title: [Exploration and approach to artificial airway dysphagia].
abstract: Airway isolation by endotracheal intubation or tracheostomy impedes or even interrupts speech and swallowing. Pharyngeal and laryngeal impairment frequently occurs after extubation or de-cannulation, common consequences being dysphonia, dysphagia and the aspiration of oral secretions, food, or fluids. Aspiration often leads to pneumonia and eventually death. Although the literature reports a high frequency of dysphagia following intubation and tracheostomy, the data vary considerably, and the true incidence of oropharyngeal dysphagia following artificial airway isolation remains to be established. We conducted a systematic review of the available evidence, in order to assess oropharyngeal dysphagia physiology, diagnosis and treatment.
authors: Unidad de Cuidados Intensivos, Hospital Universitario Virgen de las Nieves, Granada, España. afernandezcarmona@hotmail.com
authors: A
authors: A
authors: Fernández-Carmona
authors: L
authors: L
authors: Peñas-Maldonado
authors: E
authors: E
authors: Yuste-Osorio
authors: A
authors: A
authors: Díaz-Redondo
mesh_terms: D060666:Airway Extubation / Q000009:adverse effects; D002921:Cicatrix / Q000150:complications; D003680:Deglutition Disorders / Q000145:classification / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D003938:Diagnostic Techniques, Digestive System; D003948:Diagnostic Techniques, Respiratory System; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007830:Larynx / Q000293:injuries; D009468:Neuromuscular Diseases / Q000150:complications; D010808:Physical Examination; D011015:Pneumonia, Aspiration / Q000209:etiology / Q000517:prevention & control; D012121:Respiration, Artificial / Q000009:adverse effects; D014139:Tracheostomy / Q000009:adverse effects* / Q000295:instrumentation / Q000534:rehabilitation