Hypoxemia during oral feeding of children with severe cerebral palsy

Brian Rogers, J. Arvedson, M. Msall, R. R. Demerath

Research output: Contribution to journalArticle

57 Citations (Scopus)

Abstract

Oral feeding of children with severe dysphagia and multiple disabilities may result in hypoxemia. Pulse oximetry was used to monitor hemoglobin saturation (S(p)O2) during oral feeding of five children with multiple disabilities who were referred because of food refusal or coughing and fatigue during feeding. Modified barium videofluoroscopic swallow studies demonstrated deglutition abnormalities. S(p)O2 values were within the normal range at rest, but routine, upright oral feeding resulted in significant degrees of hypoxemia. The pharyngeal stage of deglutition was abnormal in all five children. In three, the periods of hypoxemia were dependent on food texture. Awareness of meal-time hypoxemia contributed to the decision to use gastrostomy-tube feedings for the other two children. Pulse oximetry during oral feeding should be considered for all children with severe dysphagia and multiple disabilities.

Original languageEnglish (US)
Pages (from-to)3-10
Number of pages8
JournalDevelopmental Medicine and Child Neurology
Volume35
Issue number1
StatePublished - 1993
Externally publishedYes

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Cerebral Palsy
Deglutition
Oximetry
Deglutition Disorders
Sickle Hemoglobin
Food
Gastrostomy
Disabled Children
Enteral Nutrition
Barium
Fatigue
Meals
Reference Values
Hypoxia

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neuroscience(all)

Cite this

Hypoxemia during oral feeding of children with severe cerebral palsy. / Rogers, Brian; Arvedson, J.; Msall, M.; Demerath, R. R.

In: Developmental Medicine and Child Neurology, Vol. 35, No. 1, 1993, p. 3-10.

Research output: Contribution to journalArticle

Rogers, Brian ; Arvedson, J. ; Msall, M. ; Demerath, R. R. / Hypoxemia during oral feeding of children with severe cerebral palsy. In: Developmental Medicine and Child Neurology. 1993 ; Vol. 35, No. 1. pp. 3-10.
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