title: [Management of dysphagic patients with acute stroke].
abstract: This article describes expert recommendations on the management of patients with acute stroke, who might suffer from dysphagia. The main goal is to reduce the risk of aspiration pneumonia (AP). Nurses or physicians should perform the standardized swallowing assessment (SSA) as soon as possible and speech-language therapists have to perform examinations comprising assessment of predictors for aspiration and for AP as well as the clinical swallowing assessment. Dependent on the results, flexible endoscopic or video fluoroscopic evaluation of swallowing has to be performed so that indications for enteral or oral feeding can be made. Furthermore, the risk of AP can be minimized. This article presents algorithms which enable decision-making with regard to diagnostic and therapeutic measures.
authors.affiliation: Abteilung Neurologie und Neuropsychologie mit Zentrum für Schluckstörungen, m&i Fachklinik Bad Heilbrunn, Wörnerweg 30, 83670 Bad Heilbrunn, Deutschland. mario.prosiegel@fachklinik-bad-heilbrunn.de
authors.forename: M
authors.initials: M
authors.lastname: Prosiegel
authors.forename: A
authors.initials: A
authors.lastname: Riecker
authors.forename: M
authors.initials: M
authors.lastname: Weinert
authors.forename: R
authors.initials: R
authors.lastname: Dziewas
authors.forename: B
authors.initials: B
authors.lastname: Lindner-Pfleghar
authors.forename: S
authors.initials: S
authors.lastname: Stanschus
authors.forename: T
authors.initials: T
authors.lastname: Warnecke
mesh_terms: D000465:Algorithms; D003661:Decision Support Techniques; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D020521:Stroke / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*