Changes in Cardiac Function During a Swallow Exercise Program in Patients with Coronary Artery Disease

Barker, J.A.; Martino, Rosemary; Yau, Terrence M.

doi:10.1007/s00455-022-10477-7

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Given that those patients manifest decreased VP maximal pressure, increased UES residual pressure, shortened UES relaxation duration, and decreased subglottic pressure during swallowing, suitable preventive and treatment measures may be considered for tracheostomized patients with aspiration following ABI based on our results. First, swallowing exercises, including supraglottic swallow, super-supraglottic swallow, and effortful swallow with and without breath-hold, may be beneficial to the subglottic pressure and VP maximal pressure reconstruction [39]. Second, the Passy-Muir valve, which was reported in our previous study, is suitable for these patients to reconstruct the pressure gradient of the upper airway [40].…”

Section: Discussionmentioning

confidence: 83%

The Biomechanical Characteristics of Swallowing in Tracheostomized Patients with Aspiration following Acquired Brain Injury: A Cross-Sectional Study

et al. 2023

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Objectives: Investigate the biomechanical characteristics in tracheostomized patients with aspiration following acquired brain injury (ABI) and further explore the relationship between the biomechanical characteristics and aspiration. Methods: This is a single-center cross-sectional study. The tracheostomized patients with aspiration following ABI and age-matched healthy controls were recruited. The biomechanical characteristics, including velopharynx (VP) maximal pressure, tongue base (TB) maximal pressure, upper esophageal sphincter (UES) residual pressure, UES relaxation duration, and subglottic pressure, were examined by high-resolution manometry and computational fluid dynamics simulation analysis. The penetration–aspiration scale (PAS) score was evaluated by a videofluoroscopic swallowing study. Results: Fifteen healthy subjects and fifteen tracheostomized patients with aspiration following ABI were included. The decreased VP maximal pressure, increased UES residual pressure, and shortened UES relaxation duration were found in the patient group compared with the control group (p < 0.05). Furthermore, the subglottic pressure significantly decreased in patients (p < 0.05), while no significant difference was found in TB maximal pressure between groups (p > 0.05). In addition, in the patient group, VP maximal pressure (rs = −0.439; p = 0.015), UES relaxation duration (rs = −0.532; p = 0.002), and the subglottic pressure (rs = −0.775; p < 0.001) were negatively correlated with the PAS score, while UES residual pressure (rs = 0.807; p < 0.001) was positively correlated with the PAS score (p < 0.05), the correlation between TB maximal pressure and PAS score (rs = −0.315; p = 0.090) did not reach statistical significance. Conclusions: The biomechanical characteristics in tracheostomized patients with aspiration following ABI might manifest as decreased VP maximal pressure and subglottic pressure, increased UES residual pressure, and shortened UES relaxation duration, in which VP maximal pressure, UES relaxation duration, subglottic pressure, and UES residual pressure were correlated with aspiration.

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Section: Discussionmentioning

confidence: 83%

The Biomechanical Characteristics of Swallowing in Tracheostomized Patients with Aspiration following Acquired Brain Injury: A Cross-Sectional Study

et al. 2023

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“…The results of studies reported that early extubation could improve postoperative cardiac function, reduce respiratory complications, and improve patients' comfort and satisfaction [9] . Early extubation was an important part of ERACS and has been proven to be achieved safely and effectively based on directed protocols [10][11] . However, not all cases were reasonable to undergo early extubation and not all early extubation experiences could succeed [6] .…”

Section: Discussionmentioning

confidence: 99%

Nomogram for predicting fast-track in cardiac surgery in adult patients

Dou,

Yuan,

Jia

et al. 2024

Preprint

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Background Early extubation is a critical procedure for fast-track and enhanced recovery after surgery (ERAS) in cardiac surgery for adult patients. It might improve patients postoperative recovery. Many factors have been suggested and anesthetic management have improved, but early extubation remains a major challenge. This study aims to create a nomogram for prediction of early-extubation for cardiac surgery in adult patients. Method We reviewed medical records of 442 consecutive patients undergoing elective cardiac surgeries from April 2023 to July 2023. Factors for early extubation were identified by multivariate logistic regression analysis and used to create a nomogram. The performance of the nomogram was evaluated by the area under the curve (AUC) and calibration plots. Result We created nomogram of extubation within 6 hours and 8 hours. Age, pulmonary hypertension, rocuronium, operative time, and ejection fraction were identified as significantly associated factors that could be combined for accurate prediction of extubation within 6 hours. Age, pulmonary hypertension, preoperative aspartate aminotransferase (AST), rocuronium, dexmedetomidine, operative time, transfusions, and preoperative N terminal pro B type natriuretic peptide (NT-proBNP) were identified as significantly associated factors that could be combined for accurate prediction of extubation within 8 hours. We created nomogram for early extubation by using these factors. The AUC of extubation within 6 hours was 0.795 and that of extubation within 8 hours was 0.734. Conclusion The nomogram could help for prediction of early extubation in elective cardiac surgery in adult patients.

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“…Bereits eine prolongierte endotracheale Intubation ≥ 48 h ist – unabhängig von der zugrunde liegenden kritischen Erkrankung – ein eigenständiger Prädiktor für eine Dysphagie 2 3 . Die Ursachen sind vielfältig und reichen von Stimmlippenulzerationen und laryngealen Ödemen bis hin zu Muskelatrophie und einer reduzierten Propriozeption 4 , welche die Schluckreflexauslösung verzögern und die laryngeale Elevation beeinträchtigen können.…”

Section: Was Führt Zur Schluckstörung Bei Intubation Und Geblockter T...unclassified

Dysphagie bei tracheotomierten Patienten nach Langzeitbeatmung

Heidler

2022

Laryngorhinootologie

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ZusammenfassungUnabhängig von der Art der kritischen Erkrankung haben tracheotomierte Patienten ein hohes Risiko für die Entwicklung einer Schluckstörung. Diese ist potenziell lebensbedrohlich, da sie zu Aspiration und Pneumonie führen kann. Vor einer oralen Nahrungsgabe sollte daher unbedingt eine Schluckdiagnostik mittels Bolusfärbetest und/oder FEES durchgeführt werden. Da ein physiologischer Luftstrom durch den Larynx und ein adäquater subglottischer Druck Schlüsselkomponenten eines effektiven Schluckaktes sind, sollte eine Oralisierung bei geblockter Trachealkanüle möglichst vermieden werden.

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Changes in Cardiac Function During a Swallow Exercise Program in Patients with Coronary Artery Disease

Cited by 3 publications

References 18 publications

The Biomechanical Characteristics of Swallowing in Tracheostomized Patients with Aspiration following Acquired Brain Injury: A Cross-Sectional Study

The Biomechanical Characteristics of Swallowing in Tracheostomized Patients with Aspiration following Acquired Brain Injury: A Cross-Sectional Study

Nomogram for predicting fast-track in cardiac surgery in adult patients

Dysphagie bei tracheotomierten Patienten nach Langzeitbeatmung

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