Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report

Detalhes bibliográficos
Autor(a) principal: Soyama,Shigeto
Data de Publicação: 2022
Outros Autores: Mano,Tomoo, Kido,Akira
Tipo de documento: Relatório
Idioma: eng
Título da fonte: CoDAS
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822022000600401
Resumo: ABSTRACT The face-to-face assessment of and training for dysphagia are considered aerosol-generating procedures, and thus are contraindicated for patients who are positive or suspected of having severe acute respiratory syndrome coronavirus 2 infection. Considering the extremely infectious nature of the virus, transmission to other individuals during rehabilitation is possible. Some patients in the intensive care unit and those who are on endotracheal intubation and mechanical ventilation often have dysphagia. Therefore, assessment and training for oropharyngeal dysphagia are provided by rehabilitation professionals to restore normal feeding before patient discharged. Thus, we aimed to explore the advantages of telerehabilitation in dysphagia management during the coronavirus disease 2019 (COVID-19) pandemic. An infected 50-year-old man admitted to the hospital underwent extracorporeal membrane oxygenation rescue therapy and tracheostomy. Upon gradual respiratory status stabilization, extracorporeal membrane oxygenation therapy was discontinued, and he was weaned off the ventilator. He had difficulty swallowing and coughed after attempting to drink fluids. We considered the application of telerehabilitation for managing dysphagia while minimizing the risk of infection and usage of personal protective equipment. A videoconferencing software on a tablet device provided contactless telerehabilitation, thus reducing the risk of infection and preventing personal protective equipment shortage. Moreover, it facilitates discussion on the issues related to the evaluation of oropharyngeal dysphagia telerehabilitation. We highlight important considerations for the application of telerehabilitation in the assessment and treatment of dysphagia during the COVID-19 pandemic.
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spelling Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case reportCoronavirus InfectionsCOVID-19Oropharyngeal DysphagiaSwallowing DisordersRehabilitationTelerehabilitationVentilationABSTRACT The face-to-face assessment of and training for dysphagia are considered aerosol-generating procedures, and thus are contraindicated for patients who are positive or suspected of having severe acute respiratory syndrome coronavirus 2 infection. Considering the extremely infectious nature of the virus, transmission to other individuals during rehabilitation is possible. Some patients in the intensive care unit and those who are on endotracheal intubation and mechanical ventilation often have dysphagia. Therefore, assessment and training for oropharyngeal dysphagia are provided by rehabilitation professionals to restore normal feeding before patient discharged. Thus, we aimed to explore the advantages of telerehabilitation in dysphagia management during the coronavirus disease 2019 (COVID-19) pandemic. An infected 50-year-old man admitted to the hospital underwent extracorporeal membrane oxygenation rescue therapy and tracheostomy. Upon gradual respiratory status stabilization, extracorporeal membrane oxygenation therapy was discontinued, and he was weaned off the ventilator. He had difficulty swallowing and coughed after attempting to drink fluids. We considered the application of telerehabilitation for managing dysphagia while minimizing the risk of infection and usage of personal protective equipment. A videoconferencing software on a tablet device provided contactless telerehabilitation, thus reducing the risk of infection and preventing personal protective equipment shortage. Moreover, it facilitates discussion on the issues related to the evaluation of oropharyngeal dysphagia telerehabilitation. We highlight important considerations for the application of telerehabilitation in the assessment and treatment of dysphagia during the COVID-19 pandemic.Sociedade Brasileira de Fonoaudiologia2022-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822022000600401CoDAS v.34 n.6 2022reponame:CoDASinstname:Sociedade Brasileira de Fonoaudiologia (SBFA)instacron:SBFA10.1590/2317-1782/20212021023info:eu-repo/semantics/openAccessSoyama,ShigetoMano,TomooKido,Akiraeng2022-03-29T00:00:00Zoai:scielo:S2317-17822022000600401Revistahttps://www.codas.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.phpcodas@editoracubo.com.br||revista@codas.org.br2317-17822317-1782opendoar:2022-03-29T00:00CoDAS - Sociedade Brasileira de Fonoaudiologia (SBFA)false
dc.title.none.fl_str_mv Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
title Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
spellingShingle Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
Soyama,Shigeto
Coronavirus Infections
COVID-19
Oropharyngeal Dysphagia
Swallowing Disorders
Rehabilitation
Telerehabilitation
Ventilation
title_short Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
title_full Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
title_fullStr Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
title_full_unstemmed Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
title_sort Oropharyngeal dysphagia telerehabilitation in the Intensive Care Unit for COVID-19: a case report
author Soyama,Shigeto
author_facet Soyama,Shigeto
Mano,Tomoo
Kido,Akira
author_role author
author2 Mano,Tomoo
Kido,Akira
author2_role author
author
dc.contributor.author.fl_str_mv Soyama,Shigeto
Mano,Tomoo
Kido,Akira
dc.subject.por.fl_str_mv Coronavirus Infections
COVID-19
Oropharyngeal Dysphagia
Swallowing Disorders
Rehabilitation
Telerehabilitation
Ventilation
topic Coronavirus Infections
COVID-19
Oropharyngeal Dysphagia
Swallowing Disorders
Rehabilitation
Telerehabilitation
Ventilation
description ABSTRACT The face-to-face assessment of and training for dysphagia are considered aerosol-generating procedures, and thus are contraindicated for patients who are positive or suspected of having severe acute respiratory syndrome coronavirus 2 infection. Considering the extremely infectious nature of the virus, transmission to other individuals during rehabilitation is possible. Some patients in the intensive care unit and those who are on endotracheal intubation and mechanical ventilation often have dysphagia. Therefore, assessment and training for oropharyngeal dysphagia are provided by rehabilitation professionals to restore normal feeding before patient discharged. Thus, we aimed to explore the advantages of telerehabilitation in dysphagia management during the coronavirus disease 2019 (COVID-19) pandemic. An infected 50-year-old man admitted to the hospital underwent extracorporeal membrane oxygenation rescue therapy and tracheostomy. Upon gradual respiratory status stabilization, extracorporeal membrane oxygenation therapy was discontinued, and he was weaned off the ventilator. He had difficulty swallowing and coughed after attempting to drink fluids. We considered the application of telerehabilitation for managing dysphagia while minimizing the risk of infection and usage of personal protective equipment. A videoconferencing software on a tablet device provided contactless telerehabilitation, thus reducing the risk of infection and preventing personal protective equipment shortage. Moreover, it facilitates discussion on the issues related to the evaluation of oropharyngeal dysphagia telerehabilitation. We highlight important considerations for the application of telerehabilitation in the assessment and treatment of dysphagia during the COVID-19 pandemic.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822022000600401
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2317-17822022000600401
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/2317-1782/20212021023
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Fonoaudiologia
publisher.none.fl_str_mv Sociedade Brasileira de Fonoaudiologia
dc.source.none.fl_str_mv CoDAS v.34 n.6 2022
reponame:CoDAS
instname:Sociedade Brasileira de Fonoaudiologia (SBFA)
instacron:SBFA
instname_str Sociedade Brasileira de Fonoaudiologia (SBFA)
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institution SBFA
reponame_str CoDAS
collection CoDAS
repository.name.fl_str_mv CoDAS - Sociedade Brasileira de Fonoaudiologia (SBFA)
repository.mail.fl_str_mv codas@editoracubo.com.br||revista@codas.org.br
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