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Maximum Tongue Pressure as a Measure of Post-Extubation Swallowing Ability
https://doi.org/10.14994/tohojmed.2017.3-3-1
https://doi.org/10.14994/tohojmed.2017.3-3-18af989ef-cb22-4e07-9726-6b631d06b9da
| 名前 / ファイル | ライセンス | アクション |
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TohoJMed003003075.pdf (439.6 KB)
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| Item type | *学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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| 公開日 | 2017-10-18 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Maximum Tongue Pressure as a Measure of Post-Extubation Swallowing Ability(en) | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | dysphagia, tongue pressure, extubation, aspiration pneumonitis, dysphagia, tongue pressure, extubation, aspiration pneumonitis | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| ID登録 | ||||||||||||||||||
| ID登録 | 10.14994/tohojmed.2017.3-3-1 | |||||||||||||||||
| ID登録タイプ | JaLC | |||||||||||||||||
| 著者 |
Ryo, Ichibayashi
× Ryo, Ichibayashi
× Mitsuru, Honda
× Hideki, Sekiya
× Hiroki, Yokomuro
× Katsunori, Yoshihara
× Yoshihisa, Urita
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| 内容記述 | ||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||
| 内容記述 | Original Article | |||||||||||||||||
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| 内容記述タイプ | Other | |||||||||||||||||
| 内容記述 | Background: Approximately half of all patients requiring mechanical ventilation with endotracheal intubation develop swallowing problems after extubation. Swallowing can be examined in several ways, but the preferred clinical methods are videofluoroscopic examination of swallowing or other imaging methods, which allow visual detection of abnormal swallowing patterns. Unfortunately, these imaging techniques do not allow quantitative analysis. If a device could provide numerical values in evaluating swallowing capability, research could then collect useful data to help determine when to reintroduce oral intake of food and liquids and whether aspiration is likely during such intake. Evidence suggests a relationship between maximum tongue pressure and the ability to swallow correctly. We therefore evaluated changes in tongue pressure over time in patients who had just been extubated and investigated whether significant pressure differences existed between patients who later aspirated and those who did not. Methods: The participants were 36 patients who had received mechanical ventilation by means of endotracheal intubation. Maximum tongue pressure was measured repeatedly for 1 week after extubation. The values for participants who did and did not subsequently aspirate were then compared. Results: Post-extubation tongue pressure values were lower than normal in all patients, but they increased over time. However, values for patients who aspirated were significantly lower than those for patients who could swallow normally. Conclusion: The results suggest that tongue pressure is a useful test of post-extubation swallowing ability and that it can help determine when to restart oral intake of food and liquids and identify aspiration risk. | |||||||||||||||||
| 書誌情報 |
ja : Toho Journal of Medicine en : Toho Journal of Medicine 巻 3, 号 3, p. 75-83, 発行日 2017-09 |
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| 出版者 | ||||||||||||||||||
| 出版者 | The Medical Society of Toho University | |||||||||||||||||
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| 収録物識別子タイプ | PISSN | |||||||||||||||||
| 収録物識別子 | 21891990 | |||||||||||||||||
| 著者版フラグ | ||||||||||||||||||
| 出版タイプ | VoR | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
| レコードID | ||||||||||||||||||
| 内容記述 | TD06679178 | |||||||||||||||||
| 資源タイプ(ローカル) | ||||||||||||||||||
| 内容記述タイプ | Other | |||||||||||||||||
| 内容記述 | TOHO University Scholarly Publication | |||||||||||||||||
| 出版地 | ||||||||||||||||||
| 内容記述 | Tokyo | |||||||||||||||||
