Mohan Ranjini, Mohapatra Bijoyaa
Department of Communication Disorders, Texas State University, Round Rock, Texas, USA.
Department of Communication Disorders, New Mexico State University, Las Cruces, New Mexico, USA.
OTO Open. 2020 Jun 8;4(2):2473974X20934770. doi: 10.1177/2473974X20934770. eCollection 2020 Apr-Jun.
The most common symptom of COVID-19 in critically ill patients is ARDS (acute respiratory distress syndrome), with many patients requiring invasive or noninvasive respiratory support in the intensive care unit. Oropharyngeal dysphagia may be a consequence of the respiratory-swallowing incoordination common in ARDS or may occur following the respiratory support interventions. In this commentary, we highlight the risk and complications of oropharyngeal dysphagia in patients with COVID-19 and urge medical and rehabilitation professionals to consider dysphagia a prognostic complication, provide appropriate referrals, and initiate early interventions as appropriate.
危重症新冠肺炎患者最常见的症状是急性呼吸窘迫综合征(ARDS),许多患者在重症监护病房需要有创或无创呼吸支持。口咽吞咽困难可能是ARDS常见的呼吸-吞咽不协调的结果,也可能在呼吸支持干预后发生。在这篇评论中,我们强调了新冠肺炎患者口咽吞咽困难的风险和并发症,并敦促医学和康复专业人员将吞咽困难视为一种预后并发症,提供适当的转诊,并酌情尽早开展干预措施。