O uso da ausculta cervical na inferência de aspiração traqueal em crianças com paralisia cerebral

Furkim, Ana Maria; Duarte, Silvana Triló; Sacco, Andrea de Freitas Baldi; Soria, Franciele Savaris

doi:10.1590/s1516-18462009000800011

Cited by 16 publications

(24 citation statements)

References 25 publications

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“…CP can be classified by overall motor impairment, with the most common being spastic (which corresponds to about 80% of cases), athetoid, ataxic and mixed. All this motor variability may interfere with the biomechanical performance of swallowing, bringing different information through the study of more homogeneous samples 27 .…”

Section: Sensibilidadementioning

confidence: 99%

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

et al. 2014

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Section: Sensibilidadementioning

confidence: 99%

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

et al. 2014

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“…Some research has been conducted aiming to identify the most appropriate instrument to perform the auscultation of swallowing sounds 9,14,[19][20][21] . It is verified in the literature that although cervical auscultation is extensively used by the speech therapists, there are a few studies presenting data regarding accuracy and the contribution of this technique to help identify suggestive signs of penetration and aspiration, which is essential for the diagnosis of dysphagia in the clinical practice for the assessment of both adults and children 9,10,[27][28][29] .…”

Section: Methodsmentioning

confidence: 99%

“…Despite the advantages, The use of oximeter to detect the risk of aspiration is based on the hypothesis that laryngo-tracheal aspiration would provoke a bronchospasm reflex, decreasing the respiratory perfusion and provoking a decrease in oxygen saturation 4,5 . In the case of cervical auscultation, performed with stethoscope located in specific points in this region, it allows for the acoustic analysis of the swallowing sounds, before, during, and after the food bolus goes through the pharynx, giving additional clues regarding the food entrance in the lower airway or not 3,4,[6][7][8][9][10][11][12][13] . Swallowing sounds occur during the pharyngeal phase due to the pressure on the oropharyngeal tract with its valves represented by the lips, velopharyngeal region, larynx and cricopharyngeal muscle 6 .…”

Section: Cervical Auscultationmentioning

confidence: 99%

“…Several authors have investigated the relationship between cervical auscultation and nasopharyngoscopy and videofluoroscopy, in view of their importance for the diagnosis of dysphagia. Also object of study were the sound components of cervical auscultation and the length of time for swallowing 6,10,13,18,33,34 . A study was conducted aimed to assess the relationship between the swallowing sounds and its physiological events by means of cervical auscultation, respiratory pattern assessment and videoendoscopy of swallowing, to verify whether a definitive set of sound components could be identified; to determine the order in which the sounds and physiological events occur, as well as the relationship reliability did not correlate with the years of professional experience 18 .…”

Section: Figure 1 -Contribution Of the Cervical Auscultation In Clinimentioning

confidence: 99%

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Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

et al. 2013

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Grants: CAPES/ CNPq.Conflict of interest: non-existent allows the speech therapist to identify: the difficulties the patient displays in the swallowing process, signs of laryngeal penetration and/or laringo-tracheal aspiration of the food swallowed, security in the maintenance or reintroduction of food orally, the best consistency to be used and the possible causes of the alterations identifiedDuring clinical assessment, it is observed the efficiency of the food bolus capture and preparation, the number of swallows, laryngeal elevation, the presence of coughing, choking or other suggestive signs of laryngeal penetration or laryngo-tracheal aspiration, oral escape of the food and nasal regurgitation, length of feeding, the presence of food residues in the oral cavity and changes in vocal quality after deglutition, as well as the need of using postural and/or facilitator maneuvers. To help in this process, most of speech therapists adopt instrumental resources such as the pulse oximetry and cervical auscultation [1][2][3][4] . ABSTRACTIn order to assist on the functional assessment of swallowing, most speech therapists make use of instrumental resources such as cervical auscultation. Thus, the objective of this study was to search the literature in order to find the contribution of cervical auscultation for assessing dysphagias. To this end, international and national journals were reviewed. These journals were indexed in Springer, Lilacs, Bireme, Medline and Scielo databases, comprising the period between 1992 and 2011. From the analysis of the studies, it was possible to verify that: cervical auscultation has been modernized with the technologic evolution, enabling the realization of quantitative studies of the swallowing sounds; there are still few clear evidence of the connections between the sound components of swallowing and the physiological events of the pharyngeal phase; no differences were observed between the swallowing sounds in children and adults; in some studies, cervical auscultation was positively correlated with the videofluoroscopic assessment of swallowing, and others presented positive correlation between these two assessment procedures. Hence, considering that the swallowing videofluoroscopy examination is still difficult to access, with relatively high cost, it is believed that cervical auscultation constitutes an important resource for the diagnosis and clinical monitoring in cases of oropharyngeal dysphagia.

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“…Dessa maneira, justifica-se o medo e apreensão da família quanto ao risco de bronco aspiração da criança, além da diversidade e complexidade no momento da alimentação oral e via gastrostomia. Ressalta-se a [24][25][26] . A enfermagem, no que diz respeito à técnica de oferecimento da dieta; a nutrição quanto à qualidade e quantidade da dieta a ser ofertada, além do suporte dos demais profissionais junto à família, no âmbito ambulatorial e domiciliar, não devendo esta responsabilidade ficar restrita somente a um profissional.…”

Section: Características Clínicas Das Crianças Com Pcunclassified

Perfil epidemiológico das crianças com paralisia cerebral em atendimento ambulatorial [Epidemiological profile of children with cerebral palsy receiving care at outpatient clinics]

et al. 2017

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RESUMOObjetivo: descrever o perfil de pais e crianças com paralisia cerebral assistidas em ambulatórios de Fortaleza, Ceará. Método: foi realizada pesquisa de abordagem quantitativa, com 122 pais de crianças com PC, nos meses de outubro/2012 a janeiro/2013, em que foi aplicado um questionário com aspectos socioeconômicos, demográficos e clínicos das crianças. Foi realizada análise exploratória dos dados no Programa SPSS versão 20.0. Resultados: identificou-se 88(72,1%) das crianças com PC espástica, tendo como principal causa a anóxia neonatal 64(52,5%), em que foram diagnosticadas com menos de um mês de vida 47(38,5%) e que além do aspecto motor, apresentam outros distúrbios, como problemas na fala 92(75,4%). Conclusão: os dados revelaram que as crianças com PC apresentam características peculiares que precisam de assistência multiprofissional, numa abordagem interdisciplinar, pois é necessário que haja intervenção o mais precoce, a fim de melhorar o desempenho na execução das atividades da vida diária. Palavras-chave: Paralisia cerebral; perfil de saúde; enfermagem.ABSTRACT Objective: to describe the profile of parents and children with cerebral palsy receiving care at outpatient clinics in Fortaleza, Ceará. Method: in this quantitative study, a questionnaire on socio-economic, demographic and clinical data of children with CP was applied to 122 parents, from October 2012 to January 2013. Exploratory data analysis was performed using SPSS version 20.0. Results: it was found that 88 (72.1%) of the children presented with spastic CP; neonatal anoxia was the main cause (64; 52.5%); 47 (38.5%) were diagnosed in the first month of life; and 92 (75.4%), in addition to motor impairment, displayed other disorders, such as speech problems. Conclusions: the data revealed that the children with CP had unique characteristics that required multidisciplinary care, on an interdisciplinary approach, because the earliest possible intervention is necessary to improve their performance in performing activities of daily living. Keywords: Cerebral Palsy; health profile; nursing. RESUMENObjetivo: describir el perfil de los padres y los niños con parálisis cerebral asistidos en ambulatorios de Fortaleza, Ceará. Método: se realizó investigación de enfoque cuantitativo, con 122 padres de niños con PC, de octubre/2012 a enero/2013, en la que fue aplicado un cuestionario con aspectos socioeconómicos, demográficos y clínicos de los niños. Fue realizado análisis exploratorio de los datos en el Programa SPSS versión 20.0. Resultados: se identificó que: 88 (72,1%) de los niños tenían PC espástica y la principal causa era la anoxia neonatal: 64 (52,5%); 47 fueron diagnosticadas con menos de un mes de vida (38,5%); y que, además del aspecto motor, presentan otros disturbios, como problemas en el habla 92 (75,4%). Conclusión: los datos revelaron que los niños con PC presentan características peculiares que necesitan de asistencia multiprofesional, en un enfoque interdisciplinar, ya que es necesario que haya intervención lo más pronto posible, ...

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O uso da ausculta cervical na inferência de aspiração traqueal em crianças com paralisia cerebral

Cited by 16 publications

References 25 publications

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

Acurácia da avaliação clínica da disfagia orofaríngea na encefalopatia crônica não progressiva

Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

Perfil epidemiológico das crianças com paralisia cerebral em atendimento ambulatorial [Epidemiological profile of children with cerebral palsy receiving care at outpatient clinics]

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