Noninvasive Respiratory Support and Feeding in the Neonate

Hirst, Keith; Dodrill, Pamela; Gosa, Memorie M.

doi:10.1044/persp2.sig13.82

Cited by 5 publications

(2 citation statements)

References 43 publications

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“…The direct impact of the presence of LTV in the upper airways on swallow function is continuing to be researched in the field of paediatric feeding and dysphagia (Hirst et al, 2017). Children with invasive LTV via tracheostomy may experience changes in swallowing physiology due to the presence of the tracheostomy tube causing altered subglottic pressure, reduced sensation, and reduced movement of the larynx (12).…”

Section: Acute Feeding and Swallowing Difficultiesmentioning

confidence: 99%

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

Lee

Marshall

Clarke

et al. 2023

Preprint

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Background: The last three decades have seen a growth in the number of children requiring long-term ventilation. Children with long-term ventilation present with underlying respiratory and neurological conditions that place them at risk of feeding and swallowing difficulties. To date, a scoping review or systematic review investigating the feeding and swallowing outcomes of children with long-term ventilation needs has not been conducted. Aims: This paper describes a protocol for a scoping review of the feeding and swallowing outcomes of children receiving long-term ventilation. Methods: This scoping review protocol will utilize the Joanna Briggs Institute scoping review methodology guideline. Our review will focus on the feeding and swallowing outcomes of children aged 0 to 18 years with long-term ventilation needs. A full search strategy initially created by the authors and a research librarian was conducted on the PubMed database. Following this, pilot testing took place to determine discrepancies in eligibility criteria. A full search strategy will be conducted across several databases. A data extraction form has been developed by the authors and will be used during the scoping review process. Discussion: This protocol has been created to provide a rigorous and comprehensive basis for undertaking a scoping review. All necessary steps have been completed in order to commence the scoping review. Registration: This scoping review protocol was registered on Open Science Framework on the 26th November 2021 (Registration DOI 10.17605/OSF.IO/NQBPD)

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Section: Acute Feeding and Swallowing Difficultiesmentioning

confidence: 99%

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

Lee

Marshall

Clarke

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…The direct impact of the presence of LTV in the upper airways on swallow function is continuing to be researched in the field of paediatric feeding and dysphagia [ 19 ]. Children with invasive LTV via tracheostomy may experience changes in swallowing physiology due to the presence of the tracheostomy tube causing altered subglottic pressure, reduced sensation, and reduced movement of the larynx [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

Lee,

Marshall,

Clarke

et al. 2024

PLoS ONE

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Background The last three decades have seen a growth in the number of children requiring long-term ventilation. Children with long-term ventilation present with underlying respiratory and neurological conditions that place them at risk of feeding and swallowing difficulties. To date, a scoping review or systematic review investigating the feeding and swallowing outcomes of children with long-term ventilation needs has not been conducted. Aims This paper describes a protocol for a scoping review of the feeding and swallowing outcomes of children receiving long-term ventilation. Methods This scoping review protocol will utilize the Joanna Briggs Institute scoping review methodology guideline. Our review will focus on the feeding and swallowing outcomes of children aged 0 to 18 years with long-term ventilation needs. A full search strategy initially created by the authors and a research librarian was conducted on the PubMed database. Following this, pilot testing took place to determine discrepancies in eligibility criteria. A full search strategy will be conducted across several databases. A data extraction form has been developed by the authors and will be used during the scoping review process. Discussion This protocol has been created to provide a rigorous and comprehensive basis for undertaking a scoping review. All necessary steps have been completed in order to commence the scoping review. Registration This scoping review protocol was registered on Open Science Framework on the 26th November 2021 (Registration DOI 10.17605/OSF.IO/NQBPD).

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High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

Raminick

Desai

2020

Perspect ASHA SIGs

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Purpose Infants hospitalized for an acute respiratory illness often require the use of noninvasive respiratory support during the initial stage to improve their breathing. High flow oxygen therapy (HFOT) is becoming a more popular means of noninvasive respiratory support, often used to treat respiratory syncytial virus/bronchiolitis. These infants present with tachypnea and coughing, resulting in difficulties in coordinating sucking and swallowing. However, they are often allowed to feed orally despite having high respiratory rate, increased work of breathing and on HFOT, placing them at risk for aspiration. Feeding therapists who work with these infants have raised concerns that HFOT creates an additional risk factor for swallowing dysfunction, especially with infants who have compromised airways or other comorbidities. There is emerging literature concluding changes in pharyngeal pressures with HFOT, as well as aspiration in preterm neonates who are on nasal continuous positive airway pressure. However, there is no existing research exploring the effect of HFOT on swallowing in infants with acute respiratory illness. This discussion will present findings from literature on HFOT, oral feeding in the acutely ill infant population, and present clinical practice guidelines for safe feeding during critical care admission for acute respiratory illness. Conclusion Guidelines for safety of oral feeds for infants with acute respiratory illness on HFOT do not exist. However, providers and parents continue to want to provide oral feeds despite clinical signs of respiratory distress and coughing. To address this challenge, we initiated a process change to use clinical bedside evaluation and a “cross-systems approach” to provide recommendations for safer oral feeds while on HFOT as the infant is recovering from illness. Use of standardized feeding evaluation and protocol have improved consistency of practice within our department. However, further research is still necessary to develop clinical practice guidelines for safe oral feeding for infants on HFOT.

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Noninvasive Respiratory Support and Feeding in the Neonate

Cited by 5 publications

References 43 publications

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

Feeding and swallowing outcomes of children receiving long-term ventilation: A scoping review protocol

High Flow Oxygen Therapy and the Pressure to Feed Infants With Acute Respiratory Illness

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