Swallowing

Post-extubation dysphagia (PED) is a common complication in ICU patients and it worsens their prognosis and quality of their life after their discharge from the ICU. This pathologic condition is independently associated with adverse patient outcomes and high-risk patients should be early recognized, because this situation can lead to aspiration pneumonia. The underlying pathophysiology of dysphagia is multifactorial. A team consisted of doctors, nurses, dietologists, speech therapists and physical therapists should deal with the situation. Flexible endoscopic evaluation of swallowing and videofluoroscopy are necessary tests for the assessment. Screening ICU protocols lead in early identification and proper therapeutic interventions. Continue reading
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