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pulse oximetry dysphagia

Angela Tedesco, Valentina Lavermicocca, Marilina Notarnicola, Luca De Francesco, Anna Rita Dellomonaco
The process of medical-healthcare technological revolution represents an advantage for the patient and for the care provider, in terms of costs and distances reduction. The telehomecare approach could be useful for monitoring the swallowing disorder in neurodegenerative diseases, preventing complications. In this study the applicability of telemedicine techniques for the monitoring of swallowing function, in patients affected by Huntington's disease (HD), was evaluated through the acquisition and analysis of the sound of swallowing...
February 2018: Recenti Progressi in Medicina
Deanna Britton, Amy Roeske, Stephanie K Ennis, Joshua O Benditt, Cassie Quinn, Donna Graville
Pulse oximetry is a commonly used means to measure peripheral capillary oxyhemoglobin saturation (SpO2 ). Potential use of pulse oximetry to detect aspiration is attractive to clinicians, as it is readily available, quick, and noninvasive. However, research regarding validity has been mixed. This systematic review examining evidence on the use of pulse oximetry to detect a decrease in SpO2 indicating aspiration during swallowing is undertaken to further inform clinical practice in dysphagia assessment. A multi-engine electronic search was conducted on 8/25/16 and updated on 4/8/17 in accordance with standards published by the Preferred Reporting for Items for Systematic Reviews and Meta-Analysis Protocols (PRISMA)...
December 14, 2017: Dysphagia
Mckinley Andrews, Mershen Pillay
BACKGROUND: Speech-language therapists are specifically trained in clinically evaluating swallowing in adults with acute stroke. Incidence of dysphagia following acute stroke is high in South Africa, and health implications can be fatal, making optimal management of this patient population crucial. However, despite training and guidelines for best practice in clinically evaluating swallowing in adults with acute stroke, there are low levels of consistency in these practice patterns. OBJECTIVE: The aim was to explore the clinical practice activities of speech-language therapists in the clinical evaluation of swallowing in adults with acute stroke...
January 23, 2017: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
D Cocho, M Sagales, M Cobo, I Homs, J Serra, M Pou, G Perez, G Pujol, S Tantinya, P Bao, A Aloy, R Sabater, J Gendre, P Otermin
INTRODUCTION: During acute stroke, 30% of all patients present dysphagia and 50% of that subgroup will experience bronchoaspiration. Our aim was to compare mortality and bronchoaspiration rates associated with the water test compared to those associated with a 2 volume/3 texture test controlled with pulse oximetry (2v/3t-P test) in our stroke unit. PATIENTS AND METHODS: Over a 5-year period, we performed a prospective analysis of all consecutive acute ischaemic stroke patients hospitalised in the Stroke Unit...
January 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
Lisiane De Rosa Barbosa, Erissandra Gomes, Gilberto Bueno Fischer
OBJECTIVE: To determine the occurrence of clinical signs of dysphagia in infants with acute viral bronchiolitis, to compare the respiratory parameters during deglutition, and to ensure the intra- and inter- examiners agreement, as well as to accomplish intra and interexaminators concordance of the clinical evaluation of the deglutition. METHODS: This was a cross-sectional study of 42 infants aged 0-12 months. The clinical evaluation was accompanied by measurements of respiratory rate and pulse oximetry...
September 2014: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
Mara de Oliveira Rodrigues Luiz Dantas, José Otávio Costa Auler, Claudia Regina Furquim de Andrade
BACKGROUND: Swallowing evaluation of older individuals with coronary disease referred to heart surgery. AIM: To identify the characteristics of the swallowing function in older individuals referred to myocardial revascularization surgery (MR), using an evaluating protocol composed by a water test, cervical auscultation and pulse oximetry. METHOD: The Assessment Protocol for Dysphagia Risk through a Combined Swallowing test and Vital Signs monitoring was used (PADTC)--measurements of HR and SpO2 (heart rate and oxygen saturation), water swallowing test with 1, 3, 5, 10, 15 e 20 ml, measurement of respiratory rate and cervical auscultation...
October 2010: Pró-fono: Revista de Atualização Científica
A Dueñas-Laita, G Burillo Putze, J R Alonso, A Bajo, B Climent, E Corral, F Felices, A Ferrer, M P Hernández Frutos, S Nogué, J Puiguriguer
Poisoning by smoke is the main cause of morbidity and mortality in fires. Smoke is a mixture of carbonaceous particles suspended in hot air and toxic gases. Of these, carbon monoxide (CO) and primarily hydrocyanic acid (CNH), are those that provoke tissue anoxia. The clinical manifestations of smoke poisoning are variables. Some of the potential manifestations could be: eye irritation, sore throat, laryngeal stridor, dysphagia, carbonaceous sputum, cough, dyspnea, laryngospasm, bronchospasm, coronary syndrome, coma, hypoxemia, lactic acidosis, cyanosis and death...
December 2010: Medicina Intensiva
Carlo Bianchi, Giovanna Cantarella
We report the long-term history of two patients with oropharyngeal dysphagia subsequent to partial resection of the larynx (supraglottic and subtotal laryngectomy, respectively). Both fiberendoscopic and videofluoroscopy swallowing studies demonstrated aspiration of liquids and solids in the lower respiratory tract. The patients underwent a swallowing rehabilitation program and respiratory exercises to improve the efficacy of their cough, and both continued oral feeding despite their persistent dysphagia. They were followed annually over the subsequent 12 and 9 years, respectively, which included overseeing the clinical status of their bronchopulmonary apparatus (i...
September 2011: Dysphagia
Danielle E Turner-Lawrence, Meredith Peebles, Marlow F Price, Sam J Singh, Andrew W Asimos
STUDY OBJECTIVE: To determine the sensitivity of dysphagia screening by emergency physicians on acute stroke patients. METHODS: To develop a 2-tiered dysphagia screen and performed it on a convenience sample of acute stroke patients. Tier 1 examined voice quality, swallowing complaints, facial asymmetry, and aphasia. Tier 2 involved a water swallow test, with evaluation for swallowing difficulty, voice quality compromise, and pulse oximetry desaturation (>or=2%)...
September 2009: Annals of Emergency Medicine
Gerrie J J W Bours, Renée Speyer, Jessie Lemmens, Martien Limburg, Rianne de Wit
AIM: This paper is a report of a systematic review conducted to determine the effectiveness and feasibility of bedside screening methods for detecting dysphagia in patients with neurological disorders. BACKGROUND: Dyspaghia affects 22-65% of patients with neurological conditions. Although there is a large variety of bedside tests to detect dysphagia, it is unknown which have the best psychometric properties and are feasible for nurses to use. DATA SOURCES AND REVIEW METHODS: An electronic database search was carried out using Medline (PubMed), Embase, CINAHL, and PsychLit, including all hits up to July 2008...
March 2009: Journal of Advanced Nursing
Uma Sundar, Vimal Pahuja, Nishant Dwivedi, Murar E Yeolekar
AIMS: The study aimed at correlation of post-stroke dysphagia with area and volume of infarct/ bleed, and with subsequent in-hospital respiratory morbidity and mortality. MATERIALS AND METHODS: 50 patients of acute stroke were serially recruited. Standard Staff swallowing assessment was performed within 24 hours of admission along with pulse oximetry. Ischemic strokes were classified as per OCPS registry. In-hospital respiratory morbidity and mortality, mode of nutrition and disability status at discharge were noted...
October 2008: Neurology India
G Kaya, O Koyuncu, N Turan, A Turan
We compared the laryngeal mask airway (LMA) and the laryngeal tube (LT) with the perilaryngeal airway (CobraPLA, PLA) in anaesthetised, paralysed children having brief surgical procedures. After obtaining informed consent, 90 paediatric ASA Status 1 and 2 patients awaiting short surgical procedures were randomised to have their airways managed with an LMA, LT or PLA. Anaesthesia was induced with sevoflurane (2.5 to 4%) and muscle paralysis with mivacurium (0.2 mg/kg intravenously). The number of insertion attempts, time taken to insert the device, haemodynamic responses to insertion (mean arterial blood pressure, heart rate, pulse oximetry and end-tidal CO2), clinical performance and occurrence of postoperative sore throat were recorded...
May 2008: Anaesthesia and Intensive Care
J Geiseler, O Karg
BACKGROUND: Many patients with neuromuscular diseases suffer from a weak cough. Due to infection or aspiration a life-threatening situation may occur. There are different options for the therapists to improve secretion clearance from the airways in the patient with a weak cough. Furthermore, there are indications that consequent practice of techniques to ameliorate bronchial clearance may also improve the prognosis of patients with neuromuscular diseases. MANAGEMENT: The management of secretions in neuromuscular disorders does not consist of single actions but is rather a complex programme...
March 2008: Pneumologie
A T Morgan, R Omahoney, H Francis
PURPOSE: Early screening and intervention for dysphagia is crucial to offset potential outcomes such as compromised nutrition or reduced respiratory function. Current paediatric dysphagia screening tests are subjective with poor sensitivity and specificity. The present study examined whether an objective method, pulse oximetry (measuring oxygen saturation (SpO2) levels), could differentiate between children with and without dysphagia, in relation to (1) Average pre-feeding baseline SpO2 levels; (2) Average feeding SpO2 levels; (3) Average post-feeding SpO2 levels; and (4) The number of events of oxygen desaturation pre-, during and after feeding...
January 2008: Developmental Neurorehabilitation
María Rosa Güell, Mónica Avendano, Janet Fraser, Roger Goldstein
OBJECTIVE: To describe our experience in managing patients with Duchenne muscular dystrophy. PATIENTS AND METHODS: We analyzed the following variables in a group of 27 patients with Duchenne muscular dystrophy: arterial blood gases, lung function before and after mechanical ventilation, oxygen saturation (measured by pulse oximetry), nocturnal PaCO2 (measured transcutaneously by capnography), heart function, and dysphagia. RESULTS: The mean (SD) age was 26 (6) years and the mean age at which mechanical ventilation had initiated in the patients was 21 (5) years...
October 2007: Archivos de Bronconeumología
A Westergren
BACKGROUND: It is highly important in nursing care for persons with stroke to screen for, assess and manage eating difficulties. The impact on eating after stroke can be of different types, comprising dysphagia as well as eating difficulties in a larger perspective. Eating difficulties can cause complications such as malnutrition, dehydration, aspiration, suffocation, pneumonia and death. There is a lack of systematic reviews about methods to be used by nurses in their screening for eating difficulties...
June 2006: International Nursing Review
Tyng-Guey Wang, Yeun-Chung Chang, Ssu-Yuan Chen, Tzu-Yu Hsiao
OBJECTIVE: To examine the reliability of pulse oximetry for identifying aspiration by comparing it with the videofluoroscopic swallowing study (VFSS). DESIGN: Nonrandomized, prospective, double-blind study. SETTING: VFSS laboratory in a teaching hospital. PARTICIPANTS: Sixty patients from among 130 patients with clinically diagnosed dysphagia between September and December 2002. INTERVENTIONS: Not applicable...
April 2005: Archives of Physical Medicine and Rehabilitation
Inge De Groof, Eddy Dejaeger, Ann Goeleven
This study was designed to determine whether significant differences in saturation levels existed among patients with aspiration and patients without and wether pulse oximetry can reliably detect aspiration in patients with dysphagia. We also examined the effects of gender and disease (neurologic versus non neurologic) on saturation levels. We studied 38 patients. They all underwent a videofluoroscopic study of swallowing (VFSS). Twenty patients aspirated on videofluoroscopic study of swallowing: ten patients were solid aspirators, ten patients were liquid aspirators...
August 2004: Tijdschrift Voor Gerontologie en Geriatrie
Masanobu Namiki, Asuka Kita, Naohiro Kokita, Takahiro Ichimiya, Akiyoshi Namiki
A 68-year-old woman had felt a chest and back pain for 3 months. Gradually her symptom became aggravated, and she felt severe dyspnea in supine position and dysphagia combined with superior vena cava syndrome. A huge posterior mediastinal tumor was revealed and her esophagus was severely narrowed on the chest MRI. Therefore, emergency tumor resection was scheduled under general anesthesia. Anesthesia was induced by midazolam (2 mg) with the patient in the right lateral position. After gas exchange and oxygenation were comfirmed by pulse oximetry reading and clinical signs, she was slowly turned to supine position...
August 2004: Masui. the Japanese Journal of Anesthesiology
M Prosiegel, A Schelling, E Wagner-Sonntag
Over 30% of persons with multiple sclerosis (pwMS) suffer from swallowing symptoms, a higher rate than previously assumed. Neurogenic dysphagia (ND) may cause many different kinds of oropharyngeal sensorimotor dysfunctions in pwMS, and is associated with both the amount of disability and brainstem signs. About 15% of pwMS with mild disability may also suffer from ND. Diagnostic tools comprise history taking, bedside screening examination (50 ml water test combined with assessment of pharyngeal sensation or with pulse oximetry) and sometimes a videofluoroscopic swallowing study (VFSS) and fibreoptic endoscopic evaluation of swallowing (FEES)...
April 2004: International MS Journal
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