Ocorrência de pneumonia aspirativa em crianças disfágicas pós videofluoroscopia

Abstract

Summary Introduction:?The literature reports that when it comes of instrumental assessment of swallowing in children, undoubtedly, video fluoroscopy of swallow offers great advantages over the endoscopic study. Objective:?Check the risk of aspiration pneumonia after the study of swallowing by video fluoroscopy, in children with dysphagia. Method:?In a study of prospective cutting, participated 16 children aged between 6 months and 10 years, with an average of 5,2 years, referred for study of swallowing by video fluoroscopy. Were tested 4 consistencies, pudding, nectar, honey and liquid. The presences of signs and/or respiratory symptoms were evaluated pre and post study of deglutition by video fluoroscopy, through history and clinical exam. When necessary was asked chest x-ray. Results:?Of 16 children, 5 didn't presented dysphagia. In 11 children the exam showed 4 with mild dysphagia, 2 moderate and 5 severe, as classification of OTT (1996) - Classification of severity of dysphagia to the video fluoroscopy. Of the 7 children who aspirated during the exam, only 1 presented respiratory symptoms after the deglutition study, but without signal of pneumonia to the physical examination. Conclusion:?In the studied population there were no occurrences of aspiration pneumonia after the study of deglutition was performed by video fluoroscopy, despite the occurrence of aspiration during the exam in about 50% of cases.

Aspiration Pneumonia in Children with Cerebral Palsy after Videofluoroscopic Swallowing Study

“…Although 32 (31.07%) children aspirated during the procedure, this finding supports the results found in a survey, where 50% of the 16 children assessed with different underlying diseases had tracheal aspiration and there was not a single case of aspiration pneumonia. 8 However, the study used a small sample and did not determine a well-defined disease; therefore, this current research complements and reinforces earlier research, as it relies on a larger sample of patients and a well-defined pathology. 8 …”

“… 8 However, the study used a small sample and did not determine a well-defined disease; therefore, this current research complements and reinforces earlier research, as it relies on a larger sample of patients and a well-defined pathology. 8 …”

“… 15 This is the best choice for children, as it is not invasive, it can assess the oral and pharyngeal phases, and it even detects the presence of silent tracheal aspiration. 6 8 …”

“…It uses dynamic real-time recording and stores information in magnetic media, allowing a morphological and physiological evaluation of the swallowing process. 7 Videofluoroscopy is the most recommended instrumental assessment for children, as it reveals the real situation during swallowing, 8 allowing the assessment of oral and pharyngeal phases. 7 9 Thus, the dysphagia diagnosis is performed more reliably so as to adequately guiding therapy.…”