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Article: Predictive value of accumulated oropharyngeal secretions for aspiration during video nasal endoscopic evaluation of the swallow
- Article from:
- The Annals of Otology, Rhinology & Laryngology
- Article date:
- May 1, 2003
- Author:
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Copyright informationCopyright Annals Publishing Company May 2003. Provided by ProQuest LLC. (Hide copyright information)
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The purpose of this prospective study was to investigate the predictive value of oropharyngeal secretions by use of 5-point and modified 3-point secretion scales for aspiration of food or liquid and diet recommendation outcomes. One hundred consecutive patients and 4 control subjects participated. The 5-point secretion severity scale correlated highly to aspiration (Spearman's [rho] = .516, p < .0001) and to diet recommendation outcomes (Spearman's [rho]=.72, p < .0001). Patients who received tube feedings were more likely to demonstrate a higher secretion level than patients who received oral feedings (Pearson x^sup 2^ analysis value = 25.461, p < .0001). Patients with a ...
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......our previous report2. It is possible that anti-sialagogue premedication prior to awake fibreoptic intubation reduced oropharyngeal secretions and prevented dilution of the local anaesthetic nebulized, resulting in enhanced lignocaine absorption. However, plasma...
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