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Postintubation Dysphagia During COVID-19 Outbreak-Contemporary Review.
Zofia Frajkova1,2, Miroslav Tedla3,4, Eva Tedlova5
1Department of ENT and HNS, Faculty of Medicine, University Hospital Bratislava, Comenius University, Antolska 11, 811 07, Bratislava, Slovakia.
Dysphagia
|May 30, 2020
Summary
COVID-19 patients requiring respiratory support face a high risk of postintubation dysphagia. This review explores potential causes and offers guidance on diagnosing and managing swallowing difficulties in these critically ill individuals.
Area of Science:
- Medicine
- Critical Care
- Infectious Diseases
Background:
- COVID-19 pandemic necessitates novel healthcare approaches.
- Severe cases often lead to Acute Respiratory Distress Syndrome (ARDS), requiring respiratory support like mechanical ventilation and nasogastric tube feeding.
- These interventions increase risks for dysphagia, aspiration, and aspiration pneumonia.
Purpose of the Study:
- To review the potential mechanisms of postintubation dysphagia in COVID-19 patients.
- To summarize current knowledge on dysphagia risks in this population.
- To provide recommendations for diagnosis and management.
Main Methods:
- Literature review of available information.
- Synthesis of data on COVID-19 related respiratory support and swallowing complications.
- Identification of potential etiological factors for dysphagia.
Main Results:
- Patients with COVID-19 requiring intubation and mechanical ventilation are presumed to be at high risk for dysphagia.
- Respiratory symptoms and reduced lung function associated with COVID-19 may worsen pre-existing or induced swallowing deficits.
- Specific data on dysphagia incidence in COVID-19 is limited but risk factors are significant.
Conclusions:
- Postintubation dysphagia is a significant concern for COVID-19 patients undergoing respiratory support.
- Understanding the mechanisms is crucial for effective patient care.
- Timely diagnosis and appropriate management strategies are essential to mitigate complications.
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