Post-extubation dysphagia
Postextubation dysphagia (PED) is defined as the difficulty or inability to effectively and safely transfer food and liquid from the mouth to the stomach after extubation.
Postextubation dysphagia
(2015)
Diagnosis and treatment of post-extubation dysphagia: Results from a National Survey
(2013)
This study sought to determine the utilization of speech-language pathologist (SLPs) for the diagnosis and treatment of post-extubation dysphagia in survivors of mechanical ventilation.
Combined with previously reported evidence that swallowing evaluations have increased by 19% in the last 9 years, our data indicate that evaluations for post-extubation dysphagia are common and increasing, despite the lack of a validated diagnostic approach. Patients are managed differently depending on geographic location and university affiliation, and pretest probability variations between SLPs could affect the estimated prevalence of post-extubation dysphagia among different institutions. We also demonstrated that current therapies focus on dietary adjustments, postural changes, and compensatory maneuvers that have limited proven benefits. Therapeutic exercises and neuromuscular stimulation are used infrequently. The establishment of more formal diagnostic standards, the elucidation of the precise underlying mechanisms of this disorder, and the development of novel, effective treatments for those most at-risk could be expected to reduce the burden of this disease. In the meantime, current diagnostic practices and feeding decisions for critically ill patients should be viewed with caution until further studies determine the accuracy of bedside detection methods.
Severe oropharyngeal dysphagia following COVID-19: a case report
(2021)
Wiley Online Library https://onlinelibrary.wiley.com/doi/10.1002/ccr3.3819
Many patients who underwent prolonged intubation develop dysphagia after extubation - The prevalence of swallowing disorders increases as the intubation period is extended
Recovery from Dysphagia Symptoms after Oral Endotracheal Intubation in Acute Respiratory Distress Syndrome Survivors
(2016)
Original Research https://www.atsjournals.org/doi/pdf/10.1513/AnnalsATS.201606-455OC
Approximately one-quarter of patients required more than 6 months to recover. A longer ICU LOS is associated with slower recovery from dysphagia symptoms