Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review

被引：75

作者：

Frajkova, Zofia ^{[1
,2
]}

Tedla, Miroslav ^{[1
,3
]}

Tedlova, Eva ^{[4
]}

Suchankova, Magda ^{[5
]}

Geneid, Ahmed ^{[6
,7
]}

机构：

[1] Comenius Univ, Univ Hosp Bratislava, Dept ENT & HNS, Fac Med, Antolska 11, Bratislava 81107, Slovakia

[2] Comenius Univ, Dept Commun Disorders, Fac Educ, Bratislava, Slovakia

[3] Univ Birmingham, Inst Canc & Genom Sci, Birmingham, W Midlands, England

[4] Comenius Univ, Dept Pneumol, Fac Med, Bratislava, Slovakia

[5] Comenius Univ, Inst Immunol, Fac Med, Bratislava, Slovakia

[6] Univ Helsinki, Dept Otorhinolaryngol & Phoniatr Head & Neck Surg, Helsinki, Finland

[7] Helsinki Univ Hosp, Helsinki, Finland

来源：

DYSPHAGIA | 2020年 / 35卷 / 04期

关键词：

Swallowing; Postintubation dysphagia; COVID-19; Deglutition; Deglutition disorders; FIBEROPTIC ENDOSCOPIC EVALUATION; ORAL ENDOTRACHEAL INTUBATION; POSTEXTUBATION DYSPHAGIA; SWALLOWING DYSFUNCTION; PROLONGED INTUBATION; TRACHEAL INTUBATION; SCREENING TOOL; ACUTE STROKE; ASPIRATION; DIAGNOSIS;

D O I：

10.1007/s00455-020-10139-6

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The COVID-19 is a global pandemic. Its rapid dissemination and serious course require a novel approach to healthcare practices. Severe disease progression is often associated with the development of the Acute Respiratory Distress Syndrome and may require some form of respiratory support, including endotracheal intubation, mechanical ventilation, and enteral nutrition through a nasogastric tube. These conditions increase the risk of dysphagia, aspiration, and aspiration pneumonia. The data on the incidence and risks of dysphagia associated with COVID-19 are not yet available. However, it is assumed that these patients are at high risk, because of respiratory symptoms and reduced lung function. These findings may exacerbate swallowing deficits. The aim of this review is to summarize available information on possible mechanisms of postintubation dysphagia in COVID-19 patients. Recommendations regarding the diagnosis and management of postintubation dysphagia in COVID-19 patients are described in this contemporary review.

引用

页码：549 / 557

页数：9

共 92 条

[41] Aerosol Generating Procedures and Risk of Transmission of Acute Respiratory Infections to Healthcare Workers: A Systematic Review [J].