Treatment of drooling with scopolamine in pediatric ICU: A case series report

Abstract

Drooling is a condition that affects patients with difficulties in swallowing, being common in patients with mental, neurological or dysphagic deficiency. This condition is difficult to diagnose, as it is often confused with sialorrhea, and in many cases we have a hyposalivation scenario. Its diagnosis is subjective, which is why scales should be used for the standardization of the evaluation of the degree of drooling before and after the proposed treatment, as the Thomas-Stonell and Greenberg scale. It causes problems such as perioral infections, rashes, wet clothing, leading to social embarrassment, and may be a risk factor for respiratory infections caused by asymptomatic aspiration of saliva. It presents several treatments, among them the pharmacological one, that is dependent of the clinical picture of each patient that must be evaluated daily. This article refers to a series of reports of cases of children in mechanical ventilation by tracheostomy, hospitalized, with clinical diagnosis of drooling, and clinical improvement with the use of scopolamine by gastrostomy, without intercurrences during its use. The objective of this study is to show other professionals the importance of drooling management, and to expose the adopted behavior in the described cases, providing reduction of respiratory infections and improvement of the clinical and social complications resulting from drooling.

Hospital Dentistry and Dental Care for Patients with Special Needs: Dental approach during COVID-19 Pandemic.

“…This knowledge is acquired on a daily basis through this joint teamwork that aims to provide care by several professionals, who communicate with each other and carry out procedures to widely assist the patient. Thus, there is also a need for the presence of a clinical dentist to perform routine dental procedures during hospitalization of patients undergoing treatment due to general health condition, not only in cases of facial trauma or major oral surgery [5,7,11,12].…”

“…The use of drying methods reduces salivary flow and improves the drooling condition. The use of medications is a reversible treatment, which means that the reduction in salivary flow occurs only during the effect of the drug, unlike botulinum toxin that has a lasting effect varying from 4 to 6 months [11]. the procedure.…”

Sialorrhea in the assessment and correction of water balance in a 2 month old baby in the ICU: a case report

“…Большинство фармакологических подходов снижают холинергический тонус либо системно (например, пероральные антихолинергические средства, связанные с атропином), либо более локально (например, сублингвальный сп рей ипратропия) или повышают адренергический тонус (например, пластырь с клонидином). В последнее время для лечения рефрактерных случаев успешно применяются инъекции ботулотоксина А в околоушную железу [7,12,13].…”