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oral endotracheal intubation dysphagia

Hee Seon Park, Jung Hoi Koo, Sun Hong Song
Objective: To prospectively assess the association between impoverished sensorimotor integration of the tongue and lips and post-extubation dysphagia (PED). Methods: This cross-sectional study included non-neurologic critically ill adult patients who required endotracheal intubation and underwent videofluoroscopic swallowing study (VFSS) between October and December 2016. Participants underwent evaluation for tongue and lip performance, and oral somatosensory function...
December 2017: Annals of Rehabilitation Medicine
Ana Carolina Martins de Oliveira, Amélia Augusta de Lima Friche, Marina Silva Salomão, Graziela Chamarelli Bougo, Laélia Cristina Caseiro Vicente
INTRODUCTION: Lesions in the oral cavity, pharynx and larynx due to endotracheal intubation can cause reduction in the local motility and sensitivity, impairing the swallowing process, resulting in oropharyngeal dysphagia. OBJECTIVE: To verify the predictive factors for the development of oropharyngeal dysphagia and the risk of aspiration in patients with prolonged orotracheal intubation admitted to an intensive care unit. METHODS: This is an observational, analytical, cross-sectional and retrospective data collection study of 181 electronic medical records of patients submitted to prolonged orotracheal intubation...
September 13, 2017: Brazilian Journal of Otorhinolaryngology
Seung Hwa Rhie, Ji Won Choi, Se Jeong Jeon, Sung Don Kang, Min Cheol Joo, Min Su Kim
OBJECTIVE: To investigate the characteristics and risk factors of dysphagia with the Videofluoroscopic Dysphagia Scale (VDS) using a videofluoroscopic swallowing study (VFSS) in patients with ruptured aneurysmal subarachnoid hemorrhage (aSAH). METHODS: Data of 64 patients presenting with first-ever ruptured aSAH were analyzed. Characteristics of dysphagia were evaluated using VFSS and all subjects were divided into a high (>47) and low risk group (≤47) by the VDS score...
December 2016: Annals of Rehabilitation Medicine
Martin B Brodsky, Minxuan Huang, Carl Shanholtz, Pedro A Mendez-Tellez, Jeffrey B Palmer, Elizabeth Colantuoni, Dale M Needham
RATIONALE: Nearly 60% of patients who are intubated in intensive care units (ICUs) experience dysphagia after extubation, and approximately 50% of them aspirate. Little is known about dysphagia recovery time after patients are discharged from the hospital. OBJECTIVES: To determine factors associated with recovery from dysphagia symptoms after hospital discharge for acute respiratory distress syndrome (ARDS) survivors who received oral intubation with mechanical ventilation...
March 2017: Annals of the American Thoracic Society
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
Martin B Brodsky, Jonathan E Gellar, Victor D Dinglas, Elizabeth Colantuoni, Pedro A Mendez-Tellez, Carl Shanholtz, Jeffrey B Palmer, Dale M Needham
PURPOSE: The purpose of this study is to evaluate demographic and clinical factors associated with self-reported dysphagia after oral endotracheal intubation and mechanical ventilation in patients with acute lung injury (ALI). MATERIALS AND METHODS: This is a prospective cohort study of 132 ALI patients who had received mechanical ventilation via oral endotracheal tube. RESULTS: The primary outcome was binary, whether clinically important symptoms of dysphagia at hospital discharge were reported by patients, using the Sydney Swallowing Questionnaire score 200 or more...
August 2014: Journal of Critical Care
Ahmed Al-Badri, Wael Nasser
SESSION TYPE: Miscellaneous Student/Resident Case Report PostersPRESENTED ON: Tuesday, October 23, 2012 at 01:30 PM - 02:30 PMINTRODUCTION: An aberrant right subclavian artery (ARSA) is the most common anatomical abnormality of the aortic arch, found in 0.5-1.8% of autopsies. Fistula formation between a non-aneurysmal retro-esophageal ARSA and the esophagus is exceptionally rare. (1)CASE PRESENTATION: A 44 year-old woman with history of hypertension, GERD, presented to the Emergency Department with rapidly progressive dyspnea and coffee-ground emesis...
October 1, 2012: Chest
A Fernández-Carmona, L Peñas-Maldonado, E Yuste-Osorio, A Díaz-Redondo
Airway isolation by endotracheal intubation or tracheostomy impedes or even interrupts speech and swallowing. Pharyngeal and laryngeal impairment frequently occurs after extubation or de-cannulation, common consequences being dysphonia, dysphagia and the aspiration of oral secretions, food, or fluids. Aspiration often leads to pneumonia and eventually death. Although the literature reports a high frequency of dysphagia following intubation and tracheostomy, the data vary considerably, and the true incidence of oropharyngeal dysphagia following artificial airway isolation remains to be established...
August 2012: Medicina Intensiva
Sonja Suntrup, Tobias Warnecke, Andre Kemmling, Inga Kristina Teismann, Christina Hamacher, Stefan Oelenberg, Rainer Dziewas
Dysphagia is found in up to 80% of acute stroke patients. To date most studies have focused on ischemic stroke only. Little is known about the incidence and pattern of dysphagia in hemorrhagic stroke. Here we describe the characteristics of dysphagia in patients with striatocapsular hemorrhage. Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was carried out in 30 patients with acute striatocapsular hemorrhage. Dysphagia was classified according to the six-point Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS) within 72 h after admission...
January 2012: Journal of Neurology
Tim A Iseli, Brian D Kulbersh, Claire E Iseli, William R Carroll, Eben L Rosenthal, J Scott Magnuson
OBJECTIVE: To evaluate functional outcomes following transoral robotic surgery for head and neck cancer. STUDY DESIGN: Case series with planned data collection. SETTING: Academic hospital. SUBJECTS AND METHODS: Between March 2007 and December 2008, 54 of 62 candidate patients underwent transoral robotic tumor resection. Outcomes include airway management, swallowing (MD Anderson Dysphagia Inventory), and enterogastric feeding...
August 2009: Otolaryngology—Head and Neck Surgery
Stacey A Skoretz, Darlene M Rebeyka
The objective of this clinical paper is to enhance nurses' understanding of normal swallowing physiology and post-operative swallowing impairments (dysphagia) in patients following cardiovascular surgery. Ultimately, the goals of dysphagia assessment and management are to prevent pulmonary complications secondary to aspiration and to ensure safe and adequate nutritional intake and hydration. Risk factors for dysphagia include stroke, compromised respiratory status, endotracheal intubation and/or tracheostomy tubes, and a dependency for feeding and oral care...
2009: Canadian Journal of Cardiovascular Nursing, Journal Canadien en Soins Infirmiers Cardio-vasculaires
Jennifer Barker, Rosemary Martino, Beatrix Reichardt, Edward J Hickey, Anthony Ralph-Edwards
BACKGROUND: Cardiac surgery is frequently associated with prolonged endotracheal intubation. Because oral feeding is an important component of patient recovery after high-risk surgery, we sought to examine the contribution of dysphagia in the recuperation process after prolonged endotracheal intubation. METHODS: All 254 adult patients who survived cardiac surgery between 2001 and 2004 at the Toronto General Hospital and in whom endotracheal intubation lasted for 48 hours or longer were eligible for our retrospective review...
April 2009: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Lee P Smith, Staci E Otto, Kathrine A Wagner, Linda Chewaproug, Ian N Jacobs, Karen B Zur
OBJECTIVES: To systematically evaluate perioperative management of oral feeding in children undergoing airway reconstruction. STUDY DESIGN: A retrospective chart review of all patients who underwent open airway reconstruction from February 1, 2006 through July 31, 2008 at a tertiary care children's hospital. METHODS: During the study period, a multidisciplinary protocol for perioperative management of alimentation was instituted. Swallowing function was evaluated pre- and postoperatively as part of a clinical management protocol...
May 2009: Laryngoscope
Barbara E Watt, Alex T Proudfoot, J Allister Vale
Hydrogen peroxide is an oxidising agent that is used in a number of household products, including general-purpose disinfectants, chlorine-free bleaches, fabric stain removers, contact lens disinfectants and hair dyes, and it is a component of some tooth whitening products. In industry, the principal use of hydrogen peroxide is as a bleaching agent in the manufacture of paper and pulp. Hydrogen peroxide has been employed medicinally for wound irrigation and for the sterilisation of ophthalmic and endoscopic instruments...
2004: Toxicological Reviews
J Lacau Saint Guily, D Boisson-Bertrand, P Monnier
Dysphagia of greater than 48 h duration is an indication for indirect laryngoscopy and when odynophagia and otalgia occur simultaneously, the possibility of subluxation of the arytenoids demands an urgent ENT assessment. The potential seriousness of laryngeal lesions following intubation obliges us to use the smallest compatible endotracheal tube. The occurrence of pain cervical surgical emphysema and fever suggests a pharyngeal lesion necessitating the suspension of oral feeding and the initiation of antibiotic therapy with anaerobic activity, while awaiting possible surgical intervention...
August 2003: Annales Françaises D'anesthèsie et de Rèanimation
C B Shaw, R Bawa, G Snider, M K Wax
We describe a case of retropharyngeal hematoma after a cervical hyperextension injury in an elderly man. Progressive hoarseness, dysphagia, and dyspnea were the early signs that necessitated oral endotracheal intubation and, ultimately, tracheostomy. The hematoma was explored and drained through a lateral cervical approach, and a bleeding vessel in a small tear in the anterior spinous ligament was noted and cauterized. The patient recovered uneventfully.
October 1995: Otolaryngology—Head and Neck Surgery
S R Gundry, A M Borkon, C L McIntosh, A G Morrow
Dysphagia and retrosternal pain are common complaints in patients after cardiac operations, and most often they result from the median sternotomy and/or endotracheal intubation. Although Candida esophagitis is a recognized cause of similar symptoms, it is usually not suspected except in immunologically compromised hosts. This report describes the case histories of five patients, not immunosuppressed or cachectic, who developed persistent dysphagia during recovery from cardiac operations; four patients received only 4 days of preoperative and postoperative prophylactic antibiotic treatment with cefazolin (Kefzol) and cephalexin (Keflex)...
November 1980: Journal of Thoracic and Cardiovascular Surgery
I Kujundzić, V Cvetnić, M Zmire, B Hofman, M Popović, Z Passini, B Valdec, A Munitić
The authors examined and followed 104 patients who had undergone surgery under endotracheal anesthesia in order to recognize the lesions of the oropharynx and the larynx resulting from intubation and other manipulations within the oral cavity and the pharynx. Laryngoscopic examination disclosed: a hematoma of true vocal cords in 5 patients, hematoma of the aditus ad laryngem and soft palate in 1 patient, edema in 4 patients, and in 8 patients hematoma of the oropharyngeal mucosa. The patients reported the following post-extubation discomforts: sore throat, hoarseness, dysphagia, a feeling of burning, clenching or foreign body in the throat, rough throat, irritation to hacking cough, and pains in the cervical musculature...
January 1989: Lijec̆nic̆ki Vjesnik
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