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Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review. | LitMetric

Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review.

Dysphagia

Department of Otorhinolaryngology and Phoniatrics-Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Published: August 2020

AI Article Synopsis

  • COVID-19 has emerged as a global pandemic, necessitating new healthcare strategies due to its rapid spread and serious health impacts.
  • Severe cases can lead to complications like Acute Respiratory Distress Syndrome, which may require interventions such as intubation and mechanical ventilation, putting patients at risk for swallowing difficulties and aspiration pneumonia.
  • This review aims to outline the potential causes of swallowing problems post-intubation in COVID-19 patients and offers recommendations for diagnosis and management.

Article Abstract

The COVID-19 is a global pandemic. Its rapid dissemination and serious course require a novel approach to healthcare practices. Severe disease progression is often associated with the development of the Acute Respiratory Distress Syndrome and may require some form of respiratory support, including endotracheal intubation, mechanical ventilation, and enteral nutrition through a nasogastric tube. These conditions increase the risk of dysphagia, aspiration, and aspiration pneumonia. The data on the incidence and risks of dysphagia associated with COVID-19 are not yet available. However, it is assumed that these patients are at high risk, because of respiratory symptoms and reduced lung function. These findings may exacerbate swallowing deficits. The aim of this review is to summarize available information on possible mechanisms of postintubation dysphagia in COVID-19 patients. Recommendations regarding the diagnosis and management of postintubation dysphagia in COVID-19 patients are described in this contemporary review.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7255443PMC
http://dx.doi.org/10.1007/s00455-020-10139-6DOI Listing

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