Verbal Communication Options for Patients with Tracheostomy and Mechanical Ventilation Webinar is a 2 hour recorded course that provides the available speech options including cuff deflation, fenestrated tracheostomy tubes, talking tracheostomy tubes (above the cuff ventilation), speech cannulas, and speaking valves. The course will provide suggestions for patient candidacy and how to implement each option. Determine cuff deflation status for each approach and ways to assess airway patency. The learner will also be provided with techniques and ventilator manipulations to improve voicing. There will be case studies to determine the ideal option. Sample protocols are provided.