepractice and rigorous personal protection measures are crucial for adapting to the current healthcare landscape.
To read the original research paper, please follow this link: Terapia Vocal No Contexto Da Pandemia Do Covid-19; Orientaes Para A Pratica Clinica.
