Department of Otolaryngology, Head and Neck Surgery, University of Kentucky, 740 S Limestone, E300E, Lexington, KY, 40536, USA.
Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati, Cincinnati, USA.
Dysphagia. 2021 Apr;36(2):161-169. doi: 10.1007/s00455-020-10144-9. Epub 2020 Jun 9.
Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus carriers and variable expression of the disease have also focused attention to appropriate patient care in the context of protection for the healthcare workforce. The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era.
越来越多的 SARS-CoV-2 病例,加上对传染性和毒力的有限了解,给目前的工作流程和吞咽障碍提供者的临床护理路径带来了挑战。与此同时,非 COVID-19 相关的吞咽障碍护理需求仍然存在。对无症状病毒携带者的认识增加,以及疾病的不同表现形式,也使人们关注在保护医疗保健工作者的背景下,如何为患者提供适当的护理。本综述的目的是为跨临床环境的吞咽障碍临床医生创建一个临床算法和参考,以最大限度地减少 COVID-19 病例的传播,同时为吞咽障碍患者提供最佳护理。每个从业者和医疗保健系统都可能有不同的限制或偏好,导致他们选择使用一种技术而不是另一种技术。关于这种大流行的知识每天都在增加,但这里提供的算法将有助于在这个新时代考虑进行安全有效的吞咽障碍护理的最佳选择。