Gap Education
Dysphagia Management in Patients with Pulmonary Compromise:
ICU and Beyond - A Q&A Panel Discussion
This interactive panel discussion brings together leading experts in dysphagia management to explore critical decision-making in patients with pulmonary compromise. Designed for speech-language pathologists and other healthcare professionals, the session addresses key challenges in evaluating and treating dysphagia in ICU, LTAC, and acute care settings. Panelists will discuss best practices for post-extubation swallow assessments, considerations for high-flow nasal cannula and ventilated patients, and the role of interdisciplinary collaboration. Participants will have the opportunity to observe Q&A, gaining insights into real-world clinical scenarios and evidence-based approaches to improve patient outcomes.
Target Audience: Intermediate level
CE Credit: 0.1 ASHA CEUs can be awarded to ASHA members. No partial CE credit is provided.
To earn a certificate, and ASHA CEUs if desired, eligible learners must do the following:
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View the entire recorded webinar.
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Obtain 100% on a quick, 5 question multiple choice exam (may be retaken as needed).
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Complete required items in a learner survey.
Learning Objectives:
1. Identify key considerations for instrumental and bedside swallowing evaluations, including the impact of tracheostomy, high-flow nasal cannula, post-extubation protocols, and cranial nerve involvement.
2. Evaluate dysphagia scenarios, considering patient-specific factors such as respiratory status, medical history, and neurological involvement.
3. Identify evidence-based practices for working alongside physicians, respiratory therapists, and other healthcare professionals to optimize swallowing outcomes for patients in critical care and complex medical settings.
Instructors
Martin Brodsky PhD, ScM, CCC-SLP, ASHA Fellow
Dr. Martin Brodsky is Section Head for Speech-Language Pathology in the Head and Neck Institute at Cleveland Clinic and Adjunct Associate Professor of Physical Medicine and Rehabilitation and Pulmonary and Critical Care Medicine at Johns Hopkins University. His publications largely focus on swallowing and swallowing disorders and laryngeal injury after endotracheal intubation. Dr. Brodsky’s research is funded by the NIH studying the effects of critical illness and critical care medicine on swallowing and the airway.
Financial Disclosures
Panel Honorarium: Gap Education, LLC
Salary: Cleveland Clinic
Non-financial Disclosures
None
Jo Puntil, MS, CCC-SLP, BCS-S, ASHA Fellow
Jo Puntil is a Board-Certified Specialist in Swallowing and Swallowing Disorders. She is the Past ASHA Chair of the CCFC which oversees the implementation of certification and standards of care in Speech Pathology and Audiology. She has specialized in managing communication/cognitive and swallowing disorders for over 35 years in critical and acute care. Jo has extensive experience in developing interdisciplinary rehab programs, has lectured extensively, and has numerous publications.
Financial Disclosures
Panel Honorarium: Gap Education, LLC
Salary at the time of the recording: Intermountain Health
Non-financial Disclosures
None
Kendrea L. (Focht) Garand, PhD, CScD, CCC-SLP, BCS-S
Kendrea Garand is an Associate Professor within the Department of Communication Science and Disorders (CSD). She also serves as Director of CSD Student Awards. She completed her clinical doctorate (CScD) in medical speech-language pathology at the University of Pittsburgh and earned her PhD in health and rehabilitation sciences at the Medical University of South Carolina (MUSC). Dr. Garand's post-doctoral fellowship was completed within a joint appointment at the Veterans Affairs (VA) and MUSC’s Department of Otolaryngology-Head and Neck Surgery. Her interests include how healthy aging, motor neuron disease (e.g., ALS), and sleep-related breathing disorders (e.g., OSA) impacts swallowing function and respiratory-swallow coordination.
She has been a practicing speech-language pathologist for approximately 15 years and supervises graduate student clinicians in the CSD master’s program in speech-language pathology within the UPMC Swallowing Disorders Center.
Dr. Garand holds Board Certification in Swallowing and Swallowing Disorders (BCS-S). Part of her current professional service responsibilities include Editor-in-Chief of ASHA Perspectives of the Special Interest Groups journals and is the Chairperson of the American Board of Swallowing and Swallowing Disorders. Her work has been supported through NIH, VA and ASHFoundation, in additional to internal funding awarded through her previous faculty employment as an Assistant Professor at the University of South Alabama.
Financial Disclosures
Salary: University of Pittburgh
Panel Honorarium: Gap Education, LLC
Non-financial Disclosures
None
Financial Disclosures
Panel Honorarium: Gap Education, LLC
Non-financial Disclosures
None
Timothy Stockdale SLPD, CCC-SLP
Timothy (Tim) Stockdale is a speech-language pathologist whose work spans graduate-level teaching, clinical practice, and professional education. His work is grounded in medically focused speech-language pathology, with particular emphasis on dysphagia care, and he regularly designs and teaches continuing education courses for speech-language pathologists. He is the host of the podcast Swallow the Gap, which explores gaps in dysphagia care and broader medically focused SLP practice.
Tim has served on American Speech-Language-Hearing Association’s SIG 13 (Dysphagia) Professional Development Committee and is currently an Assistant Professor of Instruction at the University of South Florida. He earned his undergraduate degree from West Virginia University, his MS in Speech-Language Pathology from the University of South Florida, and his Doctor of Speech-Language Pathology from Northwestern University.
Financial Disclosures
Salary: University of South Florida
Ownership: Gap Education, LLC
Non-financial Disclosures
SIG 13 - Professional Development Committee Member (at the time of recording)
Course Schedule
0:00 - 4:20 -- Welcome and Introductions
4:20 - 5:40 -- Participant Questions
5:40 – 7:50 -- Peak Flow Meters in ICU for Decision-Making
7:50 – 10:30 -- Hospital Policy on Waiting 24 Hours Post-Extubation for Swallow Evaluation
10:30 - 13:30 -- Inline Speaking Valves and Swallow Evaluation Readiness
13:30 – 18:20 -- Hiring Decision Based on Inflexibility in Assessment Methods
18:20 - 28:10 -- Trialing Thickened Liquids at Bedside: Risks and Considerations
28:10 - 34:10 -- Cranial Nerve Exams in Swallow Assessment
34:10 - 42:00 -- High-Flow Nasal Cannula and Aspiration Risk
42:00 - 49:10 -- Recommendations for Oral Medications Post-Clinical Evaluation
49:10 - 1:00:00 -- Closing Discussion on Clinical Decision-Making and Critical Thinking
1:00:00 - 1:00:30 -- Outro
$15 - Standard Course Rate
Students: Email for 1/2 off
CFY: Email for 20% off