Evaluating Post-Extubation Dysphagia in ICU Patients: The Role of Respiratory Therapists in Preventing Aspiration Through Multidisciplinary Collaboration

Authors: Abdulrahman O. Alanazi, Abdullah F. Alharbi, Turki R. Alruwaili, Sami F. Almotairi

DOI: https://doi.org/10.5281/zenodo.13365302

Short DOI: https://doi.org/gt7p39

Country: Saudi Arabia

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Abstract: Objective: This study evaluates the prevalence of post-extubation dysphagia (PED) among ICU patients and the role of respiratory therapists (RTs) in preventing aspiration and related complications.

Methods: We conducted a retrospective analysis of ICU patients who were extubated after prolonged mechanical ventilation. Data on PED prevalence, severity, and associated complications were collected, and the involvement of RTs in preventing aspiration was assessed.

Results: PED was observed in 48% of extubated patients, with a significant association between prolonged mechanical ventilation and increased risk of dysphagia. Aspiration pneumonia occurred in 36.5% of patients with PED, and reintubation was necessary in 18.8%. Comprehensive RT involvement was linked to a reduction in aspiration-related complications.

Conclusion: PED is a common and serious complication among ICU patients, significantly associated with aspiration pneumonia and reintubation. RTs play a crucial role in managing dysphagia and preventing aspiration through effective airway management and collaboration with speech-language pathologists (SLPs). Enhancing RT involvement and interdisciplinary collaboration can improve patient outcomes.

Keywords: Post-extubation dysphagia, respiratory therapists, aspiration pneumonia, ICU, mechanical ventilation, dysphagia management, interdisciplinary collaboration

Paper Id: 231066

Published On: 2024-05-09

Published In: Volume 12, Issue 3, May-June 2024

Cite This: Evaluating Post-Extubation Dysphagia in ICU Patients: The Role of Respiratory Therapists in Preventing Aspiration Through Multidisciplinary Collaboration - Abdulrahman O. Alanazi, Abdullah F. Alharbi, Turki R. Alruwaili, Sami F. Almotairi - IJIRMPS Volume 12, Issue 3, May-June 2024. DOI 10.5281/zenodo.13365302

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