Assessment of respiration during video fluoroscopy of dysphagic patients
| Autor: | Olle Ekberg, Bengt Hindfelt, Håkan Nilsson, Margaretha Bülow |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Male
medicine.medical_specialty Contrast Media Transit time Pneumonia Aspiration chemistry.chemical_compound stomatognathic system Swallowing Interquartile range Respiration otorhinolaryngologic diseases medicine Humans Fluoroscopy Radiology Nuclear Medicine and imaging Aged medicine.diagnostic_test business.industry digestive oral and skin physiology Videotape Recording Dysphagia Deglutition Surgery Video fluoroscopy Barium sulfate chemistry Anesthesia Female Barium Sulfate medicine.symptom Deglutition Disorders business |
| Zdroj: | Academic Radiology. 4:503-507 |
| ISSN: | 1076-6332 |
| DOI: | 10.1016/s1076-6332(97)80237-1 |
| Popis: | RATIONALE AND OBJECTIVES: The authors evaluated the coordination of swallowing and respiration in dysphagic patients. MATERIALS AND METHODS: Video fluoroscopy and respirometry were performed simultaneously during 98 swallows in 33 patients (18 women, 15 men) with a median age of 70 years (interquartile range, 52-78 years). Pharyngeal transit time, deglutition apnea, and the ratio between the two (swallowing safety index) were calculated. Presence of a misdirected swallow (aspiration or penetration) was indicated. RESULTS: Pharyngeal transit time was not associated with deglutition apnea. Misdirected swallow was associated with a slightly prolonged pharyngeal transit time, a slightly shorter deglutition apnea, and a significantly lower swallowing safety index (1.8 [1.0-4.2] vs 4.5 [2.4-6.7]; P < .001) compared with normally directed swallow. The association between misdirected swallow and lower swallowing safety index was independent of pharyngeal transit time. CONCLUSION: Assessment of respiration is important in the evaluation of dysphagia. Aspiration, especially in elderly dysphagic patients, may be a consequence of primarily disturbed respiration. A low swallowing safety index may indicate risk of misdirected swallow. (Less) |
| Databáze: | OpenAIRE |
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