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Post-intubation dysphagia

Roberta Weber Werle, Eduardo Matias Dos Santos Steidl, Renata Mancopes
Purpose: To identify the main factors associated with oropharyngeal dysphagia following cardiac surgery through a systematic review of the literature. Methods: A bibliographic search was conducted in the PubMed and ScienceDirect databases using the following keywords: "cardiac surgery", "deglutition disorders", and "dysphagia". Selection criteria: Articles published in Portuguese, English, or Spanish addressing oropharyngeal dysphagia following cardiac surgery were selected with no time limitation...
September 26, 2016: CoDAS
Akira Naomi, Yoshinori Oyamatsu, Kunio Narita, Masato Nakayama, Shoki Maeda
A 46-year-old female visited a hospital due to pelvic inflammatory disease (PID) and then her chest computed tomography revealed an abnormal shadow in the upper mediastinum. Four months later,she complained muscle weakness with her limbs, dysphagia, and ptosis of her eyelids. Total thymectomy was performed through a median sternotomy for mass lesion, which was pathologically proven to be type B1 thymoma. Postoperative myasthenia gravis (MG) crisis, which led to respiratory failure requiring intubation and mechanical ventilation, developed and laboratory tests showed elevated serum anti-AChR Ab(130 nmol/l), antinuclear antibody( ×640 serum dilution, speckled pattern) and anti-RNP Ab(129...
September 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Min Jung Kim, Yun Hee Park, Young Sook Park, You Hong Song
OBJECTIVE: To identify the associations between the duration of endotracheal intubation and developing post-extubational supraglottic and infraglottic aspiration (PEA) and subsequent aspiration pneumonia. METHODS: This was a retrospective observational study from January 2009 to November 2014 of all adult patients who had non-neurologic critical illness, required endotracheal intubation and were referred for videofluoroscopic swallowing study. Demographic information, intensive care unit (ICU) admission diagnosis, severity of critical illness, duration of endotracheal intubation, length of stay in ICU, presence of PEA and severity of dysphagia were reviewed...
October 2015: Annals of Rehabilitation Medicine
Emma Daly, Anna Miles, Samantha Scott, Michael Gillham
PURPOSE: This retrospective audit set out to identify referral rates, swallowing characteristics, and risk factors for dysphagia and silent aspiration in at-risk patients after cardiac surgery. Dysphagia and silent aspiration are associated with poorer outcomes post cardiac surgery. METHODS: One hundred ninety patients who survived cardiac surgery and received more than 48 hours of intubation were included. Preoperative, perioperative, and postoperative information was collected...
February 2016: Journal of Critical Care
Mohd Meesam Rizvi, Raj Bahadur Singh, Mohd Asim Rasheed, Arindam Sarkar
CONTEXT: Postoperative throat complaints such as postoperative sore throat (POST), dysphagia, and hoarseness frequently arises after tracheal intubation and throat packing for patient undergoing general anesthesia. This condition is very disturbing to patient. Avoiding POST is a major priority for these patients because preventing postoperative complications contributes to patient satisfaction. AIMS: To describe and analyze the postoperative throat effects of nasopharyngeal packing and oropharyngeal packing in patients undergoing nasal surgery...
May 2015: Anesthesia, Essays and Researches
Dennis Yang, Davinderbir Pannu, Qing Zhang, Jeffrey D White, Peter V Draganov
INTRODUCTION: Data on anesthesia management and outcomes associated with peroral endoscopic myotomy (POEM) performed exclusively in the endoscopy unit are limited. In this prospective study, we evaluated the safety of anesthesia management, and the feasibility and efficacy of POEM performed exclusively in the endoscopy unit. METHODS: A single-center prospective study of consecutive patients with achalasia treated with POEM in an endoscopy unit was performed. Safety of anesthesia management and POEM were determined by procedure-related adverse events...
August 2015: Endoscopy International Open
Rebecca Scheel, Jessica M Pisegna, Edel McNally, Jacob Pieter Noordzij, Susan E Langmore
OBJECTIVES: The purpose of this study was to identify the frequency of swallowing dysfunction after extubation in a sample of patients with no preexisting dysphagia. METHODS: Mechanically ventilated patients in the ICU with no prior history of dysphagia received a flexible endoscopic evaluation of swallowing (FEES) exam within 72 hours after extubation. The FEES was then analyzed for variables related to swallowing patterns and laryngeal pathology. Univariate analyses were performed to identify relationships between variables...
January 2016: Annals of Otology, Rhinology, and Laryngology
Tianheng Zheng, Xinpu Zhu, Huazheng Liang, Haixia Huang, Jiandao Yang, Shaoshi Wang
We hypothesized that early enteral nutritional support would improve the short term prognosis of acute stroke patients with dysphagia, demonstrated by lower malnutrition rates, lower complication rates, and lower National Institutes of Health Stroke Scale (NIHSS) scores at 90 days post stroke. Nutrition support is an essential element in the care of stroke patients and many studies have investigated the effect of specific nutritional elements on stroke patients. However, few studies have looked at the impact of complete enteral nutrition on Chinese patients with acute stroke...
September 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Ryan E Nelson, John Carter, Akash G Anand
STUDY OBJECTIVE: To determine if hypopharyngeal surgery for obstructive sleep apnea is associated with significant morbidity in the early post-operative period. METHODS: Patients with a diagnosis of obstructive sleep apnea who underwent hypopharyngeal surgery at a tertiary care facility between November 2012 and September 2013 were included in this study. Surgical outcomes were assessed from medical records review and a 14 question telephone survey. Results: Twenty-two patients underwent hypopharyngeal surgery for obstructive sleep apnea (OSA)...
January 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Byung-Joon Chun, Ja-Sung Bae, So-Hui Lee, Jin Joo, Eun-Sung Kim, Dong-Il Sun
BACKGROUND: The present study was performed to determine whether thyroidectomy patients undergoing general anesthesia provided with a laryngeal mask airway (LMA) have a lower risk of voice-related complications and laryngopharyngeal symptoms than those undergoing endotracheal intubation (ETI). MATERIALS AND METHODS: In a prospective, double-blinded, randomized clinical trial, we studied 64 patients undergoing elective thyroid lobectomy between July 2013 and February 2014...
July 2015: World Journal of Surgery
Han Su, Tzu-Yu Hsiao, Shih-Chi Ku, Tyng-Guey Wang, Jang-Jaer Lee, Wen-Chii Tzeng, Guan-Hua Huang, Cheryl Chia-Hui Chen
The tongue plays important roles in mastication, swallowing, and speech, but its sensorimotor function might be affected by endotracheal intubation. The objective of this pilot study was to describe disturbances in the sensorimotor functions of the tongue over 14 days following oral endotracheal extubation. We examined 30 post-extubated patients who had prolonged (≥48 h) oral endotracheal intubation from six medical intensive care units. Another 36 patients were recruited and examined from dental and geriatric outpatient clinics served as a comparison group...
April 2015: Dysphagia
Mohan Rudrappa, Nikhil K Meena, Brendon Colaco, Clinton Colaco, Penchala Mittadodla
Miscellaneous Case Report Posters IIISESSION TYPE: Affiliate Case Report PosterPRESENTED ON: Tuesday, October 28, 2014 at 01:30 PM - 02:30 PMINTRODUCTION: Spontaneous thyroid hemorrhage is life threatening condition if not timely recognized. Despite the increasing use of oral vitamin k antagonists only few cases of thyroid hemorrhage causing airway compromise have been reported in literature. Our case reiterates the importance of timely diagnosis and managementCASE PRESENTATION: A 73 year old white woman with deep vein thrombosis on warfarin was admitted to a community hospital for management of urinary tract infection...
October 1, 2014: Chest
Ahmed M Sharata, Christy M Dunst, Radu Pescarus, Eran Shlomovitz, Aaron J T Wille, Kevin M Reavis, Lee L Swanström
INTRODUCTION: Peroral endoscopic myotomy (POEM) is a flexible endoscopic approach to the lower esophageal sphincter (LES) providing access for a myotomy to relieve dysphagia. The technique has been adopted worldwide due to reports of excellent short-term clinical outcomes. We report on a consecutive patient cohort with clinical and objective outcomes representing the establishment of a POEM program within a busy esophageal surgical practice. METHODS: Comprehensive data was collected prospectively on all patients undergoing POEM from October 2010 to November 2013 at a single institution...
January 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Emily Brogan, Claire Langdon, Kim Brookes, Charley Budgeon, David Blacker
Post stroke infections are a significant clinical problem. Dysphagia occurs in approximately half of stroke patients and is associated with respiratory infections; however it is unclear what other factors contribute to an increased risk. This study aimed to determine which factors are most strongly predictive of infections in the first 7 days post stroke admission. A retrospective review of 536 stroke patients admitted to Australian hospitals in 2010 was conducted. Data were collected on 37 clinical and demographic parameters...
January 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
Stacey A Skoretz, Terrence M Yau, Joan Ivanov, John T Granton, Rosemary Martino
Following cardiovascular (CV) surgery, prolonged mechanical ventilation of >48 h increases dysphagia frequency over tenfold: 51 % compared to 3-4 % across all durations. Our primary objective was to identify dysphagia frequency following CV surgery with respect to intubation duration. Our secondary objective was to explore characteristics associated with dysphagia across the entire sample. Using a retrospective design, we stratified all consecutive patients who underwent CV surgery in 2009 at our institution into intubation duration groups defined a priori: I (≤ 12 h), II (>12 to ≤ 24 h), III (>24 to ≤ 48 h), and IV (>48 h)...
December 2014: Dysphagia
Sherri L Lewis, Rebecca Brody, Riva Touger-Decker, James S Parrott, Joel Epstein
BACKGROUND: Use of a prophylactic feeding tube before concurrent chemotherapy and radiotherapy (CRT) for patients with head and neck cancer is often debated. METHODS: A retrospective, exploratory study of 109 veterans with stage III/IV head and neck cancer who completed standard CRT was conducted. Relationships among 3 feeding tube status groups: prophylactic feeding tube (PFT), reactive feeding tube (RFT), and no feeding tube (no-FT) were compared for clinical outcomes...
December 2014: Head & Neck
Gisele Chagas de Medeiros, Fernanda Chiarion Sassi, Laura Davison Mangilli, Bruno Zilberstein, Claudia Regina Furquim de Andrade
OBJECTIVES: To elucidate independent risk factors for dysphagia after prolonged orotracheal intubation. METHODS: The participants were 148 consecutive patients who underwent clinical bedside swallowing assessments from September 2009 to September 2011. All patients had received prolonged orotracheal intubations and were admitted to one of several intensive care units of a large Brazilian school hospital. The correlations between the conducted water swallow test results and dysphagia risk levels were analyzed for statistical significance...
January 2014: Clinics
Emily Brogan, Claire Langdon, Kim Brookes, Charley Budgeon, David Blacker
Swallowing problems occur in 37-78 % of stroke patients. Evidence points to multiple factors contributing to the development of pneumonia in the first week post stroke, of which the presence of dysphagia is one. A heightened understanding of the very acute phase (first 7 days post stroke) is required to improve management of this population. We conducted a retrospective review of 536 stroke patients admitted to Australian hospitals in 2010. Data were collected on 37 clinical and demographic parameters. Descriptive statistics and univariate and multivariate logistic regression analyses were performed...
June 2014: Dysphagia
Benjamin T Williams, Sarah M Schlein, E Martin Caravati, Holly Ledyard, Megan L Fix
STUDY OBJECTIVE: We report botulism poisoning at a state prison after ingestion of homemade wine (pruno). METHODS: This is an observational case series with data collected retrospectively by chart review. All suspected exposures were referred to a single hospital in October 2011. RESULTS: Twelve prisoners consumed pruno, a homemade alcoholic beverage made from a mixture of ingredients in prison environments. Four drank pruno made without potato and did not develop botulism...
July 2014: Annals of Emergency Medicine
Amirali Orandi, Amirhossein Orandi, Atabak Najafi, Fatemeh Hajimohammadi, Sara Soleimani, Somayeh Zahabi
BACKGROUND: Postoperative sore throat is one of the most common complications of general anesthesia and intubation with prevalence of 18%-65% in different studies. Several risk factors including female gender, postoperative nausea and vomiting and so on have been mentioned. OBJECTIVES: The aim of this study was to evaluate the incidence of postoperative sore throat in females and its association with menstrual cycles. PATIENTS AND METHODS: One hundred females between 18-45 years old with ASA class I or II without predicted difficult airway that were candidate for operation in supine position were enrolled in study...
September 2013: Anesthesiology and Pain Medicine
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