Implications of high flow oxygen therapy on the swallowing reflex
DOI:
https://doi.org/10.29352/mill0216e.34036Keywords:
high-flow nasal oxygen; swallowing quality; critically illAbstract
Introduction: High-flow oxygen therapy (HFOT) is a revolutionary non-invasive ventilation technique with multiple benefits for critically ill patients. The possibility of ingesting food due to the characteristics of the device is one of them; however, studies show that high flows alter the swallowing reflex.
Objective: To assess whether the concentration of HFOT reduces the quality of the swallowing reflex when ingesting food of various consistencies; to observe the factors that influence the quality of swallowing in critically ill patients undergoing HFOT.
Methods: This is an observational and explanatory, quantitative, cross-sectional study of 24 patients undergoing HFOT intensive care unit. A questionnaire and the Gugging Swalloing Screen scale (GUSS Test) were used to assess the quality of swallowing in different consistencies, with HFOT in high concentrations.
Results: There were 8 participants with altered swallowing quality when subjected to flows of more than 55L/min, which worsened when associated with factors such as the patient's clinical condition, state of consciousness, mental state, and physical abilities.
Conclusion: The HFOT has revolutionized healthcare and prevented exacerbations of acute illness. However, healthcare professionals should be aware of its risks and, by carrying out a preliminary assessment of swallowing quality and associated factors, avoid consequences.
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