Catrin Emery

I made this video as a brief overview of NIV & T2RF and I’m pretty pleased with it! Share as you please :) Non-Invasive Ventilation & Type 2 Respiratory Failure youtu.be/r4EytDfX6Zk via @YouTube @TheACPRC @KingsResp @NippyVentilator @PhilipsResp @iMobileCCOT

Very pleased this has now been published in full technicolour!🥳 The Non-Invasive Ventilation Outcomes (#NIVO) score works in patients requiring NIV for 'COPD exacerbation' but who do not have prior evidence of airflow obstruction #NIV #RespIsBest🫁📚🧑‍🔬 publications.ersnet.org/content/erjor/…

A point I’ve never considered in trache weaning and rehab highlighted by Emma Rybicki @AtosMedicalUK @NTSP_UK Using a OOV with cuff deflation allows a patient to perform a valsalva manoeuvre through resorted glottic closure.. this helps brace for mobility & toileting!

Great talk from Brendan McGrath on early cuff deflation in ITU @AtosMedicalUK.. 🏡 LOS shortened with early cuff deflation ➕ve pressure is not lost when the cuff is deflated on TIV ➕ve pressure can be helpful to push saliva etc up and out when the cuff is deflated

@EmilySLT Apparently a nasty tasting drug so can add a drop of squash / diluting juice to flavour if given on a spoon!

@CatrinEmery I've never thought re on a spoon... I usually suggest oral care and suction pre delivery

Interesting discussion around the use of atropine administration sublingually for saliva management.. 1. Where in the mouth do people place/advise to use the drops? 2. Do you drop directly into the mouth or administer on a spoon? 3. Do you advise good saliva/mouth clearance pre?

@jodeesimpson @katemordey Perhaps the teaspoon idea may help give a more precise dose if they can open sufficiently

@CatrinEmery @katemordey The people I supported who tried this as an alternative to hyoscine patch (due to reactions/nasty side effects) had difficulty administering due to bite reflexes /clamping down on the pipette which trigger accidental squeezing too much or dfc getting under tongue due to LD

A handy resource produced by @dorindamoffatt to guide the management of acute choking episodes in MND @mndeducation @mndassoc

We are looking for healthcare professionals involved in cough and secretion management in people with #MND to join our virtual focus groups ⭐️ Friday 8th December 9am-10am ⭐️ Tuesday 9th January 9am - 10am Please contact me on here or via email if you would like to participate

Assessment (and treatment) needs to be: 1. Holistic (small to big picture) 2. Responsive to a changing clinical picture / disease progression / patient wishes and priorities 3. Cyclical 4. Systematic and joined up across professionals and teams @Char_Massey @JodiAllenSLT

Today I have the pleasure of supporting the @mndassoc @mndeducation study day in London on all things secretion management and airway clearance. Great line up of speakers @Char_Massey @JodiAllenSLT @michellechatwin @dorindamoffatt

Excellent videos from @Char_Massey & @JodiAllenSLT talking about the upper airway in MND. I’ve always thought about glottic closure issues but not necessarily glottis opening issues and laryngospasm 🤔 @mndassoc

Great talks in the Respiratory parallel session @_ISCP_ conference with @TiinaAndersen and @CatrinEmery

@jmull1208 @JodiAllenSLT @mndeducation @Char_Massey @CarolineWaszki1 @AS_paris_london @liam_campbell85 It won’t be unfortunately

@JodiAllenSLT @mndeducation @Char_Massey @CarolineWaszki1 @AS_paris_london @CatrinEmery @liam_campbell85 Hi - will this be recorded or is there any way it can be viewed remotely?

The perfect @mndeducation training event for community #SLTs wanting to expand their #knowledge #assessment & #management of #cough & #secretion management in #MND: mndassociation.org/professionals/… Come join the #MDT teaching day: 🤗 NEWCASTLE 7th November 🤗 LONDON 21st November

Leading our respiratory session for this years online conference is @CatrinEmery & @TiinaAndersen 'Weaning From Mechanical Ventilation: An Art and Science' 'Larynx – A Respiratory Organ' Registration & programme iscp.ie/annual-confere… @CPRC_ISCP @egan83_egan @eve_stanley1

Take home points from the first talk of the NMP meeting @TheACPRC Carbocysteine has a diurnal effect - include a pre-bed dose. Should be weaned to a maintenance dose of 1500mg daily. 45% remain on the higher initiation dose New mucoactive drugs to explore: Erdosteine & NACSYS

@sofielouise6 Take care with the value of PCF in cases of bulbar or pseudobulbar palsy. Often results will be poor, linking to guidelines it’ll tell you to use MI:E, but the reality of using MI:E is more than just ticking a box of a guideline. Think of the bigger picture

@sofielouise6 Services that offer cough assist have their own criteria that will guide this. In our case, only provided if on ventilation so vent is our first line. Things like MPV can be added after NIV before introducing new devices

Also great for those working in ITU.. this patient group will always be cared for in ITU if admitted, so great to learn about how things differ for them at home and how to best support them during admissions!

Good work ⁦@RBandH⁩ 🎉 Ranked 4th worldwide for lung care ⁦@RBHHomeVent⁩ instagram.com/p/CxapEHJoJ8H/…