Swallowing dysfunction, or dysphagia, is a critical concern in intensive care unit (ICU) patients. It is particularly prevalent among those with prolonged intubation, ICU-acquired weakness, or neurological impairments. Post-extubation dysphagia (PED) affects up to 62% of ICU patients and is associated with increased morbidity and mortality. Complications include aspiration pneumonia, malnutrition, dehydration, and prolonged hospital stays. Early recognition and comprehensive management are essential to mitigate these risks and optimize patient outcomes [1, 2] [Ref: Algorithm 83.1].

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Approach to Swallowing Dysfunction in the ICU

  • Shakti Bedanta Mishra,
  • Samir Samal,
  • Sagarika Panda

摘要

Swallowing dysfunction, or dysphagia, is a critical concern in intensive care unit (ICU) patients. It is particularly prevalent among those with prolonged intubation, ICU-acquired weakness, or neurological impairments. Post-extubation dysphagia (PED) affects up to 62% of ICU patients and is associated with increased morbidity and mortality. Complications include aspiration pneumonia, malnutrition, dehydration, and prolonged hospital stays. Early recognition and comprehensive management are essential to mitigate these risks and optimize patient outcomes [1, 2] [Ref: Algorithm 83.1].