Flexible endoscopic evaluation of swallowing vs. screening tests for dysphagia and their effect on the final outcome in post-acute stroke patients

2020 ◽  
Vol 83/116 (6) ◽  
pp. 614-620
Author(s):  
Gabriela Solná ◽  
Daniel Václavík ◽  
Ondřej Pavlík ◽  
Barbora Gwardová ◽  
Lucia Staníková ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Final Outcome ◽  
Screening Tests ◽  
Endoscopic Evaluation ◽  
Stroke Patients

scholarly journals The Safety of Fiberoptic Endoscopic Evaluation of Swallowing in Acute Stroke Patients

Stroke ◽  
2009 ◽  
Vol 40 (2) ◽  
pp. 482-486 ◽  
Author(s):  
Tobias Warnecke ◽  
Inga Teismann ◽  
Stefan Oelenberg ◽  
Christina Hamacher ◽  
E. Bernd Ringelstein ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Endoscopic Evaluation ◽  
Stroke Patients

scholarly journals Measurement of Oxygen Desaturation Is Not Useful for the Detection of Aspiration in Dysphagic Stroke Patients

2017 ◽  
Vol 7 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Thomas Marian ◽  
Jens Schröder ◽  
Paul Muhle ◽  
Inga Claus ◽  
Stephan Oelenberg ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Screening Tool ◽  
Oxygen Desaturation ◽  
Screening Tools ◽  
Endoscopic Evaluation ◽  
National Guidelines ◽  
Stroke Patients ◽  
Severe Dysphagia ◽  
A Minor ◽  
Swallowing Assessment

Background: Dysphagia is one of the most dangerous symptoms of acute stroke. Various screening tools have been suggested for the early detection of this condition. In spite of conflicting results, measurement of oxygen saturation (SpO2) during clinical swallowing assessment is still recommended by different national guidelines as a screening tool with a decline in SpO2 ≥2% usually being regarded as a marker of aspiration. This paper assesses the sensitivity of SpO2 measurements for the evaluation of aspiration risk in acute stroke patients. Methods: Fifty acute stroke patients with moderate to severe dysphagia were included in this study. In all patients, fiberoptic endoscopic evaluation of swallowing (FEES) was performed according to a standardised protocol. Blinded to the results of FEES, SpO2 was monitored simultaneously. The degree of desaturation during/after swallows with aspiration was compared to the degree of desaturation during/after swallows without aspiration in a swallow-to-swallow analysis of each patient. To minimise potential confounders, every patient served as their control. Results: In each subject, a swallow with and a swallow without aspiration were analysed. Overall, aspiration seen in FEES was related to a minor decline in SpO2 (mean SpO2 without aspiration 95.54 ± 2.7% vs. mean SpO2 with aspiration 95.28 ± 2.7%). However, a significant desaturation ≥2% occurred only in 5 patients during/after aspiration. There was no correlation between aspiration/dysphagia severity or the amount of aspirated material and SpO2 levels. Conclusions: According to this study, measurement of oxygen desaturation is not a suitable screening tool for the detection of aspiration in stroke patients.

Clinical Application of Flexible Endoscopic Evaluation of Swallowing in Stroke

2018 ◽  
Vol 39 (01) ◽  
pp. 003-014 ◽  
Author(s):  
Joseph Murray ◽  
Jessica Pisegna
Keyword(s):  
Decision Making ◽  
Acute Stroke ◽  
Decision Making Process ◽  
Acute Stroke Patient ◽  
Endoscopic Evaluation ◽  
Stroke Patients ◽  
Swallowing Function ◽  
Practical Applications ◽  
Stroke Population

AbstractThis article aims to review the use of laryngoscopy to assess swallowing function in the stroke population. Since its inception in 1988, fiberoptic endoscopic evaluation of swallowing (FEES) has become an established procedure with distinct objective findings and practical applications, enabling many to choose it as the primary instrumental tool in evaluating poststroke dysphagia. In this article, we outline the decision-making process of when to use FEES. We highlight considerations for the acute stroke patient and visual signs that guide decision making during a FEES, such as secretions, swallowing frequency, and pharyngeal squeeze elicitation. The application of the ice chip protocol for stroke patients who have been nil per os is discussed, along with common observable events on FEES performed on stroke patients like a delay, penetration/aspiration, and bolus retention. Finally, we briefly review testing interventions and follow-up readiness with FEES.

The role of nursing in the rehabilitation of acute stroke patients: Toward a unified theoretical perspective

Pflege ◽  
1999 ◽  
Vol 12 (1) ◽  
pp. 21-27
Author(s):  
Marit Kirkevold
Keyword(s):  
Acute Stroke ◽  
Theoretical Perspective ◽  
Stroke Patients ◽  
Role Of Nursing ◽  
Rolle Der Pflegenden

Eine Übersicht der bestehenden Literatur weist auf Unsicherheiten bezüglich der spezifischen Rolle der Pflegenden in der Rehabilitation von Hirnschlagpatientinnen und -patienten hin. Es existieren zwei unterschiedliche Begrifflichkeiten für die Rolle der Pflegenden, keine davon bezieht sich auf spezifische Rehabilitationsziele oder Patientenergebnisse. Ein anfänglicher theoretischer Beitrag der Rolle der Pflege in der Genesung vom Hirnschlag wird als Struktur unterbreitet, um die therapeutischen Aspekte der Pflege im Koordinieren, Erhalten und Üben zu vereinen. Bestehende Literatur untermauert diesen Beitrag. Weitere Forschung ist jedoch notwendig, um den spezifischen Inhalt und Fokus der Pflege in der Genesung bei Hirnschlag zu entwickeln.

Method of virtual reality for early comprehensive rehabilitation of patients with acute stroke

2020 ◽  
pp. 39-45
Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov
Keyword(s):  
Virtual Reality ◽  
Literature Review ◽  
Acute Stroke ◽  
Functional Outcome ◽  
Recovery Process ◽  
Stroke Patients ◽  
Post Stroke ◽  
Stroke Disability ◽  
Comprehensive Rehabilitation ◽  
High Level

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.

Acupuncture Efficacy on Acute Stroke Patients: A Meta-analysis

2018 ◽  
Vol 28 (3) ◽  
pp. 62
Author(s):  
Jiaqing LIU ◽  
Tongyan LIU ◽  
Yun XIANG ◽  
Ning ZHAO ◽  
Hong ZHANG
Keyword(s):  
Acute Stroke ◽  
Meta Analysis ◽  
Stroke Patients
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