Treatment of drooling with scopolamine in pediatric ICU: A case series report

Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
Juliana Bertoldi FrancoMaria Paula Siqueira de Melo Peres

Abstract

Drooling is a condition that affects patients with difficulties in swallowing, being common in patients with mental, neurological or dysphagic deficiency. This condition is difficult to diagnose, as it is often confused with sialorrhea, and in many cases we have a hyposalivation scenario. Its diagnosis is subjective, which is why scales should be used for the standardization of the evaluation of the degree of drooling before and after the proposed treatment, as the Thomas-Stonell and Greenberg scale. It causes problems such as perioral infections, rashes, wet clothing, leading to social embarrassment, and may be a risk factor for respiratory infections caused by asymptomatic aspiration of saliva. It presents several treatments, among them the pharmacological one, that is dependent of the clinical picture of each patient that must be evaluated daily. This article refers to a series of reports of cases of children in mechanical ventilation by tracheostomy, hospitalized, with clinical diagnosis of drooling, and clinical improvement with the use of scopolamine by gastrostomy, without intercurrences during its use. The objective of this study is to show other professionals the importance of drooling management, and to expose the ado...Continue Reading

References

Nov 1, 1991·Developmental Medicine and Child Neurology·L K Siegel, M A Klingbeil
Jan 1, 1989·Dysphagia·W J Dodds
Jan 1, 1988·Dysphagia·N Thomas-Stonell, J Greenberg
Mar 1, 1988·The Annals of Otology, Rhinology, and Laryngology·Y P TalmiN Laurian
Apr 3, 1999·Stroke; a Journal of Cerebral Circulation·G MannD Cameron
Apr 16, 1999·Journal of Pain and Symptom Management·G Zeppetella
Sep 1, 2000·International Dental Journal·L M Sreebny
Feb 28, 2003·International Journal of Paediatric Dentistry·J F Tahmassebi, M E J Curzon
Dec 20, 2005·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Jean-Paul MeningaudJacques-Charles Bertrand
Feb 25, 2009·Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology·Crispian ScullyPedro Diz
Jun 23, 2010·British Journal of Clinical Pharmacology·Abigail MatoPedro Diz
Sep 9, 2011·International Journal of Language & Communication Disorders·Nicola Hay, Claire Penn
Oct 20, 2015·International Journal of Pediatric Otorhinolaryngology·John FariaMichael Pizzuto
Oct 31, 2015·International Journal of Medical Sciences·Jaume Miranda-RiusMagí Farré
May 9, 2016·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·E Chaléat-ValayerS Touzet
Jun 8, 2017·Arquivos de neuro-psiquiatria·Bruno L Scofano DiasHeber de S Maia

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Archives of Disease in Childhood. Education and Practice Edition
Peter A Lio, Kachiu C Lee
Pediatric Annals
Stanford T Shulman
The Journal of the Oregon Dental Association
L H Woolley
© 2022 Meta ULC. All rights reserved