Deglutition assessment instruments used in critical patients submitted to orotracheal extubation: a scoping review
Rayane Délcia da Silva; Rosane Sampaio Santos; Karinna Verissimo Meira Taveira; Odilon Guariza Filho; Isabela Bittencourt Basso; Glória Maria Nogueira Cortz Ravazzi; Bianca Simone Zeigelboim; José Stechman-Neto; Cristiano Miranda de Araujo
Abstract
Purpose: to map, through a literature survey, which instruments are used to assess swallowing in patients after orotracheal extubation.
Methods: available evidence was mapped through six electronic databases and gray literature. There were no restrictions regarding gender, ethnicity of the individuals, language of the studies, time of publication, and diagnosis.
Results: the most mentioned protocol in the studies was the Dysphagia Risk Evaluation Protocol and the most cited objective assessment exam was the flexible endoscopic evaluation of swallowing.
Conclusion: there is a need for a specific protocol to evaluate this profile of patients, in addition to comparative studies of subjective clinical evaluation and instrumental imaging.
Keywords
References
1. Kunigk MRG, Chehter E. Disfagia orofaríngea em pacientes submetidos à entubação orotraqueal. Rev Soc Bras Fonoaudiol. 2007;12(4):287-91.
2. Brodsky MB, González-Fernández M, Mendez-Tellez PA, Shanholtz C, Palmer JB, Needham DM. Factors associated with swallowing assessment after oral endotracheal intubation and mechanical ventilation for acute lung injury. Ann Am Thorac Soc. 2014;11(10):1545-52.
3. Goldsmith T. Evaluation and treatment of swallowing disorders following endotracheal intubation and tracheostomy. Int Anesthesiol Clin. 2000;38(3):219-42.
4. Skoretz SA, Flowers HL, Martino R. The incidence of dysphagia following endotracheal intubation: a systematic review. Chest. 2010;137(3):665-73.
5. Barbas CSV, Ísola AM, Farias AMDC, Cavalcanti AB, Gama AMC, Duarte ACM et al. Recomendações brasileiras de ventilação mecânica 2013. Parte I. Rev Bras Ter Intensiva. 2014;26(2):89-121.
6. Mann G. Effectiveness and efficiency: state of the art in dysphagia rehabilitation after stroke. Aust Comm Quarterly. 1996;4:25-7.
7. Carnaby-Mann G, Lenius K. The bedside examination in dysphagia. Phys Med Rehabil Clin. 2008;19(4):747-68.
8. Mathers-Schmidt BA, Kurlinski M. Dysphagia evaluation practices: inconsistencies in clinical assessment and instrumental examination decision-making. Dysphagia. 2003;18(2):114-25.
9. Padovani ARP. Oral Feeding Transition Protocol (OFTP) [Dissertation]. Sao Paulo (SP): Faculty of Medicine, University of São Paulo; 2010.
10. de Lima Amaral IJ, de Castro Guimarães V, Diniz DS, Carneiro MAD. Clinical swallowing evaluation in multiple sclerosis at a reference center in the center-west of Brazil. Braz J Dev. 2020;6(7):51166-78.
11. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D et al. PRISMA extension for scoping reviews (PRISMA-SCR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73.
12. El Solh A, Okada M, Bhat A, Pietrantoni C. Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Med. 2003;29(9):1451-5.
13. Langmore SE, Krisciunas GP, Warner H, White D, Dvorkin D, Fink D et al. Abnormalities of aspiration and swallowing function in survivors of acute respiratory failure. Dysphagia. 2021;36(5):831-41.
14. Moss M, White SD, Warner H, Dvorkin D, Fink D, Gomez-Taborda S et al. Development of an accurate bedside swallowing evaluation decision tree algorithm for detecting aspiration in acute respiratory failure survivors. Chest. 2020;158(5):1923-33.
15. Oliveira ACMD, Friche AADL, Salomão MS, Bougo GC, Vicente LCC. Predictive factors for oropharyngeal dysphagia after prolonged orotracheal intubation. Braz J Otorhinolaryngol. 2018;84(6):722-8.
16. El Gharib AZG, 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 12:1179550619873364
17. Moraes D, Sassi F, Mangilli L, Zilberstein B, de Andrade CRF. Clinical prognostic indicators of dysphagia following prolonged orotracheal intubation in ICU patients. J Crit care. 2013;17(5):1-10.
18. Medeiros GCD, Sassi FC, Zambom LS, de Andrade CRF. Correlation between the severity of critically ill patients and clinical predictors of bronchial aspiration. J Bras Pneumol. 2016;42(2):114-20.
19. Medeiros GC, Sassi FC, Mangilli LD, Zilberstein B, Andrade CR. Clinical dysphagia risk predictors after prolonged orotracheal intubation. Clinics. 2014;69(1):8-14.
20. Padovani AR, Moraes DP, Sassi FC, de Andrade CRF. Clinical swallowing assessment in intensive care unit. Rev Soc Bras Fonoaudiol. 2013;35(1):1-7.
21. Ferrucci JL, Sassi FC, Medeiros GCD, de Andrade CRF. Comparison between the functional aspects of swallowing and clinical markers in ICU patients with Traumatic Brain Injury (TBI). CODAS. 2019;31(2):e20170278.
22. Brodsky MB, De I, Chilukuri K, Huang M, Palmer BJ, 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.
23. Leder SB, Warner HL, Suiter DM, Young NO, Bhattacharya B, Siner JM et al. Evaluation of swallow function post-extubation: is it necessary to wait 24 hours? Ann Otol Rhinol. 2019;128(7):619-24.
24. Skoretz SA, Yau TM, Granton JT, Martino R. The feasibility of assessing swallowing physiology following prolonged intubation after cardiovascular surgery. Pilot Feasibility Stud. 2017;3(1):1-10.
25. Padovani AR, Moraes DP, Mangili LD, de Andrade CRF. Protocolo fonoaudiológico de avaliação do risco para disfagia (PARD). Rev Soc Bras Fonoaudiol. 2007;12(3):199-205.
26. Suiter DM, Sloggy J, Leder SB. Validation of the Yale Swallow Protocol: a prospective double-blinded videofluoroscopy study. Dysphagia. 2014 29(2):199-203.
27. Leder SB, Cohn SM, Moller BA. Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia. 1998;13(4):208-12.
28. Mann G. MASA: The Mann Assessment of Swallowing Ability. 2002; Vol. 1. Cengage learning.
29. Barquist E, Brown M, Cohn S, Lundy D, Jackowski J. Postextubation fiberoptic endoscopic evaluation of swallowing after prolonged endotracheal intubation: a randomized, prospective trial. Crit Care Med. 2001;29(9):1710-3.
30. Lin LC, Wu SC, Chen HS, Wang TG, Chen MY. Prevalence of impaired swallowing in institutionalized older people in Taiwan. J Am Geriatr Soc. 2002;50(6):1118-23.
31. Apel K, Self T. Evidence-based practice: the marriage of research and clinical services. The ASHA Leader. 2003;8(16):6-7.
Submitted date:
10/21/2022
Accepted date:
11/16/2022
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