Incidência de disfagia em pacientes com COVID-19 após extubação.

Autores

Palavras-chave:

COVID-19, dysphagia, mechanical ventilation, post extubation, swallowing, intensive care unit

Resumo

Introdução: A pandemia de covid-19 resultou em diversas hospitalizações e óbitos. Muitos pacientes são admitidos em unidade de terapia intensiva para receber ventilação invasiva. Apesar de possuir as ferramentas e técnicas para a intubação orotraqueal, um grande número de pacientes pode apresentar distúrbios de deglutição após a extubação. A disfagia pode ser consequência de internação prolongada em unidades de terapia intensiva por pneumonia grave por SARS-CoV-2. Objetivo: Verificar a incidência de disfagia, após extubação, em pacientes com covid-19 e que utilizaram ventilação mecânica. Método: Estudo observacional, descritivo, de pacientes com SARS-CoV-2 admitidos na unidade de terapia intensiva. Resultados: Um total de 29 pacientes foram admitidos na unidade de terapia intensiva para intubação e ventilação mecânica e foram extubados com sucesso. E 82,7% dos pacientes que realizaram avaliação fonoaudiológica da deglutição apresentaram algum grau de disfagia. Conclusões: A disfagia afeta vários pacientes pós-extubação por SARS-COV-2.

Downloads

Não há dados estatísticos.

Referências

References
1. WHO coronavirus disease (COVID-19) dashboard. https://covid19.who.int. Date accessed: November 20, 2020.
2. Sepulchre E, Pittie G, Stojkovic V, et al. Covid-19: contribution of clinical characteristics and laboratory features for early detection of patients with high risk of severe evolution. Acta Clin Belg. 2020 Sep 16:1-7.
3. Botta M, Tsonas AM, Pillay J, et al. Ventilation management and clinical outcomes in invasively ventilated patients with COVID-19 (PRoVENT-COVID): a national, multicentre, observational cohort study, The Lancet Respiratory Medicine, Oct 2020.
4. Reiter R, Brosch S. Update oropharyngeal dysphagia part 2: etiology and therapy. Laryngorhinootologie. 2012;91(5):291–9.
5. Brodsky MB, Levy MJ, Jedlanek E, et al. Laryngeal Injury and Upper Airway Symptoms After Oral Endotracheal Intubation With Mechanical Ventilation During Critical Care: A Systematic Review. Crit Care Med. 2018;46(12).
6. Schefold JC, Berger D, Zürcher P, et al. Dysphagia in Mechanically Ventilated ICU Patients (DYnAMICS): A Prospective Observational Trial. Crit Care Med. 2017;45(12).
7. Zuercher, P., Moret, C.S., Dziewas, R. et al. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care 23, 103 (2019).
8. World Health Organization/Europe. COVID-19 exposes the critical importance of patient rehabilitation. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/4/covid-19-exposes-the-critical-importance-of-patient-rehabilitation. Date accessed: November 20, 2020.
9. Vergara J, Skoretz SA, Brodsky MB, Miles A, Langmore SE, Wallace S, Seedat J, Starmer HM, Bolton L, Clavé P, Freitas SV, Bogaardt H, Matsuo K, de Souza CM, Mourão LF. Assessment, Diagnosis, and Treatment of Dysphagia in Patients Infected With SARS-CoV-2: A Review of the Literature and International Guidelines. Am J Speech Lang Pathol. 2020 Nov 12;29(4):2242-2253.
10. Crary MA, Mann GD, Groher ME. Initial psychometric assessment of a functional oral intake scale for dysphagia in stroke patients. Arch Phys Med Rehab. 2005 Aug; 86(8):1516-20.
11. Dobak S, Kelly D. Tough Pill to Swallow: Postextubation Dysphagia and Nutrition Impact in the Intensive Care Unit. Nutr Clin Pract, 36 (1) (2021 Feb 1), pp. 80-87.
12. Laguna LB, Marcos-Neira P, Zurbano IML, Marco EM, Guisasola CP, Soria CDV, Martí PR. Dysphagia and mechanical ventilation in SARS-COV-2 pneumonia: It's real. Clinical Nutrition, 23 Nov 2021.
13. Miller B, Tornari C, Miu K et al. Airway, voice and swallow outcomes following endotracheal intubation and mechanical ventilation for COVID-19 pneumonitis: preliminary results of a prospective cohort study. Research Square, August 2020.
14. Macht M, Wimbish T, Clark BJ, et al. Diagnosis and treatment of post-extubation dysphagia: Results from a national survey. Journal of Critical Care, Volume 27, Issue 6, 2012.
15. Lima MS, Sassi FC, Medeiros GC, Ritto AP, Andrade CRF. Functional development of swallowing in ICU patients with COVID-19. CoDAS, 32(4). Epub October 07, 2020.
16. Frajkova Z, Tedla M, Tedlova E, Suchankova M, Geneid A. Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review. Dysphagia. 2020 Aug;35(4):549-557.
17. Larminat V, Montravers P, Dureuil, B, Desmonts, JM. Alteration in swallowing reflex after extubation in intensive care unit patients. Critical Care Medicine: March 1995 - Volume 23 - Issue 3 - p 486-490.
18. Brodsky MB, Pandian V, Needham DM. Post-extubation dysphagia: a problem needing multidisciplinary efforts. Intensive Care Med. 2020 Jan;46(1):93-96.

Downloads

Publicado

2022-04-17

Como Citar

Sabatini Perez-Ramos, I. C., Scaranello-Domingues, C. A., Martins Lima, B. ., & de Sousa Santos, S. . (2022). Incidência de disfagia em pacientes com COVID-19 após extubação. Revista Interdisciplinar De Pesquisa E Inovação, 12(1), 27–35. Recuperado de https://ufs.emnuvens.com.br/revipi/article/view/17185