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Identifying Post-Extubation Dysphagia
November 27, 2020
Jenny Barker, M.H.Sc, Reg. CASLPO
Shauna Hellen, M.H.Sc, S-LP(C), Reg. CASLPO
Trish Williams, M. SLP, S-LP(C), Reg. CASLPO
Implementation of an Evidence-based Screening Algorithm in Critical Care
Background: Intensive Care Admissions
• Over 5 million ICU admissions annually in North America
• Rapidly growing sector of hospital care
• ICUs running at 60-80% capacity before the arrival of COVID-19 pandemic
• With arrival of COVID-19, even further increased need for ICU
Barrett et al. (2011), Information CIfH (2016), Adhikari (2010), van Walraven(2013), Halpern (2016)
Background: Intubation
• 20-40% of critically ill patients will be intubated
• 1-2 million intubations in North America
• Respiratory failure is the most common reason for ICU re-admission
Barrett et al. (2011), Information CIfH (2016), Wunsch et al (2013), Gonzalez-Castro et al. (2007), Lin et al (2018)
Dysphagia in the Critically Ill Patient
• Swallowing is a complex function that involves the coordination of many nerves and muscles in the oral cavity, pharynx and esophagus
• Dysphagia (swallowing impairment) is typically the result of neurological, surgical, structural or functional causes
• Dysphagia in the ICU
• Iatrogenic
• Can be longstanding
• Can have negative outcomes if not addressedhttps://tiglutik.com/risk-of-aspiration-due-to-dysphagia/
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