Hypoxemia during oral feedings in adults with dysphagia and severe neurological disabilities

Brian Rogers, Michael Msall, David Shucard

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Signs of respiratory distress including coughing, choking, and gagging are not uncommon during oral feedings in patients with severe dysphagia. Aspiration pneumonia and chronic lung disease are recognized complications. Pulse oximetry, respiratory inductance plethysmography, and nasal airflow measurement by thermistors are accurate noninvasive methods of monitoring cardiopulmonary adaptation during oral feedings in patients with severe dysphagia. We report significant, previously unrecognized, acquired hypoxemia during oral feedings in two patients with severe cerebral palsy and one with multiple sclerosis. The episodes of hypoxemia occurred only while swallowing specific food textures. Periods of hypoxemia most probably resulted from aspiration during oral feedings. Cardiopulmonary adaptation may prove to be an important consideration in decisions regarding the method and advisability of continued oral feedings in patients with severe dysphagia.

Original languageEnglish (US)
Pages (from-to)43-48
Number of pages6
JournalDysphagia
Volume8
Issue number1
DOIs
StatePublished - Mar 1993
Externally publishedYes

Fingerprint

Deglutition Disorders
Gagging
Aspiration Pneumonia
Oximetry
Plethysmography
Airway Obstruction
Cerebral Palsy
Deglutition
Nose
Lung Diseases
Multiple Sclerosis
Chronic Disease
Food
Hypoxia

Keywords

  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Hypoxemia
  • Pulse oximetry

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology

Cite this

Hypoxemia during oral feedings in adults with dysphagia and severe neurological disabilities. / Rogers, Brian; Msall, Michael; Shucard, David.

In: Dysphagia, Vol. 8, No. 1, 03.1993, p. 43-48.

Research output: Contribution to journalArticle

Rogers, Brian ; Msall, Michael ; Shucard, David. / Hypoxemia during oral feedings in adults with dysphagia and severe neurological disabilities. In: Dysphagia. 1993 ; Vol. 8, No. 1. pp. 43-48.
@article{f5c326725b46464ca5bdb8570c83f264,
title = "Hypoxemia during oral feedings in adults with dysphagia and severe neurological disabilities",
abstract = "Signs of respiratory distress including coughing, choking, and gagging are not uncommon during oral feedings in patients with severe dysphagia. Aspiration pneumonia and chronic lung disease are recognized complications. Pulse oximetry, respiratory inductance plethysmography, and nasal airflow measurement by thermistors are accurate noninvasive methods of monitoring cardiopulmonary adaptation during oral feedings in patients with severe dysphagia. We report significant, previously unrecognized, acquired hypoxemia during oral feedings in two patients with severe cerebral palsy and one with multiple sclerosis. The episodes of hypoxemia occurred only while swallowing specific food textures. Periods of hypoxemia most probably resulted from aspiration during oral feedings. Cardiopulmonary adaptation may prove to be an important consideration in decisions regarding the method and advisability of continued oral feedings in patients with severe dysphagia.",
keywords = "Deglutition, Deglutition disorders, Dysphagia, Hypoxemia, Pulse oximetry",
author = "Brian Rogers and Michael Msall and David Shucard",
year = "1993",
month = "3",
doi = "10.1007/BF01351478",
language = "English (US)",
volume = "8",
pages = "43--48",
journal = "Dysphagia",
issn = "0179-051X",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Hypoxemia during oral feedings in adults with dysphagia and severe neurological disabilities

AU - Rogers, Brian

AU - Msall, Michael

AU - Shucard, David

PY - 1993/3

Y1 - 1993/3

N2 - Signs of respiratory distress including coughing, choking, and gagging are not uncommon during oral feedings in patients with severe dysphagia. Aspiration pneumonia and chronic lung disease are recognized complications. Pulse oximetry, respiratory inductance plethysmography, and nasal airflow measurement by thermistors are accurate noninvasive methods of monitoring cardiopulmonary adaptation during oral feedings in patients with severe dysphagia. We report significant, previously unrecognized, acquired hypoxemia during oral feedings in two patients with severe cerebral palsy and one with multiple sclerosis. The episodes of hypoxemia occurred only while swallowing specific food textures. Periods of hypoxemia most probably resulted from aspiration during oral feedings. Cardiopulmonary adaptation may prove to be an important consideration in decisions regarding the method and advisability of continued oral feedings in patients with severe dysphagia.

AB - Signs of respiratory distress including coughing, choking, and gagging are not uncommon during oral feedings in patients with severe dysphagia. Aspiration pneumonia and chronic lung disease are recognized complications. Pulse oximetry, respiratory inductance plethysmography, and nasal airflow measurement by thermistors are accurate noninvasive methods of monitoring cardiopulmonary adaptation during oral feedings in patients with severe dysphagia. We report significant, previously unrecognized, acquired hypoxemia during oral feedings in two patients with severe cerebral palsy and one with multiple sclerosis. The episodes of hypoxemia occurred only while swallowing specific food textures. Periods of hypoxemia most probably resulted from aspiration during oral feedings. Cardiopulmonary adaptation may prove to be an important consideration in decisions regarding the method and advisability of continued oral feedings in patients with severe dysphagia.

KW - Deglutition

KW - Deglutition disorders

KW - Dysphagia

KW - Hypoxemia

KW - Pulse oximetry

UR - http://www.scopus.com/inward/record.url?scp=0027418390&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027418390&partnerID=8YFLogxK

U2 - 10.1007/BF01351478

DO - 10.1007/BF01351478

M3 - Article

C2 - 8436021

AN - SCOPUS:0027418390

VL - 8

SP - 43

EP - 48

JO - Dysphagia

JF - Dysphagia

SN - 0179-051X

IS - 1

ER -