Early Assessment and Management of Dysphagia After Lung Resection: A Randomized Controlled Trial

Leuenberger, Joachim M. Schmidt; Hoksch, Beatrix; Luder, Gere; Schmid, Ralph A.; Verra, Martin L.; Dorn, Patrick

doi:10.1016/j.athoracsur.2019.04.067

Cited by 4 publications

(4 citation statements)

References 21 publications

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“…Oesophageal cancer is associated with AP in around 20% of cases,19 and gastric cancer in around 3.5% 43. Major cardiovascular surgery is complicated by AP in 20%–45% of cases,44–46 and AP may arise after around 10% of thoracotomies 47…”

Section: Epidemiologymentioning

confidence: 99%

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BTS clinical statement on aspiration pneumonia

Simpson

Allen

Chatwin

et al. 2023

Thorax

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Section: Epidemiologymentioning

confidence: 99%

“…43 Major cardiovascular surgery is complicated by AP in 20%-45% of cases, [44][45][46] and AP may arise after around 10% of thoracotomies. 47…”

Section: Cancers Of the Head And Neck Oesophagus And Stomach And Thei...mentioning

confidence: 99%

BTS clinical statement on aspiration pneumonia

Simpson

Allen

Chatwin

et al. 2023

Thorax

View full text Add to dashboard Cite

“…Dysphagia is a medical condition that increases the risk of various complications, such as dehydration, malnutrition, aspiration pneumonia, and airway obstruction, which can lead to serious disability or even death [12][13][14]. Various methods have been used to screen patients with dysphagia, and it is important to investigate whether early screening tools for dysphagia are effective in improving prognosis and preventing complications that can occur due to dysphagia.…”

Section: S5mentioning

confidence: 99%

“…One RCT conducted by Schmidt Leuenberger et al [12] reported that the incidence of pneumonia decreased in patients who received a clinical assessment of dysphagia (early screening) after pulmonary resection. Ten retrospective studies, including patients with stroke, post extubation dysphagia in an intensive care unit (ICU), and traumatic cervical injuries, showed that respiratory complications were significantly reduced after the early screening of dysphagia [12][13][14][15][16][17][18][19][20][21]. Considering that the above studies showed consistent results, early screening is recommended in patients with suspected oropharyngeal dysphagia to reduce the occurrence of pneumonia.…”

Section: S5mentioning

confidence: 99%

Clinical Practice Guidelines for Oropharyngeal Dysphagia

et al. 2023

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Objective: Dysphagia is a common clinical condition characterized by difficulty in swallowing. It is sub-classified into oropharyngeal dysphagia, which refers to problems in the mouth and pharynx, and esophageal dysphagia, which refers to problems in the esophageal body and esophagogastric junction. Dysphagia can have a significant negative impact one’s physical health and quality of life as its severity increases. Therefore, proper assessment and management of dysphagia are critical for improving swallowing function and preventing complications. Thus a guideline was developed to provide evidence-based recommendations for assessment and management in patients with dysphagia. Methods: Nineteen key questions on dysphagia were developed. These questions dealt with various aspects of problems related to dysphagia, including assessment, management, and complications. A literature search for relevant articles was conducted using Pubmed, Embase, the Cochrane Library, and one domestic database of KoreaMed, until April 2021. The level of evidence and recommendation grade were established according to the Grading of Recommendation Assessment, Development and Evaluation methodology.Results: Early screening and assessment of videofluoroscopic swallowing were recommended for assessing the presence of dysphagia. Therapeutic methods, such as tongue and pharyngeal muscle strengthening exercises and neuromuscular electrical stimulation with swallowing therapy, were effective in improving swallowing function and quality of life in patients with dysphagia. Nutritional intervention and an oral care program were also recommended. Conclusion: This guideline presents recommendations for the assessment and management of patients with oropharyngeal dysphagia, including rehabilitative strategies.

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Pneumonien durch schleichende Aspiration – eine diagnostische und therapeutische Herausforderung

Ewig,

Gatermann,

Wiesweg

2024

Pneumologie

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ZusammenfassungFormen der akuten Aspirationspneumonie (AP) umfassen die Aspiration größerer Mengen dem Magen zugeführter Substanzen und die im Rahmen einer schleichenden Aspiration oropharyngealen Sekrets entstehenden Pneumonien.Schleichenden Aspirationen liegt eine Dysphagie, ggf. zusammen mit einem eingeschränkten Hustenreflex, zugrunde. Ein hohes Lebensalter, häufig zusammen mit schwerer Komorbidität und eingeschränkter Funktionalität begünstigen die Entstehung von Aspirationspneumonien.Daher ist die schleichende Aspiration eine häufige Ursache der ambulant erworbenen Pneumonie des Menschen in höherem Lebensalter, ebenso aber auch der nosokomialen Pneumonie. An eine AP ist darüber hinaus immer bei rezidivierenden Pneumonien zu denken.Zur Akutbehandlung gehören über die antimikrobielle Therapie hinaus eine Atem- und eine Physiotherapie. Zudem sollten alle Patienten mit schleichender Aspiration bzw. AP einer Schluckuntersuchung und bei bestehender Dysphagie auch einer Schlucktherapie zugeführt werden. Diese kann im Rahmen einer logopädischen Therapie restituierende, kompensatorische und adaptierende Verfahren einschließen.

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Early Assessment and Management of Dysphagia After Lung Resection: A Randomized Controlled Trial

Cited by 4 publications

References 21 publications

BTS clinical statement on aspiration pneumonia

BTS clinical statement on aspiration pneumonia

Clinical Practice Guidelines for Oropharyngeal Dysphagia

Pneumonien durch schleichende Aspiration – eine diagnostische und therapeutische Herausforderung

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