Effects of the removal of the tracheotomy tube on swallowing during the fiberoptic endoscopic exam of the swallow (FEES).

Dysphagia
J DonzelliMelissa Theisen

Abstract

This study investigated the effects, if any, that the presence of a tracheotomy tube has on the incidence of laryngeal penetration and aspiration in patients with a known or suspected dysphagia. This was a prospective, repeated-measure design study. A total of 37 consecutive patients with a tracheotomy tube underwent a fiberoptic endoscopic evaluation of swallowing (FEES). Patients were first provided with pureed food boluses with the tracheotomy tube in place. The tracheotomy tube was then removed and the tracheostoma site was covered with gauze and gentle hand pressure was applied. The patients were then evaluated without the tracheotomy tube in place with additional puree. Aspiration status was in agreement with and without the tracheotomy tube in place in 95% (35/37) of the patients. The two patients who demonstrated a different swallowing pattern with regard to aspiration demonstrated aspiration only when the tracheotomy tube was removed. Laryngeal penetration status was in agreement with and without the tracheotomy tube in place in 78% (29/37) of the patients. For the majority of the patients, the removal of the tracheotomy tube made no difference in the incidence of aspiration and/or laryngeal penetration. Results of thi...Continue Reading

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Citations

Feb 9, 2007·Dysphagia·Alyssa R TerkMorton I Burrell
Jan 29, 2010·International Journal of Otolaryngology·Susan L BradyJoseph Donzelli
Aug 14, 2013·Critical Care Medicine·Madison MachtMarc Moss
Feb 14, 2012·Dysphagia·Jin Young KangJu Seok Ryu
Nov 23, 2013·Otolaryngologic Clinics of North America·Susan Brady, Joseph Donzelli
Nov 23, 2013·Otolaryngologic Clinics of North America·Kenneth W AltmanDaniel J McCabe
Nov 5, 2008·AACN Advanced Critical Care·Christina A BaumgartnerDiane Bruner
Mar 12, 2013·Medicina intensiva·M ClarettM G Rodríguez
Nov 26, 2015·Annals of Rehabilitation Medicine·Yong Kyun KimSung Sik Cho
May 16, 2015·PloS One·James D TutorDennis C Stokes
Aug 1, 2019·International Journal of Language & Communication Disorders·Rebecca J BlackCatherine Madill
Nov 15, 2019·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
Jan 16, 2020·Critical Care Medicine·Stacey A SkoretzCamilla Dawson
May 5, 2021·Neurological Research and Practice·Rainer DziewasChristina Pflug
Dec 11, 2020·Respiration; International Review of Thoracic Diseases·Bernd SchönhoferWolfram Windisch

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