Management of dysphagia in internal intensive-care medicine

被引:1
作者
Michels, G. [1 ]
Motzko, M. [2 ]
Weinert, M. [2 ]
Bruckner, M. [3 ]
Pfister, R. [1 ]
Guntinas-Lichius, O. [4 ]
机构
[1] Univ Cologne, Innere Med Klin 3, D-50937 Cologne, Germany
[2] Kolner Dysphagiezentrum, Cologne, Germany
[3] Uniklin Koln, UniRehaGmbH, Cologne, Germany
[4] Univ Klinikum Jena, Klin & Poliklin Hals, Nasen, Ohrenheilkunde, Jena, Germany
关键词
Dysphagia; Deglutition disorders; Aspiration; Aspiration pneumonia; Fiberoptic endoscopic evaluation of swallowing (FEES); FIBEROPTIC ENDOSCOPIC EVALUATION; ACUTE STROKE PATIENTS; ASPIRATION RISK; NEUROGENIC DYSPHAGIA; SWALLOWING FREQUENCY; TRACHEOTOMY; INTUBATION; DISORDERS; PNEUMONIA; COHORT;
D O I
10.1007/s00063-014-0386-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physicians specializing in dysphagia are needed in modern intensive care medicine. Long-term intubation is associated with aspiration and swallowing disorders. Early and standardised dysphagia management should be initiated during a patient's stay on intensive care unit. A clinically experienced, interdisciplinary team is required to provide optimal care for critically ill patients with dysphagia. Intensive care physicians should therefore know about basics in dysphagiology.
引用
收藏
页码:174 / +
页数:7
相关论文
共 19 条
[1]   Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation - Implications for management [J].
Ajemian, MS ;
Nirmul, GB ;
Anderson, MT ;
Zirlen, DM ;
Kwasnik, EM .
ARCHIVES OF SURGERY, 2001, 136 (04) :434-437
[2]   Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients [J].
Daniels, SK ;
Ballo, LA ;
Mahoney, MC ;
Foundas, AL .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2000, 81 (08) :1030-1033
[3]   Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: An evidence-based comprehensive analysis of the literature [J].
Doggett, DL ;
Tappe, KA ;
Mitchell, MD ;
Chapell, R ;
Coates, V ;
Turkelson, CM .
DYSPHAGIA, 2001, 16 (04) :279-295
[4]   Fiberoptic endoscopic evaluation of swallowing in intensive care unit patients [J].
Hafner, Gert ;
Neuhuber, Andreas ;
Hirtenfelder, Sylvia ;
Schmedler, Brigitte ;
Eckel, Hans Edmund .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2008, 265 (04) :441-446
[5]   Impact of aspiration pneumonia in patients with community-acquired pneumonia and healthcare-associated pneumonia: A multicenter retrospective cohort study [J].
Komiya, Kosaku ;
Ishii, Hiroshi ;
Umeki, Kenji ;
Mizunoe, Shunji ;
Okada, Fumito ;
Johkoh, Takeshi ;
Kadota, Jun-ichi .
RESPIROLOGY, 2013, 18 (03) :514-521
[6]   Aspiration risk after acute stroke: Comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing [J].
Leder, SB ;
Espinosa, JF .
DYSPHAGIA, 2002, 17 (03) :214-218
[7]   Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients [J].
Lim, SHB ;
Lieu, PK ;
Phua, SY ;
Seshadri, R ;
Venketasubramanian, N ;
Lee, SH ;
Choo, PNJ .
DYSPHAGIA, 2001, 16 (01) :1-6
[8]   ICU-Acquired Swallowing Disorders [J].
Macht, Madison ;
Wimbish, Tim ;
Bodine, Cathy ;
Moss, Marc .
CRITICAL CARE MEDICINE, 2013, 41 (10) :2396-2405
[9]   A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with cuffed tracheostomies in neurological intensive care [J].
McGowan, Susan L. ;
Gleeson, Michael ;
Smith, Martin ;
Hirsch, Nicholas ;
Shuldham, Caroline M. .
NEUROCRITICAL CARE, 2007, 6 (02) :90-93
[10]   The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration [J].
Murray, J ;
Langmore, SE ;
Ginsberg, S ;
Dostie, A .
DYSPHAGIA, 1996, 11 (02) :99-103