Tough Pill to Swallow: Postextubation Dysphagia and Nutrition Impact in the Intensive Care Unit

Nutr Clin Pract. 2021 Feb;36(1):80-87. doi: 10.1002/ncp.10602. Epub 2020 Nov 26.

Abstract

More than 5 million patients are admitted to US intensive care units (ICUs) each year. Many of these patients have risk factors for dysphagia. Dysphagia must be promptly addressed and appropriately treated to avoid the deleterious impacts of aspiration and malnutrition. Therefore, clinicians must be aware of ways to identify and treat dysphagia. This review will highlight the risk factors, mechanisms, and impact of dysphagia in the ICU as well as provide screening, diagnostic, and management options.

Keywords: aspiration; dysphagia; intensive care unit; malnutrition; mechanical ventilation.

Publication types

  • Review

MeSH terms

  • Airway Extubation
  • Deglutition Disorders*
  • Hospitalization
  • Humans
  • Intensive Care Units
  • Risk Factors