This webinar will be presented at an intermediate level of instruction. The presentation will focus on identification of potential PMV candidates and teach participants strategies to promote best outcomes with children with tracheotomy. The course content will enable participants apply fundamental anatomical and physiologic knowledge with basic principles regarding individual-specific intervention techniques. Complex medical profiles will be showcased to provide examples of challenging situations and the dynamic thought process used to educate children, families, and medical staff in attempts to build a confident team with unified goals. Comorbidities contributing to respiratory illness and dysphagia will be identified and the critical thinking related to how the interrelationships of these variables impact each child's journey will be discussed.