Características da deglutição sequencial de líquidos em adultos e idosos: uma revisão integrativa

Veiga, Helena Perrut; Bianchini, Esther Mandelbaum Gonçalves

doi:10.1590/s2179-64912012000400019

Cited by 3 publications

(1 citation statement)

References 31 publications

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“…The mode of diet offer correlated with the number of swallows, residue and oral cavity and time of oral transit were also not found in the scientific literature directly, however, it is suggested to justify such correlations based on the statement by Veiga and Bianchini (2012) to the mode of supply that can be closer to the natural swallowing, when the subject is able to regulate the amount ingested with his own control, or not, when he presents different patterns and less control of the food. What can favor changes in this mechanism, such as those found in this study.…”

Section: Discussionmentioning

confidence: 99%

The factibility of the protocol of dysphagia in palliative care (PADICUP) / A factibilidade do protocolo de disfagia nos cuidados paliativos (PADICUP)

Chaves¹,

Leão²,

Negrão³

et al. 2022

Braz. J. Hea. Rev.

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Patients in Palliative Care (PC) represent a public whose demand is great for speech therapy, and because there is no standardized instrument for assessing the swallowing of people in COP, the Protocol for Evaluation of Dysphagia in Palliative Care (PADICUP) was elaborated. However, it had not been applied in patients. This study aimed to analyze the feasibility of PADICUP in patients of a palliative care clinic in the city of Belém, PA. A quantitative cross-sectional approach was carried out with 30 participants from April to October 2019. The data obtained in the evaluations through the protocol were organized in spreadsheets and submitted to the percentage and statistical analysis using the correlation of Pearson. Among the studied public, as the main complaints observed during screening were weight loss (97%), xerostomy (77%) and clearing during feeding (68%). Regarding the evaluation with PADICUP, only 77% of the patients were able to be evaluated with oral diet in some consistency, being oral transit time decreased, vocal quality altered, reduced laryngeal elevation, multiple swallowing and oral cavity residue, the most altered manifestations. Patients with PC present significant changes in swallowing and need a qualified and assertive speech therapy support, and PADICUP is a feasible instrument to be used for this purpose, since it covers the demands and needs of patients receiving this care.

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Section: Discussionmentioning

confidence: 99%

The factibility of the protocol of dysphagia in palliative care (PADICUP) / A factibilidade do protocolo de disfagia nos cuidados paliativos (PADICUP)

Chaves¹,

Leão²,

Negrão³

et al. 2022

Braz. J. Hea. Rev.

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Sequential Swallowing of Liquid in Elderly Adults: Cup or Straw?

2014

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This article describes the study of the characteristics of sequential swallowing of 100 ml of liquid (dyed water) in two swallowing trials, directly from a cup and through a straw, in healthy elderly individuals. The aim of the study was to determine whether differences in the swallowing pattern are influenced by the type of utensil used. The subjects were subjected to clinical assessment and fiberoptic endoscopic evaluation of swallowing. The research found that intake from the cup showed a significantly lower median as regards time to drink the total volume. The final intake volume was significantly larger from the cup. A statistically significant difference was found in the oral spillage of liquid, which was notably higher in the cup trial. Despite the presence of residue in the valleculae and pyriform sinuses, in neither trial was there penetration or aspiration of liquid. The straw has a favorable influence on the quality of the sequential swallowing of liquid in regard to bolus containment within the oral cavity, which was better with that utensil. The cup provides a higher final volume in a shorter time for intake but there is more fluid spillage.

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Breathing pattern during sequential swallowing in healthy adult humans

Ouahchi

Salah

Mjid

et al. 2019

Journal of Applied Physiology

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Sequential liquid swallowing is a common daily occurrence during which coordination of deglutition and breathing are highly regulated to avoid pulmonary aspiration and to maintain hematosis. We studied the effects of sequential water swallowing (SWS) at fixed swallowing rates and with regular succession of swallows on respiration in healthy subjects. Thirty-one normal adults (19 men, 12 women) with a mean age of 27.96 ± 3.68 yr were explored at rest and during SWS (at 12 and 24 swallows/min). Respiration was recorded by intranasal air pressure changes and timing of deglutition by an acoustic method. Oxygen saturation [arterial O2 saturation from pulse oximetry ([Formula: see text])] was monitored with a finger probe. During SWS, we determined the respiratory phase (inspiration or expiration) before and after each ingestion cycle (IC; period of sustained apnea including 1 or more swallows). We also measured inspiratory time (TI), expiratory time (TE), respiratory cycle duration (TT), respiratory rate (RR) and [Formula: see text] at rest and during SWS. We showed that respiration was interrupted by sequential swallows determining a succession of ICs that were often preceded and followed by expiration. During SWS, TI decreased and TE increased compared with rest ( P < 0.01). However, TT, RR, and [Formula: see text] did not change. It seems that the preferential coupling of swallowing with expiration during SWS is favored by an increase in TE to ensure airway protection, although the repetitive swallows, RR, and [Formula: see text] were not altered during SWS. These data may be useful to study the effects of aging and pathological conditions on swallowing and breathing coordination during SWS. NEW & NOTEWORTHY Sequential water swallowing induces ingestion cycles that are often preceded and followed by expiration. Moreover, inspiratory time decreases and expiratory time increases during sequential swallowing compared with rest without changes in ventilatory cycle duration, respiratory rate, and oxygen saturation.

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Características da deglutição sequencial de líquidos em adultos e idosos: uma revisão integrativa

Cited by 3 publications

References 31 publications

The factibility of the protocol of dysphagia in palliative care (PADICUP) / A factibilidade do protocolo de disfagia nos cuidados paliativos (PADICUP)

The factibility of the protocol of dysphagia in palliative care (PADICUP) / A factibilidade do protocolo de disfagia nos cuidados paliativos (PADICUP)

Sequential Swallowing of Liquid in Elderly Adults: Cup or Straw?

Breathing pattern during sequential swallowing in healthy adult humans

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