Incidence of Post-extubation Swallowing Disorders at the Critical Care Unit, by means of Fiberoptic Evaluation
Rev. am. med. respir
;
17(3): 241-249, set. 2017. ilus
Article
Dans Anglais
| LILACS
| ID: biblio-964499
ABSTRACT
Introduction:
The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) is a technique that allows the study of the physiology of swallowing. This technique can be applied at the patient's bedside, making it a very attractive choice for the critical care unit (CCU), since it is not necessary to transfer the patient to another place in order to carry out the evaluation.Objective:
Feasibility to carry out the FEES at the patient's bedside at the CCU and assess the incidence of swallowing disorders in extubated patients. Materials andMethods:
Comparative, prospective, analytical cohort study conducted 24 hours after extubation for a period of 6 months, including consecutively all the patients who received mechanical ventilation for a period ≥ 48 hours. The enrollment began in March, 2015.Results:
31 patients were included in the protocol. The incidence of swallowing disorders in extubated patients who required mechanical ventilation (MV) was 58%, 95% CI [confidence interval] (0.407-0.735) with 18 patients presenting disorders out of 31 evaluated cases. The significant differences between the groups of patients with and without swallowing disorders defined by the FEES were the post-extubation time until the FEES, the capacity to tolerate the FEES at upright sitting position (90°) vs. semi-upright sitting position (60°), the abnormality of the Langmore scale and the abnormal movement of the vocal cords. The complication registered in both groups was the presence of oxygen saturation < 90%.Conclusion:
This study shows that the implementation of the FEES as a method for detecting swallowing disorders (at the patient's bedside) is safe
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Troubles de la déglutition
/
Extubation
Type d'étude:
Etude d'incidence
/
Étude observationnelle
/
Facteurs de risque
langue:
Anglais
Texte intégral:
Rev. am. med. respir
Thème du journal:
Médicament
/
Maladie pulmonaire (spécialité)
Année:
2017
Type:
Article
Pays d'affiliation:
Argentine
Institution/Pays d'affiliation:
Hospital General de Agudos "Prof. Dr. Luis Güemes"/AR
/
Sanatorio Las Lomas/AR
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