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Towards a new diagnostic swallowing assessment : the first step in assessing dysphagia in intensive care unit patients

Hagens, L.A. (2018) Towards a new diagnostic swallowing assessment : the first step in assessing dysphagia in intensive care unit patients.

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Abstract:Dysphagia is an abnormality of the swallowing physiology. Dysphagia after extubation is called post-extubation dysphagia (PED). PED occurs frequently, however the exact incidence is unknown, reported frequencies range from 3 to 62%. PED is associated with poor outcomes, it can lead to prolonged hospital stay, hospital acquired pneumonia, reintubation and mortality. The goal is to create a measurement set-up which gives more insight into the etiology and pathophysiology of PED. A pilot study in healthy subjects was performed to assess the swallowing function with a combination of ultrasound (US), fiberoptic endoscopic evaluation of swallowing (FEES) and elecromyography (EMG). During the procedure the subject swallows 10cc water a number of times. A number of relevant parameters was determined based on analysis of data obtained with US, FEES and EMG. A measurement set-up, consisting of US, EMG and FEES was designed and successfully applied in researching the swallowing function in healthy subjects. It provides quantitative information about parameters relevant in describing the swallowing physiology. The gained knowledge cannot describe all swallowing phases and can therefore not investigate all possibilities of underlying swallowing pathophysiology.
Item Type:Essay (Master)
Clients:
Radboudumc, Nijmegen
Faculty:TNW: Science and Technology
Subject:44 medicine, 50 technical science in general
Programme:Technical Medicine MSc (60033)
Link to this item:http://purl.utwente.nl/essays/74375
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