versão impressa ISSN 0210-5691
FERNANDEZ-CARMONA, A.; PENAS-MALDONADO, L.; YUSTE-OSORIO, E. e DIAZ-REDONDO, A.. Exploration and approach to artificial airway dysphagia. Med. Intensiva [online]. 2012, vol.36, n.6, pp.423-433. ISSN 0210-5691. http://dx.doi.org/10.1016/j.medin.2011.09.006.
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.
Palavras-chave : Oropharyngeal dysphagia; Tracheostomy; Mechanical ventilation.