This program is designed for the multidisciplinary team and will provide clinical information regarding tracheostomy indications, timing and procedures, for children from birth to 18 years of age. The physiologic impact of tracheostomy will be reviewed. Attendees will learn the importance of early intervention, potential impact on development, and assessment techniques utilizing a no-leak speaking valve. Advanced techniques for successful assessment and placement of a no-leak speaking valve on mechanically ventilated patients will be discussed and demonstrated. Clinicians also will learn how to implement a no-leak speaking valve in therapy to restore communication; restore subglottic pressure; improve feeding and swallowing; and improve secretion management, among other benefits, and in infants and children who require tracheostomy. Pediatric case studies, hands on sessions, and group discussion will be incorporated to complement the lecture and to enhance the learning experience for all attendees.