在COVID-19患者中出现食障碍 患者在体外膜氧化治疗中
Grant S Owen1,2, Eleni A Varelas3,4, Michelle E Mark5
1Rush Medical College, Rush University, 600 S Paulina St, Suite 403, Chicago, IL, 60612, USA. grant_s_owen@rush.edu.
Dysphagia
|April 3, 2024
概括
在体外膜氧化 (ECMO) 上的COVID-19患者可以安全地接受吞评估. 语音语言病理学评估可以在ECMO时恢复口腔养功能.
科学领域:
- 关键护理医学 关键护理医学
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 外体膜氧化 (ECMO) 治疗的患者由于吸收风险,往往无法获得口服营养.
- 接受ECMO治疗的COVID-19患者面临着影响吞功能的独特挑战.
研究的目的:
- 在接受ECMO的COVID-19患者中评估吞功能和口服养能力.
- 确定ECMO上的COVID-19患者吞评估的可行性.
主要方法:
- 在静脉静脉ECMO (2020年3月至8月) 上对19名COVID-19患者的回顾性研究.
- 临床吞评估和视频光学吞研究 (VFSS) 的分析.
- 在ECMO持续时间和吞结果之间的相关性分析.
主要成果:
- 所有19名患者完成了吞评估,并在ECMO治疗期间恢复了口服养能力.
- 较长的ECMO持续时间与减少吞独立性和修改的饮食相关 (r=0.747,p<0.001).
- 在ECMO期间对COVID-19患者进行吞评估是可行的.
结论:
- 语音语言病理 (SLP) 监测和吞评估对ECMO的COVID-19患者是有益的.
- 在ECMO支持期间可以实现口服养和改善吞功能.
- 早期评估有助于计划安全的口服饮食开始后ECMO.
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