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[PMID]:29390364
[Au] Autor:Salehi P; Stafford HJ; Glass RP; Leavitt A; Beck AE; McAfee A; Ambartsumyan L; Chen M
[Ad] Endereço:Division of Endocrine, Seattle Children's Hospital.
[Ti] Título:Silent aspiration in infants with Prader-Willi syndrome identified by videofluoroscopic swallow study.
[So] Source:Medicine (Baltimore);96(50):e9256, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Feeding intolerance in Prader-Willi syndrome (PWS) infants is well-recognized, but their swallow physiology is not well understood. Swallow dysfunction increases risks of respiratory compromise and choking, which have a high incidence in PWS. To investigate swallow pathology in PWS infants we undertook a retrospective review of videofluoroscopic swallow studies (VFSS) in infants with PWS seen at our institution. We hypothesize that VFSS will characterize swallow pathology suspected by clinical observation during a feeding evaluation and may help determine feeding safety in these infants.Retrospective review of 23 VFSS on 10 PWS infants (average age 9.7 ±â€Š8.4 months; range 3 weeks-29 months). Logistic regression models evaluated associations between gender, genetic subtype, and growth hormone (GH) use on aspiration incidence. Polysomnographic (PSG) studies conducted on the same participant ±1 year from VFSS were examined to characterize respiratory abnormalities.There was a high rate of swallowing dysfunction (pharyngeal residue 71%, aspiration events 87%) and disordered sleep. All aspiration events were silent. There were no differences in rates of aspiration for gender, genetic subtype, or GH use.A high incidence of aspiration was identified indicating swallow dysfunction may frequently be present in infants with PWS. Comprehensive evaluation of feeding and swallowing is essential and requires a multidisciplinary approach. Providers should recognize risk factors for swallow dysfunction and consider a multidisciplinary approach to guide decision making and optimize feeding safety in PWS.
[Mh] Termos MeSH primário: Transtornos de Deglutição/fisiopatologia
Síndrome de Prader-Willi/fisiopatologia
Aspiração Respiratória/diagnóstico por imagem
Aspiração Respiratória/fisiopatologia
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Fluoroscopia
Seres Humanos
Lactente
Recém-Nascido
Masculino
Estudos Retrospectivos
Fatores de Risco
Gravação em Vídeo
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009256


  2 / 1080 MEDLINE  
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[PMID]:29381987
[Au] Autor:Yan GW; Deng JF; Bhetuwal A; Yang GQ; Fu QS; Chen H; Hu N; Zeng H; Fan XP; Yan GW; Wu XL
[Ad] Endereço:Department of Radiology, Suining Central Hospital, Suining.
[Ti] Título:A case report and literature review of barium sulphate aspiration during upper gastrointestinal examination.
[So] Source:Medicine (Baltimore);96(47):e8821, 2017 Nov.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Even though barium sulphate aspiration during upper gastrointestinal examination is a well-known phenomenon, complication such as long-term lung injury and death may still occur. This may depend upon the concentration, amount, anatomy, or certain predisposing factors. PATIENT CONCERNS: A 47-year-old woman who had a barium swallow to screen for foreign body in esophagus. DIAGNOSES: Chest radiographs demonstrated massive barium sulphate depositions in her trachea and inferior lobe of right lung. INTERVENTIONS: A chest x-ray was done that revealed massive barium sulphate depositions in her trachea and lower lobe of right lung. As the patient did not have further complaints, she requested a transfer to West China Hospital of Sichuan University, the hospital being near her residence, for further treatment. She eventually recovered and was discharged after 1 week. OUTCOMES: There were 23 articles (22 English and 1 Chinese with 17 men and 11 women) included in the study. The risk factors of barium sulphate aspiration are dysphagia (10/28, 35.71%) followed by esophageal obstruction caused by tumor (5/28, 17.86%) and foreign body in esophagus (3/28, 10.71%). Infants (5/28, 17.86%) are also one of the high-risk population. Both the lungs were affected in most of the patients (21/28, 75%). Majority of the presentation in patients (21/28, 75%) were dyspnea, hypoxemia, acute respiratory distress syndrome (ARDS), or respiratory failure. Few patients (7/28, 25%) showed no symptoms or mild symptoms such as cough and fever. Barium sulphate aspiration can be life-threatening with a high risk of death (nearly 40%). LESSONS: When performing an upper gastrointestinal examination with barium sulphate, careful consideration of concentration and amount of barium sulphate and that of risk factors should be undertaken so as to avoid life-threatening aspiration.
[Mh] Termos MeSH primário: Sulfato de Bário/efeitos adversos
Meios de Contraste/efeitos adversos
Endoscopia do Sistema Digestório/efeitos adversos
Esôfago/diagnóstico por imagem
Corpos Estranhos/diagnóstico por imagem
Aspiração Respiratória/induzido quimicamente
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Meia-Idade
Radiografia
Traqueia/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Contrast Media); 25BB7EKE2E (Barium Sulfate)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180208
[Lr] Data última revisão:
180208
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180201
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008821


  3 / 1080 MEDLINE  
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Maciel, Antônio Carlos
Cassol, Mauriceia
[PMID]:29211112
[Au] Autor:Santos KWD; Scheeren B; Maciel AC; Cassol M
[Ad] Endereço:Grupo Hospitalar Conceição - Porto Alegre (RS), Brasil.
[Ti] Título:Postswallow voice modification: compatibility with videofluoroscopy findings.
[Ti] Título:Modificação da voz após deglutição: compatibilidade com achados da videofluoroscopia..
[So] Source:Codas;29(6):e20170004, 2017 Dec 04.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:PURPOSE: Verify whether voice modification after swallowing is associated with videofluoroscopic examination data. METHODS: 27 patients with oropharyngeal dysphagia underwent recording of sustained phonation of vowel /a/ before and after swallowing during videofluoroscopy. The GRBAS scale and the wet voice parameter were used to evaluate the data. Videofluoroscopy results showed stasis of food in the valleculae and piriform recesses, laryngeal penetration, tracheal aspiration, and degree of dysphagia. RESULTS: Decreased dysphonia grade and asthenia and increased strain were observed after swallowing, with no difference for the wet voice parameter. Sensitivity and specificity of ± 50% were observed for food stasis in the valleculae and piriform recesses. Sensitivity values of 80 and 66-75% were observed for detection of laryngeal penetration and tracheal aspiration and modification of vocal strain, respectively. Negative predictive values of 77-91% were found for the three assessment parameters with no correlation with the degree of oropharyngeal dysphagia. CONCLUSION: Modification of the GRBAS scale parameters after swallowing showed good compatibility with videofluoroscopy findings.
[Mh] Termos MeSH primário: Transtornos de Deglutição/complicações
Transtornos de Deglutição/diagnóstico por imagem
Distúrbios da Voz/diagnóstico por imagem
Distúrbios da Voz/etiologia
Qualidade da Voz
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Estudos Transversais
Deglutição
Feminino
Fluoroscopia/métodos
Alimentos
Seres Humanos
Masculino
Meia-Idade
Valor Preditivo dos Testes
Estudos Prospectivos
Aspiração Respiratória
Sensibilidade e Especificidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


  4 / 1080 MEDLINE  
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[PMID]:29188729
[Au] Autor:Butler SG; Stuart A; Markley L; Feng X; Kritchevsky SB
[Ad] Endereço:1 Department of Otolaryngology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
[Ti] Título:Aspiration as a Function of Age, Sex, Liquid Type, Bolus Volume, and Bolus Delivery Across the Healthy Adult Life Span.
[So] Source:Ann Otol Rhinol Laryngol;127(1):21-32, 2018 Jan.
[Is] ISSN:1943-572X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: The purpose of this investigation was to examine, via flexible endoscopic evaluation of swallowing (FEES), factors that affect penetration and aspiration during swallowing across the adult lifespan. METHODS: Healthy adults (N = 203) across the third to ninth decades of life participated. Penetration Aspiration Scale (PAS) scores were assessed during FEES as a function of age, sex, liquid type (water and skim, 2%, and whole milk), volume (5, 10, 15, and 20 ml), and delivery (cup and straw). RESULTS: The PAS scores differed significantly by liquid type ( P < .0001) and age group ( P < .0001). In general, PAS scores were higher for milk versus water swallows and for older age groups. Significant interactions of liquid type by age ( P = .0042) and sex by volume ( P = .020) were also evidenced. In addition, the odds of penetration and aspiration increased significantly with milks compared to water and age ( P < .05). Increased bolus volume also increased the odds of aspiration ( P < .05). CONCLUSIONS: Aspiration may be an underappreciated phenomenon in healthy adults. The inclusion of both water and milk test boluses of various volumes during FEES may be important for the appropriate assessment of adult penetration and aspiration.
[Mh] Termos MeSH primário: Transtornos de Deglutição/fisiopatologia
Deglutição/fisiologia
Aspiração Respiratória/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Transtornos de Deglutição/complicações
Transtornos de Deglutição/epidemiologia
Feminino
Voluntários Saudáveis
Seres Humanos
Incidência
Laringoscopia/métodos
Masculino
Meia-Idade
Aspiração Respiratória/diagnóstico
Aspiração Respiratória/etiologia
Fatores de Risco
Fatores Sexuais
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1177/0003489417742161


  5 / 1080 MEDLINE  
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[PMID]:28904706
[Au] Autor:Sadak N; Herrak L; Achachi L; El Ftouh M
[Ad] Endereço:Service de Pneumologie, CHU Ibn, Sina, Rabat, Maroc.
[Ti] Título:[When the denture becomes dangerous!]
[Ti] Título:Quand le dentier devient danger!.
[So] Source:Pan Afr Med J;27:179, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Although rare in adults, foreign body aspiration (FBA) is a serious accident which can be potentially life threatening or lead to significant sequelae. We report the case of a 50 year old patient without previous pathological history, presenting to the emergency department with chest pain, intermittent cough and exertional dyspnea occurring six days after the accidental aspiration of his plastic dental prosthesis during a meal. Clinical examination was unremarkable. Chest X-ray as well as abdominal x-ray requiring no prior preparation showed no abnormalities. Flexible bronchoscopy under general anesthesia showed FBA at the level of the intermediate trunk. Successful extraction was performed avoiding a much more invasive procedure. Standard X-ray can be useful to visualize radio-opaque FBA or indirect signs suggesting the presence of FBA, but diagnostic and therapeutic bronchoscopyis is essential.
[Mh] Termos MeSH primário: Broncoscopia/métodos
Dentaduras
Corpos Estranhos/diagnóstico
Aspiração Respiratória/diagnóstico
[Mh] Termos MeSH secundário: Tosse/etiologia
Dispneia/etiologia
Corpos Estranhos/complicações
Seres Humanos
Masculino
Meia-Idade
Radiografia Torácica
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.179.12902


  6 / 1080 MEDLINE  
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[PMID]:28662238
[Au] Autor:Liu YC; Varier I; Ongkasuwan J
[Ad] Endereço:Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine/Texas Children's Hospital, Houston.
[Ti] Título:Use of Audiometric Measurement for Assessment of Vocal-Fold Function in Postextubation Infants.
[So] Source:JAMA Otolaryngol Head Neck Surg;143(9):908-911, 2017 Sep 01.
[Is] ISSN:2168-619X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Importance: Infants with vocal-fold motion impairment (VFMI) have an increased risk of aspiration and pulmonary complications. Flexible nasolaryngoscopy (FNL) is the gold standard for evaluation of vocal-fold mobility. Although safe, FNL causes measurable physiologic changes. Noxious stimuli, especially in neonates in the cardiovascular intensive care unit, may cause imbalance between the pulmonary and systemic circulations and potentially circulatory collapse. Objective: To examine whether bedside measurement of infant cry volume using a smartphone application can be a screening tool for vocal-fold movement in FNL. Design, Study, and Participants: This case-control study performed from December 1, 2013, through January 31, 2015, included 42 infants in the intensive care unit at Texas Children's Hospital, Houston. Main Outcomes and Measures: Patient cry volume in decibels was recorded using a smartphone application placed 12 in from their mouth. Results: Forty-two infants were identified at the intensive care unit (median age, 33 days; 20 [48%] female and 22 [52%] male), 21 with VFMI and 21 without, based on FNL findings. A statistically significant difference was found in the mean cry volume of infants with (76.60 dB) and without (85.72 dB) VFMI. The absolute difference in the mean cry volume was 9.12 dB (95% CI, 2.74-15.50 dB). A cry volume of 90 dB or greater had a sensitivity of 90.4% (95% CI, 71%-97%) for identification of normal vocal-fold mobility. A cry volume of 75 dB or less had a specificity of 90.5% (95% CI, 71%-97%) for the identification of VFMI. The mean (SE) area under the receiver operating characteristic curve was 0.721 (0.080) (95% CI, 0.565-0.877). The cry volume, however, was not a good screen for aspiration. Conclusions and Relevance: Bedside measurement of the cry volume with a smartphone application can be used by untrained health care professionals to screen patients for further evaluation of vocal-fold mobility using FNL.
[Mh] Termos MeSH primário: Choro
Aplicativos Móveis
Smartphone
Paralisia das Pregas Vocais/diagnóstico
[Mh] Termos MeSH secundário: Extubação
Estudos de Casos e Controles
Feminino
Seres Humanos
Lactente
Masculino
Aspiração Respiratória/diagnóstico
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1001/jamaoto.2017.0848


  7 / 1080 MEDLINE  
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[PMID]:28635221
[Au] Autor:Wang P; Liu YH; Xu QS; Zheng ZS
[Ad] Endereço:Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Medical University of Anhui, Hefei 230022, China.
[Ti] Título:[Treatment of intractable aspiration after partial laryngectomy by cuffed tracheostomy tube with inner cannula].
[So] Source:Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi;52(6):463-465, 2017 Jun 07.
[Is] ISSN:1673-0860
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:To evaluate the efficacy of cuffed tracheostomy tube with inner cannula for the treatment of intractable aspiration after partial laryngectomy. From May 2010 to June 2015, 15 patients with intractable aspiration after partial laryngectomy of laryngeal and hypopharyngeal carcinoma were enrolled. Cuffed tracheostomy tube with inner cannula was used in the 15 patients for treatment of intractable aspiration. The patients and their family were trained to manage the cuffed tracheostomy tube with inner cannula and to eat since the 14th day after surgery. Cuff was initially inflated with 10 ml air and then deflated of 0.5 ml air every 2-3 days. Until the inflation of cuff was no longer required, the cuffed tracheostomy tube was replaced by metal tracheostomy tube. The patients' swallowing function and aspiration were evaluated 6 months after treatment. The 15 cases with intractable aspiration were treated with cuffed tracheostomy tube with inner cannula and after 2-3 months, 14 of them replaced the cuffed tracheostomy tubes with inner cannula by metal tracheostomy tubes and recovered oral eating, and tracheostomy tubes were no longer required for 12 of 14 patients in following 3-6 months, showing a total decannulation rate of 80% in the patients with refractory aspiration. It was safe and effective to treat aspiration after laryngeal and hypopharyngeal surgery with cuffed tracheostomy tube with inner cannula.
[Mh] Termos MeSH primário: Cânula
Neoplasias Hipofaríngeas/cirurgia
Neoplasias Laríngeas/cirurgia
Laringectomia/efeitos adversos
Complicações Pós-Operatórias/terapia
Aspiração Respiratória/terapia
Traqueostomia/instrumentação
[Mh] Termos MeSH secundário: Deglutição
Ingestão de Alimentos
Seres Humanos
Laringectomia/métodos
Aspiração Respiratória/etiologia
Fatores de Tempo
Traqueostomia/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170622
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1673-0860.2017.06.013


  8 / 1080 MEDLINE  
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[PMID]:28486070
[Au] Autor:Nazarko L
[Ad] Endereço:Nurse Consultant Physical Health Care, West London Mental Health NHS Trust.
[Ti] Título:The management of dysphagia in palliative care.
[So] Source:Int J Palliat Nurs;23(4):162-164, 2017 Apr 02.
[Is] ISSN:1357-6321
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Transtornos de Deglutição/enfermagem
Enfermagem de Cuidados Paliativos na Terminalidade da Vida
[Mh] Termos MeSH secundário: Obstrução das Vias Respiratórias/prevenção & controle
Transtornos de Deglutição/diagnóstico
Dieta
Seres Humanos
Aspiração Respiratória/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170622
[Lr] Data última revisão:
170622
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.12968/ijpn.2017.23.4.162


  9 / 1080 MEDLINE  
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[PMID]:28427784
[Au] Autor:Igarashi Y; Yokobori S; Yoshino Y; Masuno T; Miyauchi M; Yokota H
[Ad] Endereço:Department of Emergency and Critical Care Medicine, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. Electronic address: igarashiy@nms.ac.jp.
[Ti] Título:Prehospital removal improves neurological outcomes in elderly patient with foreign body airway obstruction.
[So] Source:Am J Emerg Med;35(10):1396-1399, 2017 Oct.
[Is] ISSN:1532-8171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: In Japan, the number of patients with foreign body airway obstruction by food is rapidly increasing with the increase in the population of the elderly and a leading cause of unexpected death. This study aimed to determine the factors that influence prognosis of these patients. METHODS: This is a retrospective single institutional study. A total of 155 patients were included. We collected the variables from the medical records and analyzed them to determine the factors associated with patient outcome. Patient outcomes were evaluated using cerebral performance categories (CPCs) when patients were discharged or transferred to other hospitals. A favorable outcome was defined as CPC 1 or 2, and an unfavorable outcome was defined as CPC 3, 4, or 5. RESULTS: A higher proportion of patients with favorable outcomes than unfavorable outcomes had a witness present at the accident scene (68.8% vs. 44.7%, P=0.0154). Patients whose foreign body were removed by a bystander at the accident scene had a significantly high rate of favorable outcome than those whose foreign body were removed by emergency medical technicians or emergency physician at the scene (73.7% vs. 31.8%, P<0.0075) and at the hospital after transfer (73.7% vs. 9.6%, P<0.0001). CONCLUSIONS: The presence of a witness to the aspiration and removal of the airway obstruction of patients by bystanders at the accident scene improves outcomes in patients with foreign body airway obstruction. When airway obstruction occurs, bystanders should remove foreign bodies immediately.
[Mh] Termos MeSH primário: Obstrução das Vias Respiratórias/terapia
Serviços Médicos de Emergência
Corpos Estranhos/terapia
Aspiração Respiratória/terapia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Japão
Masculino
Meia-Idade
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE


  10 / 1080 MEDLINE  
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[PMID]:28424245
[Au] Autor:Sochet AA; McGee JA; October TW
[Ad] Endereço:Johns Hopkins All Children's Hospital, St Petersburg, Florida; asochet1@jhmi.edu.
[Ti] Título:Oral Nutrition in Children With Bronchiolitis on High-Flow Nasal Cannula Is Well Tolerated.
[So] Source:Hosp Pediatr;7(5):249-255, 2017 05.
[Is] ISSN:2154-1663
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To determine the incidence of aspiration-related respiratory failure and nutrition interruptions in children with bronchiolitis on high-flow nasal cannula (HFNC) receiving enteral nutrition. METHODS: We performed a single-center, prospective, observational cohort study within a 313-bed tertiary medical center from January through December 2015. We included term children 1 month to 2 years of age without comorbid bacterial pneumonia or chronic medical conditions who were diagnosed with bronchiolitis while receiving HFNC and enteral nutrition. Primary outcomes were incidence of aspiration-related respiratory failure and nutrition interruptions. Secondary outcomes were duration of HFNC therapy, length of stay, and nutrition characteristics. RESULTS: Of the 344 children admitted with bronchiolitis, 132 met the inclusion criteria. Ninety-seven percent received enteral nutrition by mouth and 3% by nasogastric tube. HFNC flow rates at the time of nutrition initiation ranged between 4 and 13 L per minute (0.3-1.9 L/kg per minute) and respiratory rates from 18 to 69 breaths per minute. One (0.8%) subject had aspiration-related respiratory failure and 12 (9.1%) experienced nutrition interruptions. Children with interruptions in nutrition had a longer length of stay by 2.5 days ( < .01) and received an additional day of HFNC therapy ( < .01). By discharge, 55 (42%) children achieved all nutritional goals: caloric, volume, and protein. Children admitted overnight had an increased incidence of delay to nutrition initiation (30% vs 11%; < .01). CONCLUSIONS: We observed a low incidence of aspiration-related respiratory failure in term children with bronchiolitis on HFNC receiving enteral nutrition. Oral nutrition was tolerated across a range of HFNC flow and respiratory rates, suggesting the practice of withholding nutrition in this population is unsupported.
[Mh] Termos MeSH primário: Bronquiolite/terapia
Nutrição Enteral
Oxigenoterapia
[Mh] Termos MeSH secundário: Pré-Escolar
Estudos de Coortes
Feminino
Seres Humanos
Lactente
Recém-Nascido
Tempo de Internação
Masculino
Aspiração Respiratória/complicações
Aspiração Respiratória/etiologia
Insuficiência Respiratória/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170421
[St] Status:MEDLINE
[do] DOI:10.1542/hpeds.2016-0131



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