[Clinical signs of dysphagia in infants with acute viral bronchiolitis]

Lisiane De Rosa Barbosa1, Erissandra Gomes2, Gilberto Bueno Fischer2

  • 1Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.

Insights

Infants with acute viral bronchiolitis often show swallowing difficulties (dysphagia) and altered respiratory patterns during feeding. Early identification of these feeding issues is crucial for better infant outcomes.

Area of Science:

  • Pediatrics
  • Neonatology
  • Clinical Medicine

Background:

  • Acute viral bronchiolitis is a common respiratory illness in infants.
  • Feeding difficulties and dysphagia can complicate the clinical course of bronchiolitis.

Purpose of the Study:

  • To identify clinical signs of dysphagia in infants with acute viral bronchiolitis.
  • To compare respiratory parameters during swallowing.
  • To assess the reliability of clinical swallowing evaluations.

Main Methods:

  • Cross-sectional study involving 42 infants (0-12 months) with acute viral bronchiolitis.
  • Clinical swallowing evaluation, respiratory rate, and pulse oximetry measurements.
  • Caregiver questionnaires on feeding difficulties and a swallowing disorder score were used.

Main Results:

  • Observed changes in oral and pharyngeal swallowing phases (e.g., prolonged pauses, coughing, gagging).
  • Significant increase in respiratory rate and tachypnea post-feeding; decreased oxygen saturation associated with swallowing disorders.
  • Higher reported feeding difficulties correlated with more swallowing changes.

Conclusions:

  • Infants with acute viral bronchiolitis exhibit swallowing disorders and respiratory changes during feeding.
  • Clinical signs suggest a higher probability of dysphagia in these infants, necessitating further evaluation.
Abstract

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