TRACHEOSTOMY AND PREDISPOSITION TO DYSPHAGIA
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Abstract
Introduction: Tracheostomy placement is a frequently used medical intervention for people with complex respiratory conditions. Given the anatomical location of a tracheostomy and the shared pathway of the respiratory and alimentary systems, tracheostomy can have unintended and even adverse consequences, one of these complications being dysphagia. Objectives: to identify whether tracheostomy can predispose to dysphagia. Materials and methods: This is an integrative review, in which the guiding question was “Does tracheostomy predispose to dysphagia?”. The search for articles was carried out in the main databases (PubMed and Scielo) using the terms “tracheostomy”, “dysphagia” and “deglutition disorders”, combined using Boolean operators. Results and discussion: The study findings demonstrated that intubation, use of tracheostomy and pronation were significantly associated with oropharyngeal dysphagia. Even in the absence of a swallowing problem before hospital admission, dysphagia during hospitalization has a detrimental effect on functional outcomes, especially in chronic critically ill patients with severe pneumonia who require a prolonged period of invasive ventilatory care and subsequently tracheostomy. Conclusion: We conclude that tracheostomy may predispose to dysphagia. Furthermore, it has been clarified that the main pathophysiology is due to the tracheostomy causing decreased sensory input, reduced subglottic air pressure, and disuse atrophy of laryngeal structures, thus leading to dysphagia.
Author Biographies
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade Professor Edson Antônio Velano - UNIFENAS.
Universidade José do Rosário Vellano - UNIFENAS.
References
Skoretz SA, Anger N, Wellman L, Takai O, Empey A. A Systematic Review of Tracheostomy Modifications and Swallowing in Adults. Dysphagia. 2020 Dec;35(6):935-947. Epub 2020 May 6. PMID: 32377977; PMCID: PMC7202464 DOI: https://doi.org/10.1007/s00455-020-10115-0
Ferro A, Kotecha S, Auzinger G, Yeung E, Fan K. Systematic review and meta-analysis of tracheostomy outcomes in COVID-19 patients. Br J Oral Maxillofac Surg. 2021 Nov;59(9):1013-1023. Epub 2021 May 18. PMID: 34294476; PMCID: PMC8130586 DOI: https://doi.org/10.1016/j.bjoms.2021.05.011
Skoretz SA, Riopelle SJ, Wellman L, Dawson C. Investigating swallowing and tracheostomy following critical illness: a scoping review. Crit Care Med. 2020;48(2):141–151 DOI: https://doi.org/10.1097/CCM.0000000000004098
Kowalski S, El-Gabalawy R, Macaulay K, et al. Weaning from mechanical ventilation using tracheostomy cuff deflation and a one-way speaking valve: a historical-cohort series. Can J Anaesth. 2017;64(12):1286–1288.
Wallace S, McGrath BA. Laryngeal complications after tracheal intubation and tracheostomy. BJA Educ. 2021 Jul;21(7):250-257. Epub 2021 Apr 21. PMID: 34178381; PMCID: PMC8212164 DOI: https://doi.org/10.1016/j.bjae.2021.02.005
Bharadwaj A, Neema PK, Karim HMR, Borthakur MP, Khetarpal M. A Holistic Approach to Managing Secondary Dysphagia Following Prolonged Intubation and Tracheostomy: A Case Report. Cureus. 2023 Feb 4;15(2):e34620. PMID: 36895537; PMCID: PMC9988438 DOI: https://doi.org/10.7759/cureus.34620
Silva, M. E. da, Silva, W. M. da, Silva, G. M. da, Souza, R. G. de, Santos, J. A. dos, Luz, M. K. S. da, Ferreira, M. D. F., Silva, T. M. L., Rocha, L. C. P. da, & Silva, C. A. de O. (2020). Manifestações neurológicas provocadas por COVID-19: uma revisão integrativa da literatura / Neurological manifestations caused by COVID-19: an integrative literature review. Brazilian Journal of Development, 6(7), 52155–52163. https://doi.org/10.34117/bjdv6n7-750
MENDES, Karina Dal Sasso; SILVEIRA, Renata Cristina de Campos Pereira; GALVÃO, Cristina Maria. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & contexto-enfermagem, v. 17, p. 758-764, 2008.
Sousa, Luís & Marques-Vieira, Cristina & Severino, Sandy & Antunes, Vanessa. (2017). Metodologia de Revisão Integrativa da Literatura em Enfermagem. Revista Investigação Enfermagem. 2. 17-26.
Yoo W, Jang MH, Kim SH, Yoon JA, Jang H, Kim S, Lee K. A Predictive Model for Dysphagia after Ventilator Liberation in Severe Pneumonia Patients Receiving Tracheostomy: A Single-Center, Observational Study. J Clin Med. 2022 Dec 13;11(24):7391. PMID: 36556007; PMCID: PMC9785512 DOI: https://doi.org/10.3390/jcm11247391
Hou L, Li Y, Wang J, Wang Y, Wang J, Hu G, Ding XR. Risk factors for post-extubation dysphagia in ICU: A systematic review and meta-analysis. Medicine (Baltimore). 2023 Mar 10;102(10):e33153. PMID: 36897733; PMCID: PMC9997834 DOI: https://doi.org/10.1097/MD.0000000000033153
Miles A, McLellan N, Machan R, Vokes D, Hunting A, McFarlane M, Holmes J, Lynn K. Dysphagia and laryngeal pathology in post-surgical cardiothoracic patients. J Crit Care. 2018 Jun;45:121-127. Epub 2018 Feb 9. PMID: 29454226 DOI: https://doi.org/10.1016/j.jcrc.2018.01.027
Lee CL, Huang G, Banda KJ, Chu YH, Jen HJ, Chu H, Liu D, Pien LC, Chen R, Chou KR. Prevalence of oropharyngeal dysphagia and risk of mortality among hospitalized COVID-19 patients: A meta-analysis. J Glob Health. 2022 Dec 29;12:05058. PMID: 36579715; PMCID: PMC9798345 DOI: https://doi.org/10.7189/jogh.12.05058
Macht M, King CJ, Wimbish T, Clark BJ, Benson AB, Burnham EL, Williams A, Moss M. Post-extubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. Crit Care. 2013 Jun 20;17(3):R119. PMID: 23786755; PMCID: PMC4057203 DOI: https://doi.org/10.1186/cc12791
Bordejé Laguna L, Marcos-Neira P, de Lagrán Zurbano IM, Marco EM, Guisasola CP, Viñas Soria CD, Martí PR. Dysphagia and mechanical ventilation in SARS-COV-2 pneumonia: It's real. Clin Nutr. 2022 Dec;41(12):2927-2933. Epub 2021 Nov 23. PMID: 34879968; PMCID: PMC8608682 DOI: https://doi.org/10.1016/j.clnu.2021.11.018
Phua J., Faruq M.O., Kulkarni A.P., Redjeki I.S., Detleuxay K., Mendsaikhan N., Sann K.K., Shrestha B.R., Hashmi M., Palo J.E.M., et al. Critical Care Bed Capacity in Asian Countries and Regions. Crit. Care Med. 2020;48:654–662 DOI: https://doi.org/10.1097/CCM.0000000000004222
Spronk PE, Spronk LEJ, Egerod I, McGaughey J, McRae J, Rose L, Brodsky MB; DICE study investigators. Dysphagia in Intensive Care Evaluation (DICE): An International Cross-Sectional Survey. Dysphagia. 2022 Dec;37(6):1451-1460. Epub 2022 Jan 29. PMID: 35092486 DOI: https://doi.org/10.1007/s00455-021-10389-y
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