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[Changes in the deglutition reflex during the perioperative period]
1Département d'Anesthésie-Réanimation Chirurgicale, Hôpital Bichat, Paris.
Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1994
Summary
The swallowing reflex protects lungs from aspiration but can be impaired by anesthesia and intubation. This review examines how anesthesia affects swallowing and increases aspiration risk.
Area of Science:
- Physiology
- Anesthesiology
- Pulmonology
Context:
- The aerodigestive tract serves dual roles in breathing and swallowing.
- Aspiration of foreign material poses a significant risk to lung health.
- Coordination between swallowing and ventilation is crucial for airway protection.
Purpose:
- To review the normal swallowing process.
- To analyze alterations in swallowing function due to anesthesia and intubation.
- To consider the impact of co-existing diseases on swallowing.
Summary:
- The swallowing reflex is a critical defense mechanism against pulmonary aspiration.
- Anesthesia and endotracheal intubation can compromise the swallowing reflex, increasing aspiration risk.
- Age, physiological changes, and certain medications can also alter swallowing function.
Impact:
- Highlights the importance of understanding anesthesia's effects on swallowing.
- Informs clinical practice regarding aspiration prevention in patients undergoing anesthesia.
- Provides a comprehensive overview for researchers and clinicians in relevant fields.