Management of swallowing disorders in ICU patients - A multinational expert opinion
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Management of swallowing disorders in ICU patients - A multinational expert opinion. / Likar, Rudolf; Aroyo, Ilia; Bangert, Katrin; Degen, Björn; Dziewas, Rainer; Galvan, Oliver; Grundschober, Michaela Trapl; Köstenberger, Markus; Muhle, Paul; Schefold, Joerg C; Zuercher, Patrick.
in: J CRIT CARE, Jahrgang 79, 02.2024, S. 154447.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Review › Forschung
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TY - JOUR
T1 - Management of swallowing disorders in ICU patients - A multinational expert opinion
AU - Likar, Rudolf
AU - Aroyo, Ilia
AU - Bangert, Katrin
AU - Degen, Björn
AU - Dziewas, Rainer
AU - Galvan, Oliver
AU - Grundschober, Michaela Trapl
AU - Köstenberger, Markus
AU - Muhle, Paul
AU - Schefold, Joerg C
AU - Zuercher, Patrick
N1 - Copyright © 2023. Published by Elsevier Inc.
PY - 2024/2
Y1 - 2024/2
N2 - BACKGROUND: Dysphagia is common in intensive care unit (ICU) patients, yet it remains underrecognized and often unmanaged despite being associated with life-threatening complications, prolonged ICU stays and hospitalization.PURPOSE: To propose an expert opinion for the diagnosis and management of dysphagia developed from evidence-based clinical recommendations and practitioner insights.METHODS: A multinational group of dysphagia and critical care experts conducted a literature review using a modified ACCORD methodology. Based on a fusion of the available evidence and the panel's clinical experience, an expert opinion on best practice management was developed.RESULTS: The panel recommends adopting clinical algorithms intended to promote standardized, high-quality care that triggers timely systematic dysphagia screening, assessment, and treatment of extubated and tracheostomized patients in the ICU.CONCLUSIONS: Given the lack of robust scientific evidence, two clinical management algorithms are proposed for use by multidisciplinary teams to improve early systematic detection and effective management of dysphagia in ICU patients. Additionally, emerging therapeutic options such as neurostimulation have the potential to improve the quality of ICU dysphagia care.
AB - BACKGROUND: Dysphagia is common in intensive care unit (ICU) patients, yet it remains underrecognized and often unmanaged despite being associated with life-threatening complications, prolonged ICU stays and hospitalization.PURPOSE: To propose an expert opinion for the diagnosis and management of dysphagia developed from evidence-based clinical recommendations and practitioner insights.METHODS: A multinational group of dysphagia and critical care experts conducted a literature review using a modified ACCORD methodology. Based on a fusion of the available evidence and the panel's clinical experience, an expert opinion on best practice management was developed.RESULTS: The panel recommends adopting clinical algorithms intended to promote standardized, high-quality care that triggers timely systematic dysphagia screening, assessment, and treatment of extubated and tracheostomized patients in the ICU.CONCLUSIONS: Given the lack of robust scientific evidence, two clinical management algorithms are proposed for use by multidisciplinary teams to improve early systematic detection and effective management of dysphagia in ICU patients. Additionally, emerging therapeutic options such as neurostimulation have the potential to improve the quality of ICU dysphagia care.
U2 - 10.1016/j.jcrc.2023.154447
DO - 10.1016/j.jcrc.2023.154447
M3 - SCORING: Review article
C2 - 37924574
VL - 79
SP - 154447
JO - J CRIT CARE
JF - J CRIT CARE
SN - 0883-9441
ER -
