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[Dysphagia management of acute and long-term critically ill intensive care patients].
- Source :
-
Medizinische Klinik, Intensivmedizin und Notfallmedizin [Med Klin Intensivmed Notfmed] 2014 Oct; Vol. 109 (7), pp. 516-25. Date of Electronic Publication: 2013 Feb 22. - Publication Year :
- 2014
-
Abstract
- Dysphagia is a severe complication in critically ill patients and affects more than half the patients in an intensive care unit. Dysphagia also has a strong impact on morbidity and mortality. Risk factors for the development of dysphagia are neurological diseases, age >55-70 years, intubation >7 days and sepsis. With increasing numbers of long-term survivors chronic dysphagia is becoming an increasing problem. There is not much knowledge on the influence of specific diseases, including the direct impact of sepsis on the development of dysphagia. Fiberoptic evaluation of swallowing is a standardized tool for bedside evaluation, helping to plan swallowing training during the acute phase and to decrease the rate of chronic dysphagia. For evaluation of chronic dysphagia even more extensive diagnostic tools as well as several options of stepwise rehabilitation using restitution, compensation and adaption strategies for swallowing exist. Currently it seems that these options are not being sufficiently utilized. In general, there is a need for controlled clinical trials analyzing specific swallowing rehabilitation concepts for former critically ill patients and long-term survivors.
- Subjects :
- Aged
Aged, 80 and over
Chronic Disease
Comorbidity
Deglutition Disorders etiology
Endoscopy instrumentation
Endoscopy methods
Equipment Design
Female
Fiber Optic Technology instrumentation
Germany
Humans
Male
Middle Aged
Critical Care methods
Deglutition Disorders therapy
Intensive Care Units
Long-Term Care methods
Subjects
Details
- Language :
- German
- ISSN :
- 2193-6226
- Volume :
- 109
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Medizinische Klinik, Intensivmedizin und Notfallmedizin
- Publication Type :
- Academic Journal
- Accession number :
- 23430119
- Full Text :
- https://doi.org/10.1007/s00063-013-0217-3