Dysphagia testing and aspiration status in medically stable infants requiring mechanical ventilation via tracheotomy

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Steven B LederT Rob Goodman

Abstract

To perform objective testing to determine aspiration status with the goal of initiating safe and timely oral alimentation in medically stable infants who require mechanical ventilation via tracheotomy. Medically compromised infants who require mechanical ventilation via tracheotomy and are nil by mouth are conventionally deemed as being at risk for aspiration and feeding difficulties. There is little information available in the literature regarding diagnostic testing and habilitation intervention to promote safe and timely initiation of oral alimentation when these infants are medically stable. Prospective, consecutive, referral-based sample. Newborn, pediatric, and respiratory intensive care units in an urban, tertiary care, teaching hospital. Fourteen consecutive medically stable but mechanically ventilated infants (mean chronological age, 8.1 mos, range, 3-14 mos; mean gestational age, 28.4 wks, range, 24-39 wks) referred for swallow evaluation between April 2003 and May 2008. Videofluoroscopic and fiberoptic endoscopic evluations of swallowing. Aspiration status was determined by objective testing with videofluoroscopic and fiberoptic endoscopic evaluations of swallowing. Aspiration was defined as evidence of food material...Continue Reading

References

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Jul 13, 2000·The Laryngoscope·S B Leder, D E Karas
Apr 1, 2008·Archives of Physical Medicine and Rehabilitation·Steven B Leder, Debra M Suiter

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Citations

Oct 20, 2011·Pediatric Pulmonology·James D Tutor, Memorie M Gosa

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