Skip to main content
Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin 3/2015

01.04.2015 | Übersichten

Dysphagiemanagement in der internistischen Intensivmedizin

verfasst von: PD Dr. G. Michels, M. Motzko, M. Weinert, M. Bruckner, R. Pfister, O. Guntinas-Lichius

Erschienen in: Medizinische Klinik - Intensivmedizin und Notfallmedizin | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Zusammenfassung

Dysphagietherapeuten gehören heutzutage zum Repertoire in der modernen Intensivmedizin. Eine Langzeitintubation führt häufig zu einer aspirationsassoziierten Schluckstörung. Ein frühzeitiges und standardisiertes Schluckmanagement sollte daher bereits während des Aufenthalts auf der Intensivstation initiiert werden. Die optimale Betreuung von Intensivpatienten mit Dysphagie erfordert eine interdisziplinäre Zusammenarbeit verschiedener Fachdisziplinen. Der Intensivmediziner sollte daher im Rahmen der schluckrehabilitativen Betreuung von Intensivpatienten mit den Grundkenntnissen der Dysphagiologie vertraut sein.
Literatur
1.
Zurück zum Zitat Ajemian MS, Nirmul GB, Anderson MT et al (2001) Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Arch Surg 136:434–437CrossRefPubMed Ajemian MS, Nirmul GB, Anderson MT et al (2001) Routine fiberoptic endoscopic evaluation of swallowing following prolonged intubation: implications for management. Arch Surg 136:434–437CrossRefPubMed
2.
Zurück zum Zitat Komiya K, Ishii H, Umeki K et al (2013) Impact of aspiration pneumonia in patients with community-acquired pneumonia and healthcare-associated pneumonia: a multicenter retrospective cohort study. Respirology 18:514–521CrossRefPubMed Komiya K, Ishii H, Umeki K et al (2013) Impact of aspiration pneumonia in patients with community-acquired pneumonia and healthcare-associated pneumonia: a multicenter retrospective cohort study. Respirology 18:514–521CrossRefPubMed
3.
Zurück zum Zitat Stauffer JL, Olson DE, Petty TL (1981) Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 70:65–76CrossRefPubMed Stauffer JL, Olson DE, Petty TL (1981) Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 70:65–76CrossRefPubMed
4.
Zurück zum Zitat Prosiegel M, Riecker A, Weinert M et al (2012) Management of dysphagic patients with acute stroke. Nervenarzt 83:1590–1599CrossRefPubMed Prosiegel M, Riecker A, Weinert M et al (2012) Management of dysphagic patients with acute stroke. Nervenarzt 83:1590–1599CrossRefPubMed
5.
Zurück zum Zitat Macht M, Wimbish T, Bodine C et al (2013) ICU-acquired swallowing disorders. Crit Care Med 41:2396–2405CrossRefPubMed Macht M, Wimbish T, Bodine C et al (2013) ICU-acquired swallowing disorders. Crit Care Med 41:2396–2405CrossRefPubMed
6.
Zurück zum Zitat Zielske J, Bohne S, Axer H et al (2013) Dysphagia management of acute and long-term critically ill intensive care patients. Med Klin Intensivmed Notfmed Zielske J, Bohne S, Axer H et al (2013) Dysphagia management of acute and long-term critically ill intensive care patients. Med Klin Intensivmed Notfmed
7.
Zurück zum Zitat Seidl RO, Nusser-Muller-Busch R, Ernst A (2005) The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia. Otolaryngol Head Neck Surg 132:484–486CrossRefPubMed Seidl RO, Nusser-Muller-Busch R, Ernst A (2005) The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia. Otolaryngol Head Neck Surg 132:484–486CrossRefPubMed
8.
Zurück zum Zitat Prosiegel M, Heintze M, Wagner-Sonntag E et al (2002) Deglutition disorders in neurological patients. A prospective study of diagnosis, pattern of impairment, therapy and outcome. Nervenarzt 73:364–370CrossRefPubMed Prosiegel M, Heintze M, Wagner-Sonntag E et al (2002) Deglutition disorders in neurological patients. A prospective study of diagnosis, pattern of impairment, therapy and outcome. Nervenarzt 73:364–370CrossRefPubMed
9.
Zurück zum Zitat Doggett DL, Tappe KA, Mitchell MD et al (2001) Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature. Dysphagia 16:279–295CrossRefPubMed Doggett DL, Tappe KA, Mitchell MD et al (2001) Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: an evidence-based comprehensive analysis of the literature. Dysphagia 16:279–295CrossRefPubMed
10.
Zurück zum Zitat Perry L (2001) Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses. J Clin Nurs 10:474–481CrossRefPubMed Perry L (2001) Screening swallowing function of patients with acute stroke. Part two: detailed evaluation of the tool used by nurses. J Clin Nurs 10:474–481CrossRefPubMed
11.
Zurück zum Zitat Wirth R, Dziewas R, Jäger M et al (2013) Guideline of the German Society for Nutritional Medicine (DGEM) in cooperation with the GESKES, the AKE, the DGN and the DGG; clinical nutrition in neurology – part of the ongoing S3-guideline project clinical nutrition. Aktuel Ernahrungsmed 38:e49–e89CrossRef Wirth R, Dziewas R, Jäger M et al (2013) Guideline of the German Society for Nutritional Medicine (DGEM) in cooperation with the GESKES, the AKE, the DGN and the DGG; clinical nutrition in neurology – part of the ongoing S3-guideline project clinical nutrition. Aktuel Ernahrungsmed 38:e49–e89CrossRef
12.
Zurück zum Zitat Daniels SK, Ballo LA, Mahoney MC et al (2000) Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil 81:1030–1033CrossRefPubMed Daniels SK, Ballo LA, Mahoney MC et al (2000) Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil 81:1030–1033CrossRefPubMed
13.
Zurück zum Zitat Sellars C, Bowie L, Bagg J et al (2007) Risk factors for chest infection in acute stroke: a prospective cohort study. Stroke 38:2284–2291CrossRefPubMed Sellars C, Bowie L, Bagg J et al (2007) Risk factors for chest infection in acute stroke: a prospective cohort study. Stroke 38:2284–2291CrossRefPubMed
14.
Zurück zum Zitat Leder SB, Espinosa JF (2002) Aspiration risk after acute stroke: comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing. Dysphagia 17:214–218CrossRefPubMed Leder SB, Espinosa JF (2002) Aspiration risk after acute stroke: comparison of clinical examination and fiberoptic endoscopic evaluation of swallowing. Dysphagia 17:214–218CrossRefPubMed
15.
Zurück zum Zitat McGowan SL, Gleeson M, Smith M et al (2007) A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with cuffed tracheostomies in neurological intensive care. Neurocrit Care 6:90–93CrossRefPubMed McGowan SL, Gleeson M, Smith M et al (2007) A pilot study of fibreoptic endoscopic evaluation of swallowing in patients with cuffed tracheostomies in neurological intensive care. Neurocrit Care 6:90–93CrossRefPubMed
16.
Zurück zum Zitat Lim SH, Lieu PK, Phua SY et al (2001) Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia 16:1–6CrossRefPubMed Lim SH, Lieu PK, Phua SY et al (2001) Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FEES) in determining the risk of aspiration in acute stroke patients. Dysphagia 16:1–6CrossRefPubMed
17.
Zurück zum Zitat Hafner G, Neuhuber A, Hirtenfelder S et al (2008) Fiberoptic endoscopic evaluation of swallowing in intensive care unit patients. Eur Arch Otorhinolaryngol 265:441–446CrossRefPubMedCentralPubMed Hafner G, Neuhuber A, Hirtenfelder S et al (2008) Fiberoptic endoscopic evaluation of swallowing in intensive care unit patients. Eur Arch Otorhinolaryngol 265:441–446CrossRefPubMedCentralPubMed
18.
Zurück zum Zitat Ramsey DJ, Smithard DG, Kalra L (2003) Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke 34:1252–1257CrossRefPubMed Ramsey DJ, Smithard DG, Kalra L (2003) Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke 34:1252–1257CrossRefPubMed
19.
Zurück zum Zitat Warnecke T, Teismann I, Meimann W et al (2008) Assessment of aspiration risk in acute ischaemic stroke–evaluation of the simple swallowing provocation test. J Neurol Neurosurg Psychiatry 79:312–314CrossRefPubMed Warnecke T, Teismann I, Meimann W et al (2008) Assessment of aspiration risk in acute ischaemic stroke–evaluation of the simple swallowing provocation test. J Neurol Neurosurg Psychiatry 79:312–314CrossRefPubMed
20.
Zurück zum Zitat Rosenbek JC, Robbins JA, Roecker EB et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98CrossRefPubMed Rosenbek JC, Robbins JA, Roecker EB et al (1996) A penetration-aspiration scale. Dysphagia 11:93–98CrossRefPubMed
21.
Zurück zum Zitat Murray J, Langmore SE, Ginsberg S et al (1996) The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia 11:99–103CrossRefPubMed Murray J, Langmore SE, Ginsberg S et al (1996) The significance of accumulated oropharyngeal secretions and swallowing frequency in predicting aspiration. Dysphagia 11:99–103CrossRefPubMed
Metadaten
Titel
Dysphagiemanagement in der internistischen Intensivmedizin
verfasst von
PD Dr. G. Michels
M. Motzko
M. Weinert
M. Bruckner
R. Pfister
O. Guntinas-Lichius
Publikationsdatum
01.04.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Medizinische Klinik - Intensivmedizin und Notfallmedizin / Ausgabe 3/2015
Print ISSN: 2193-6218
Elektronische ISSN: 2193-6226
DOI
https://doi.org/10.1007/s00063-014-0386-8

Weitere Artikel der Ausgabe 3/2015

Medizinische Klinik - Intensivmedizin und Notfallmedizin 3/2015 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.