Postextubation dysphagia management in Danish intensive care units: A national survey
Authors' conclusion
Awareness of PED is increasing and identification, prevention, and treatment is slowly improving, but systematic implementation of protocols for dysphagia screening and treatment could enhance dysphagia management in Danish ICUs.
Study context
- Population
- Danish intensive care units (ICUs)
- Outcome
- Postextubation dysphagia (PED) management practice: screening, prevention, treatment, perceived best practice (barriers and facilitators)
- Follow-up
- 2023
Methodological detailsself-reported national survey, comparison with 2017 Dysphagia in Intensive Care Evaluation study, Survey administered April to May 2023
- Self-reported national survey
- Comparison with 2017 Dysphagia in Intensive Care Evaluation study
- Survey administered April to May 2023
Main finding
As reported in the abstract
PED management practice in Danish ICUs
- Only half of Danish ICUs reported having a postextubation dysphagia (PED) protocol
- Less than half routinely screen patients for dysphagia after extubation
- Most common screening methods: oral mechanism examination, water test, Facio-oral tract therapy
- Nurses and physicians often relied on an overall physical assessment of the patient
- Best treatment methods uniformly agreed: patient positioning, modification of food and fluids, ergonomic utensils, compensatory maneuvers
- Key barriers: lack of specialized staff, under-recognition of dysphagia as a health issue, lack of standardized protocols
Observational data: associations, not effects.
Original publication
Postextubation dysphagia management in Danish intensive care units: A national survey. Acta Anaesthesiol Scand. Published 8 May 2024. doi:10.
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