LA INFLUENCIA DE LA INTUBACIÓN EN LA DEGLUCIÓN EN PACIENTES NEUROQUIRÚRGICOS
DOI:
https://doi.org/10.54620/cadesp.v17i1.1650Palabras clave:
Trastornos de la Deglución, Intubación Intratraqueal, Terapia del Lenguaje, Neurocirugía, IntubaciónResumen
Analizar la influencia de la intubación orotraqueal (OTI) de corta duración sobre la deglución en pacientes postoperados de neurocirugía. Estudio longitudinal, observacional, descriptivo y prospectivo realizado en la unidad de cuidados intensivos. La muestra estuvo conformada por 90 pacientes, quienes fueron sometidos al Protocolo Fonoaudiológico de Introducción y Transición de Alimentación Oral para pacientes con riesgo de Disfagia Orofaríngea y al Protocolo de Videoendoscopia de Deglución (DEV). Los pacientes fueron evaluados entre 6-12 horas después de la extubación. En la evaluación clínica del habla y el lenguaje de la deglución, el 80% de los pacientes tenían una deglución normal. Esto también se evidenció durante la DEV en el 72,2% de los casos, sin diferencia estadística entre los dos métodos de evaluación de la deglución al lado de la cama. Los pacientes sometidos a IOT de corta duración presentan la posibilidad de iniciar dieta oral tras un periodo de seis horas, pero con posibles restricciones en cuanto a la consistencia de los alimentos consumidos.
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Sassi FC, Medeiros GC, Zambon LS, Zilberstein B, Andrade CRF. Evaluation and classification of post-extubation dysphagia in critically ill patients. Rev Col Bras Cir. 2018;45(3):e1687. DOI: 10.1590/0100-6991e-20181687. DOI: https://doi.org/10.1590/0100-6991e-20181687
Whited RE. Posterior commissur estenosis post long term intubation. Laryngoscope. 1983;93(10):1314-8. DOI: 10.1002/lary.1983.93.10.1314. DOI: https://doi.org/10.1002/lary.1983.93.10.1314
Brodsky MB, Gellar JE, Dinglas VD, Colantuoni E, Mendez-Tellez PA, Shanholtz C et al. Duration of oral endotracheal intubation is associated with dysphagia symptoms in acute lung injury patients. J Crit Care. 2014;29(4):574-9. DOI: 10.1016/j.jcrc.2014.02.015. DOI: https://doi.org/10.1016/j.jcrc.2014.02.015
De Larminat V, Montravers P, Dureuil B, Desmonts JM. Alteration in swallowing reflex after extubation in intensive care unit patients. Crit Care Med. 1995;23(3):486-90. DOI: 10.1097/00003246-199503000-00012. DOI: https://doi.org/10.1097/00003246-199503000-00012
Brodsky MB, De I, Chilukuri K, Huang M, Palmer JB, Needham DM. Coordination of Pharyngeal and Laryngeal Swallowing Events During Single Liquid Swallows After Oral Endotracheal Intubation for Patients with Acute Respiratory Distress Syndrome. Dysphagia. 2018;33(6):768-77. DOI: 10.1007/s00455-018-9901-z. DOI: https://doi.org/10.1007/s00455-018-9901-z
Barbas CS, Matos GF, Amato MB, Carvalho CR. Goal-oriented respiratory management for critically ill patients with acute respiratory distress syndrome. Crit Care Res Pract. 2012;2012:1-13. DOI: 10.1155/2012/952168. Epub 2012 Aug 23. DOI: https://doi.org/10.1155/2012/952168
Boissier F, Katsahian S, Razazi K, Thille AW, Roche-Campo F, Leon R et al. Prevalence and prognosis of cor pulmonale during protective ventilation for acute respiratory distress syndrome. Intens Care Med. 2013;39(10):1725-33. DOI: 10.1007/s00134-013-2941-9. DOI: https://doi.org/10.1007/s00134-013-2941-9
Skoretz SA, Heather LF, Martino R. The incidence of dysphagia following endotracheal intubation. Chest. 2010;137(3):665-73. DOI: 10.1378/chest.09-1823. DOI: https://doi.org/10.1378/chest.09-1823
Guérin C, Reignier J, Richard JC, Beuret P, Gacouin A, Boulain T et al. Prone positioning in severe acute respiratory distress syndrome. N Engl J Med. 2013;368(23):2159-68. DOI: 10.1056/NEJMoa1214103. DOI: https://doi.org/10.1056/NEJMoa1214103
Padovani AR, Moraes DP, Mangilli LD, Andrade CRF. Protocolo fonoaudiológico de introdução e transição da alimentação por via oral (PITA). In: Andrade CRF, Limongi SCO (Org). Disfagia: prática baseada em evidências. São Paulo: Sarvier; 2012. p. 74-85, 2012.
ASHA: American Speech and Hearing Association [Internet]. The role of the speech-language pathologist in the evaluation and treatment of dysphagia. [citado 1987 Jun].
Zuercher P, Moret CS, Dziewas R, Schefold JC. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care. 2019;23(1):103-14. DOI: 10.1186/s13054-019-2400-2. DOI: https://doi.org/10.1186/s13054-019-2400-2
Macht M, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A et al. Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness. Crit Care. 2011;15(5):R231. DOI: 10.1186/cc10472. DOI: https://doi.org/10.1186/cc10472
Yang WJ, Park E, Min YS, Huh JW, Kim AR, Oh HM et al. Association between clinical risk factors and severity of dysphagia after extubation based on a videofluoroscopic swallowing study. Intern Med. 2020;35(1):79-87. DOI: 10.3904/kjim.2018.055. DOI: https://doi.org/10.3904/kjim.2018.055
Kwok AM, Davis JW, Cagle KM, Sue LP, Kaups KL. Post-extubation dysphagia in trauma patients: it's hard to swallow. Am J Surg. 2013; 206(6):924-7. DOI: 10.1016/j.amjsurg.2013.08.010. DOI: https://doi.org/10.1016/j.amjsurg.2013.08.010
Barbas CSV, Isola AM, Farias AMC. Diretrizes Brasileiras de Ventilação Mecânica - 2013. I Fórum de Diretrizes em Ventilaçao Mecânica. Comitê de Ventilação Mecânica da Associação de Medicina Intensiva Brasileira (AMIB) e Comissão de Terapia Intensiva da Sociedade Brasileira de Pneumologia e Tisiologia (SBPT), 136p, 2013.
Marvin S, Thibeault S, Ehlenbach WJ, Post-extubation Dysphagia: Does Timing of Evaluation Matter? Dysphagia. 2019;34(2):210-9. DOI: 10.1007/s00455-018-9926-3. DOI: https://doi.org/10.1007/s00455-018-9926-3
House JC, Noordzij JP, Murgia B, Langmore S. Laryngeal injury from prolonged intubation: a prospective analysis of contributing factors. Laryngoscope. 2011;121(3):596-600. DOI: 10.1002/lary.21403. DOI: https://doi.org/10.1002/lary.21403
Skoretz SA, Yau TM, Ivanov J, Granton JT, Martino R. Dysphagia and associated risk factors following extubation in cardiovascular surgical patients. Dysphagia. 2014;29(6):647-54. DOI: 10.1007/s00455-014-9555-4. DOI: https://doi.org/10.1007/s00455-014-9555-4
Porto AC, Oliveira LB de, Cabral J de A, Amaro IMC, De Queiroz MA dos S, Barbosa PME. Atuação Fonoaudiológica Em Pacientes Covid-19: Revisão Integrativa: Phonoaudiological Performance In Covid-19 Patients: Integrative Review . Cadernos ESP [Internet]. 22º de julho de 2020 [citado 11º de setembro de 2023];14(1):38-44. Disponível em: https://cadernos.esp.ce.gov.br/index.php/cadernos/article/view/305.
Gharib AZGE, Berretin-Felix G, Rossoni DF, Yamada SS. Effectiveness of Therapy on Post-Extubation Dysphagia: Clinical and Electromyographic Findings. Clin Med Insights Ear Nose Throat. 2019;12:1-6. DOI: 10.1177/1179550619873364. DOI: https://doi.org/10.1177/1179550619873364
Langmore SE, Schatz K, Olsen N. Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia. 1988;2(4):216-9. DOI: 10.1007/BF02414429. DOI: https://doi.org/10.1007/BF02414429
Colonel P, Houzé MH, Vert H, Mateo J, Mégarbane B, Goldgran-Tolédano D et al. Swallowing disorders as a predictor of unsuccessful extubation: a clinical evaluation. Am J Crit Care. 2008;17(6):504-10. DOI: https://doi.org/10.4037/ajcc2008.17.6.504
Johnson KL, Speirs L, Mitchell A, Przybyl H, Anderson D, Manos B et al. Validation of a Postextubation Dysphagia Screening Tool for Patients After Prolonged Endotracheal Intubation. Am J Crit Care. 2018;27(2):89-96. DOI: 10.4037/ajcc2018483. DOI: https://doi.org/10.4037/ajcc2018483
Yoon JA, Kim SH, Jang MH, Kim SD, Shin YB. Correlations between Aspiration and Pharyngeal Residue Scale Scores for Fiberoptic Endoscopic Evaluation and Videofluoroscopy. Yonsei Med J. 2019;60(12):1181-6. DOI: 10.3349/ymj.2019.60.12.1181. DOI: https://doi.org/10.3349/ymj.2019.60.12.1181
Setzen M, Cohen MA, Mattucci KF, Perlman PW, Ditkoff MK. Laryngopharyngeal sensory deficits as a predictor of aspiration. Otolaryngol Head Neck Surg. 2001;124(6):622-4. DOI: 10.1177/019459980112400605. DOI: https://doi.org/10.1177/019459980112400605
Ambika RS, Datta B, Manjula BV, Warawantkar UV, Thomas AM. Fiberoptic Endoscopic Evaluation of Swallow (FEES) in Intensive Care Unit Patients Post Extubation. Indian J Otolaryngol Head Neck Surg. 2019;71(2):266-70. DOI: 10.1007/s12070-018-1275-x. DOI: https://doi.org/10.1007/s12070-018-1275-x
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Derechos de autor 2023 Cadernos ESP
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Aceptado 2023-09-11
Publicado 2023-09-19