Ausculta cervical em adultos sem queixas de alteraçãona deglutição

Cardoso, Maria Cristina de Almeida Freitas; Gomes, Débora Hahn

doi:10.1590/s1809-48722010000400004

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…The average duration of swallowing apnea (dA) was getting longer, according to the volume swallowed. The time measured was not influenced by age 27 , differently from that verified in previous studies using a different methodology 13,23,28 . Regarding gender, only in relation to the rate obtained through the ratio T/ dA in 5 ml swallows it should be taken into account the individual's gender, since men presented higher rates than women 27 .…”

Section: Correspondence Of Swallowing Sounds With Physiological Eventscontrasting

confidence: 82%

“…In this study, the functional assessment of swallowing with 32 women was performed, with a mean age of 25.84 years. In addition, the study showed that the time for swallowing solids was longer in older subjects 28 . This increased duration of pharyngeal transit associated to the increase of age, was also reported in other studies, and should be considered in clinical practice 13,23 .…”

Section: Correspondence Of Swallowing Sounds With Physiological Eventsmentioning

confidence: 92%

“…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%

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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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Section: Correspondence Of Swallowing Sounds With Physiological Eventscontrasting

confidence: 82%

Section: Correspondence Of Swallowing Sounds With Physiological Eventsmentioning

confidence: 92%

Section: Methodsmentioning

confidence: 99%

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Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

et al. 2013

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“…Clinical signs were observed and taken note of, including anterior oral escape, oral residue (rest of the consistency observed in the oral cavity with direct inspection), hawking, wet voice (observed with the production of the prolonged "a" vowel after swallowing the volume), coughing, choking, watering eye, respiratory changes, and cervical auscultation changes (presence of or increase in noise). In the cervical auscultation assessment 11 , the stethoscope used was the Littmann Cardiology III. The auscultation was performed on the lateral region of the trachea, above the cricoid cartilage.…”

Section: Clinical Assessmentmentioning

confidence: 99%

Clinical swallowing assessment in the diagnosis of silent aspiration

et al. 2020

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Purpose: to identify, in the clinical assessment of swallowing, signs indicating silent aspiration in ischemic stroke patients. Methods: forty-six patients were assessed, 17 days being the mean time elapsed from the stroke to the swallowing assessment. The clinical assessment encompassed structural and functional aspects, oximetry monitoring, and cervical auscultation. During the videofluoroscopy examination, the patients were also monitored with pulse oximetry. In both assessments, the patients were given 100 ml of liquid. In the statistical analysis, the exact logistic regression test and odds ratio calculation were used, with a 0.05 significance level. Results: seven, out of the 46 patients, presented aspiration, which was silent in six of them. Change in the cervical auscultation, in the clinical assessment (OR: 18.8; 95% CI: 1.2 - 1000, p = 0.03), was associated with silent aspiration, as detected in the videofluoroscopy. The hawking present in the analysis of the recording (OR: 12.2; 95% CI: 1.23 - ∞, p = 0.03), was associated with possible non-silent laryngotracheal penetrations and aspirations. No change was identified regarding oxygen saturation in patients presented with silent aspiration. Conclusion: the change in cervical auscultation observed in the clinical assessment can indicate silent aspiration in patients affected by an ischemic stroke.

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Ausculta cervical em adultos sem queixas de alteraçãona deglutição

Cited by 2 publications

References 12 publications

Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

Contribuição da ausculta cervical para a avaliação clínica das disfagia orofaríngeas

Clinical swallowing assessment in the diagnosis of silent aspiration

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