Nasogastric tubes and videofluoroscopic swallowing studies in children

Alnassar, Mutaz; Oudjhane, Kamaldine; Dávila, Jorge

doi:10.1007/s00247-010-1834-0

Cited by 20 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although healthy adults can adapt their swallow function to accommodate NG tubes [12] children with dysphagia may have impaired ability to do this. Previous authors [2][3] have suggested that individuals with dysphagia may not be able to compensate as well for tube placement by sustaining the upper esophageal sphincter opening longer than normal. This could lead to increased pharyngeal residue, particularly in the pyriform sinuses, which may then aspirate into the airway.…”

Section: Discussionmentioning

confidence: 99%

“…However, literature supporting this practice in the pediatric population is sparse. There has been one pediatric study evaluating patients with and without NG tubes, using the patient as their own control, which concluded that there was no significant difference in VFSS findings with and without an NG tube in place [3]. The authors do not specify if the NG tube was in place with the first or second VFSS and noted that the interval between the two studies ranged from 2 weeks to 18 months, with a mode of 3 months [3].…”

Section: Introductionmentioning

confidence: 99%

“…There has been one pediatric study evaluating patients with and without NG tubes, using the patient as their own control, which concluded that there was no significant difference in VFSS findings with and without an NG tube in place [3]. The authors do not specify if the NG tube was in place with the first or second VFSS and noted that the interval between the two studies ranged from 2 weeks to 18 months, with a mode of 3 months [3]. It is possible that any negative swallow function outcomes related to NG tube placement could have been missed by this study due to the confounding variables of maturation and skill development.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement

et al. 2020

View full text Add to dashboard Cite

BackgroundGiven the limited evidence available, the impact of nasogastric (NG) tube placement on swallowing in children is not well understood. When a child needs to be fed enterally, the current standard is to initially place an NG tube and leave it in place for the first few months of supplemental or total enteral nutrition. It is important to understand if placement of NG tubes has a negative effect on a patient's swallow.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Besides being important for explaining the presence of aspiration or micro aspiration 1 , the study of swallowing using a radiological technique (Videodeglutogram or Videofluoroscopy of Swallowing) optimizes the identification of the safest way to feed a patient with dysphagia. The maintaining a safe dose of radiation 16 .…”

Section: Introductionmentioning

confidence: 99%

Viscosidade e qualidade da imagem do líquido espessado para videodeofluoroscopia de deglutição com acréscimo do contraste de bário

et al. 2015

View full text Add to dashboard Cite

OBJETIVOS: estudar a viscosidade da fórmula de partida espessada para os exames de videofluoroscopia de deglutição após acréscimo de contraste de Bário. MÉTODOS: copos de 200 ml de leite foram preparados em três consistências com sete espessantes. A viscosidade média foi verificada com viscosímetro nas temperaturas ambiente e acima de 40ºC, e após acrescentar o contraste de Bário em diluições a 50%, 25% e 12,5%. Os preparados foram expostos à fluoroscopia para obtenção de imagens que foram avaliadas quanto à visualização do preparado nas diferentes consistências, diluições e espessantes. RESULTADOS: comparando valores médios em centipoise(cP), observou-se que a viscosidade na consistência pudim foi significantemente menor na temperatura acima de 40ºC do que na temperatura ambiente. Nas consistências néctar e pudim o acréscimo de Bário resultou em mudança significante da viscosidade para mel. Não houve mudança na qualidade das imagens entre as diluições de Bário à 50% e 25%. CONCLUSÃO: o acréscimo do Bário resulta em mudanças nos valores de viscosidade que afetaram a consistência do preparado espessado para néctar e pudim. Uma redução da diluição do contraste para 25% não resulta em mudança clinicamente significante na qualidade da imagem. Os achados sugerem a importância da padronização do preparado para a fluoroscopia em relação à viscosidade e diluição do Bário visando garantir a reprodutibilidade do exame, prevenir falhas diagnósticas e otimizar as orientações para modificações da dieta na disfagia orofaríngea infantil.

show abstract

“…However, the causes of dysphagia in pediatric populations are often somewhat different than in adult patients [5]. Table 3 summarizes common causes of dysphagia in pediatric patients [1,5,6,7,8,9,10,11,12,13]. …”

Section: Common Causes Of Dysphagiamentioning

confidence: 99%

Pediatric Dysphagia: Physiology, Assessment, and Management

2015

View full text Add to dashboard Cite

Infancy and childhood represent a time of unparalleled physical growth and cognitive development. In order for infants and children to reach their linear and neurological growth potential, they must be able to reliably and safely consume sufficient energy and nutrients. Swallowing difficulties (dysphagia) in pediatric populations can have a detrimental effect on dietary intake and, thus, growth and development. As a result, it is imperative to accurately identify and appropriately manage dysphagia in pediatric populations. This article provides an overview of dysphagia in children, as well as common causes of childhood swallowing difficulties, populations at risk for pediatric dysphagia, techniques used to assess swallowing in pediatric patients, and the current treatment options available for infants and children with dysphagia.

show abstract

Nasogastric tubes and videofluoroscopic swallowing studies in children

Abstract: The presence of a nasogastric tube does not alter the findings of VFSS; however, it might increase the incidence of respiratory compromise when aspiration is present.

Cited by 20 publications

References 8 publications

Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement

Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement

Viscosidade e qualidade da imagem do líquido espessado para videodeofluoroscopia de deglutição com acréscimo do contraste de bário

Pediatric Dysphagia: Physiology, Assessment, and Management

Contact Info

Product

Resources

About