Dysphagia Following Prolonged Endotracheal Intubation: Is There A Rule of Thumb?
Publication: Perspectives on Swallowing and Swallowing Disorders (Dysphagia)
Volume 23, Number 2
Pages 80-86
Abstract
Prolonged endotracheal intubation is a common iatrogenic cause of swallowing disorders. Clinicians frequently seek a decision-making algorithm to determine appropriate timing of assessment, predict the course of recovery, and determine the need for interventions. Many risk factors are present in any patient requiring mechanical ventilation through an artificial airway, making each case a complex and unique puzzle. This paper reviews the literature regarding effects of prolonged endotracheal intubation and risk factors for adverse events, and underscores the uncertainty inherent in management after extubation.
Get full access to this article
View all available purchase options and get full access to this article.
References
Ajemian, M. S., Nirmul, G. B., Anderson, M. T., Zirlen, D. M., & Kwasnik, E. M. (2001). Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Archives of Surgery, 136(4), 434–437.
Barker, J., Martino, R., Reichardt, B., Hickey, E. J., & Ralph-Edwards, A. (2009). Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery. Canadian Journal of Surgery, 52(2), 119–124.
Barquist, E., Brown, M., Cohn, S., Lundy, D., & Jackowski, J. (2001). Postextubation fiberoptic endoscopic evaluation of swallowing after prolonged endotracheal intubation: a randomized, prospective trial. Critical Care Medicine, 29(9), 1710–1713.
Bordon, A., Bokhari, R., Sperry, J., Testa, D. T., Feinstein, A., & Ghaemmaghami, V. (2011). Swallowing dysfunction after prolonged intubation: analysis of risk factors in trauma patients. American Journal of Surgery, 202(6), 679–682; discussion 682–673.
Burns, H. P., Dayal, V. S., Scott, A., van Nostrand, A. W., & Bryce, D. P. (1979). Laryngotracheal trauma: observations on its pathogenesis and its prevention following prolonged orotracheal intubation in the adult. Laryngoscope, 89(8), 1316–1325.
Chin, R. Y., & Ellul, S. (2009). Dysphagia after emergency intubation: case report and literature review. Dysphagia, 24(1), 105–108.
Colton House, J., Noordzij, J. P., Murgia, B., & Langmore, S. (2011). Laryngeal injury from prolonged intubation: a prospective analysis of contributing factors. Laryngoscope, 121(3), 596–600.
deLarminat, V., Montravers, P., Dureuil, B., & Desmonts, J. M. (1995). Alteration in swallowing reflex after extubation in intensive care unit patients. Critical Care Medicine, 23(3), 486–490.
El Solh, A., Okada, M., Bhat, A., & Pietrantoni, C. (2003). Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Medicine, 29(9), 1451–1455.
Gottschalk, A., Burmeister, M., Blanc, I., Schulz, F., & Standl, T. (2003). [Rupture of the trachea after emergency endotracheal intubation]. Anasthesiol Intensivmed Notfallmed Schmerzther, 38, 59–61.
Kwok, A. M., Davis, J. W., Cagle, K. M., Sue, L. P., & Kaups, K. L. (2013). Post-extubation dysphagia in trauma patients: It's hard to swallow. American Journal of Surgery, 206(6), 924–928; discussion 927–928.
Leder, S. B., Cohn, S. M., & Moller, B. A. (1998). Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia, 13(2), 208.
LoCicero, J. (1984). Tracheo-carotid artery erosion following endotracheal intubation. J Trauma, 24, 907–909.
Myers, E. M. (1982). Hypopharyngeal perforation: A complication of endotracheal intubation. Laryngoscope, 92(5), 583–585.
Randestad, A., Lindholm, C.-E., & Fabian, P. (2000). Dimensions of the cricoid cartilage and the trachea. Laryngoscope, 110(11), 1957–1961.
Santos, P. M., Afrassiabi, A., & Weymuller, E. A., Jr. (1994). Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngology-Head & Neck Surgery, 111(4), 453–459.
Skoretz, S. A., Flowers, H. L., & Martino, R. (2010). The incidence of dysphagia following endotracheal intubation: a systematic review. Chest, 137(3), 665–673.
Tadié, J.-M., Behm, E., Lecuyer, L., Benhmamed, R., Hans, S., Brasnu, D., … Guérot, E. (2010). Post-intubation laryngeal injuries and extubation failure: A fiberoptic endoscopic study. Intensive Care Medicine, 36(6), 991–998.
Ware, L. B., & Matthay, M. A. (2000). The acute respiratory distress syndrome. The New England Journal of Medicine, 342(18), 1334–1349.
Weymuller, E. A., Jr. (1988). Laryngeal injury from prolonged endotracheal intubation. Laryngoscope, 98(8)(Supplement), 14.
Information & Authors
Information
Published In
Copyright
Copyright © 2014 American Speech-Language-Hearing Association.
History
- Published in issue: Apr 1, 2014
Authors
Metrics & Citations
Metrics
Article Metrics
View all metricsCitations
Download article citation data for:
If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.
For more information or tips please see 'Downloading to a citation manager' in the Help menu.
Citing Literature
- Laura Brooks, Steven Goudy, A Look at Breathing, Feeding/Swallowing, and Speech Impairment in Patients with Craniofacial Microsomia, Craniofacial Microsomia and Treacher Collins Syndrome, 10.1007/978-3-030-84733-3_3, (33-53), (2022).
