Swallowing biomechanics in tracheostomised critically ill patients compared to age- and gender-matched healthy controls

The mechanistic effects of a tracheostomy on swallowing are unclear. Pharyngeal high-resolution manometry with impedance (P-HRM-I) is a novel swallow assessment tool providing quantifiable metrics. This study aimed to characterise swallowing biomechanics in tracheostomised critically ill (non-neurol...

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Bibliographic Details
Published in:Critical care and resuscitation 2023-06, Vol.25 (2), p.97-105
Main Authors: Cheriyan, Sanith S., Schar, Mistyka S., Woods, Charmaine M., Bihari, Shailesh, Cock, Charles, Athanasiadis, Theodore, Omari, Taher I., Ooi, Eng H.
Format: Article
Language:English
Subjects:
Deglutition disorders
Intensive care unit
Manometry
Original
Tracheostomy
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Summary:The mechanistic effects of a tracheostomy on swallowing are unclear. Pharyngeal high-resolution manometry with impedance (P-HRM-I) is a novel swallow assessment tool providing quantifiable metrics. This study aimed to characterise swallowing biomechanics in tracheostomised critically ill (non-neurological) patients. Cohort study. Australian tertiary hospital intensive care unit. Tracheostomised adults, planned for decannulation. Swallowing assessment using P-HRM-I, compared to healthy age- and gender-matched controls. In this tracheostomised cohort (n = 10), the Swallow Risk Index, a global measure of swallow function, was significantly elevated (p 
ISSN:1441-2772
2652-9335
DOI:10.1016/j.ccrj.2023.05.007