Aspiration and Swallowing Dysfunction in Pediatric Patients

Miller, Claire Kane

doi:10.1177/1941406411423967

Cited by 15 publications

(14 citation statements)

References 30 publications

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“…Compensatory strategies are often utilized, such as texture modification of thick liquids or solids with honey or nectar, in addition to maneuvers such as head position or tucking the chin. Research has shown that these functional modifications will improve swallowing biomechanics for the short term (Miller, 2011). In addition to traditional compensatory techniques, recent approaches to treatment of swallow dysfunction have included use of electrical stimulation for modulation of neuronal systems affecting swallowing function.…”

Section: Common Problems In Tbi Managementmentioning

confidence: 99%

Moderate-to-Severe Traumatic Brain Injury in Children: Complications and Rehabilitation Strategies

Popernack¹,

Gray²,

Reuter‐Rice³

2015

Journal of Pediatric Health Care

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Traumatic brain injury (TBI) is the leading cause of death in children in the United States. Each year 37,200 children sustain a severe TBI, with up to 1.3 million life-years potentially adversely affected. Severe pediatric TBI is associated with significant mortality and morbidity. Of the children who survive their injury, more than 50% experience unfavorable outcomes 6 months after the injury. Although TBI-associated death rates decreased between 1997–2007, disabilities for TBI survivors continue to have both a direct and indirect impact on the economic and human integrity of our society. The degree of disability varies with the severity and mechanism of the injury, but a realm of physical and emotional deficits may be evident for years after the injury occurs. This article describes the pathophysiology of moderate to severe TBI, its associated complications, and opportunities to improve patient outcomes through use of acute management and rehabilitation strategies. To address the many challenges for TBI survivors and their families, including significant financial and emotional burdens, a collaborative effort is necessary to help affected children transition seamlessly from acute care through long-term rehabilitation.

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Section: Common Problems In Tbi Managementmentioning

confidence: 99%

Moderate-to-Severe Traumatic Brain Injury in Children: Complications and Rehabilitation Strategies

Popernack¹,

Gray²,

Reuter‐Rice³

2015

Journal of Pediatric Health Care

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“…89 Various consistency levels are referred to when discussing swallowing dysfunction. Unthickened formulas, liquids, and breast milk are considered thin liquids.…”

Section: Introducing Safe Alimentationmentioning

confidence: 99%

“…In essence, the thicker the consistency, the more time (in milliseconds) available for the afferent-efferent reflex loop to complete laryngeal closure. 89 The diet is therapeutically thickened to a consistency based on the findings on VFSS or FEES. Because these results are only a brief picture of a child's swallowing efficiency, they must be interpreted in the context of clinical data.…”

Section: Introducing Safe Alimentationmentioning

confidence: 99%

Oropharyngeal Dysphagia in Children

Durvasula

O’Neill

Richter

2014

Otolaryngologic Clinics of North America

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“…These or other "red flags" suggestive of dysphagia should be considered when the child fails to grow or maintain appropriate health. 19,20 For decades, identifying the best method to evaluate and monitor growth and nutrition in children who have cerebral palsy has challenged pediatricians. Weight, weight-for-height, segmental measures, skinfold measures, and other techniques each have some value, but none is easily and consistently applied Among children who have thoracolumbarlevel myelomeningocele who demonstrate severe kyphoscoliosis, peculiar chest/abdomen anatomy, or both, feeding problems can occur related to posture, positioning, underlying internal anatomy, and GER.…”

Section: Children Who Have Cerebral Palsymentioning

confidence: 99%

“…The recessed jaw and tongue are often associated with low tone and weakness of facial musculature, increasing the risks for airway obstruction and aspiration of oral feedings. 20 For infants affected by these conditions, nasogastric tube feeding or gastrostomy tube feeding may be required from birth for months at a minimum. 28 Reid and colleagues provide an excellent review of feeding issues relative to cleft lip, cleft palate, Pierre-Robin sequence, and other cleft conditions.…”

Section: Children Who Have Cleft Conditions And/or Micrognathiamentioning

confidence: 99%

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

Adams¹,

Elias²

2014

Pediatrics

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The decision to initiate enteral feedings is multifaceted, involving medical, financial, cultural, and emotional considerations. Children who have developmental or acquired disabilities are at risk for having primary and secondary conditions that affect growth and nutritional well-being. This clinical report provides (1) an overview of clinical issues in children who have developmental or acquired disabilities that may prompt a need to consider nonoral feedings, (2) a systematic way to support the child and family in clinical decisions related to initiating nonoral feeding, (3) information on surgical options that the family may need to consider in that decision-making process, and (4) pediatric guidance for ongoing care after initiation of nonoral feeding intervention, including care of the gastrostomy tube and skin site. Ongoing medical and psychosocial support is needed after initiation of nonoral feedings and is best provided through the collaborative efforts of the family and a team of professionals that may include the pediatrician, dietitian, social worker, and/or therapists.

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Aspiration and Swallowing Dysfunction in Pediatric Patients

Cited by 15 publications

References 30 publications

Moderate-to-Severe Traumatic Brain Injury in Children: Complications and Rehabilitation Strategies

Moderate-to-Severe Traumatic Brain Injury in Children: Complications and Rehabilitation Strategies

Oropharyngeal Dysphagia in Children

Nonoral Feeding for Children and Youth With Developmental or Acquired Disabilities

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