Usefulness of a handheld nebulizer in cough test to screen for silent aspiration

Odontology ◽  
2012 ◽  
Vol 102 (1) ◽  
pp. 76-80 ◽  
Author(s):  
Yoko Wakasugi ◽  
Haruka Tohara ◽  
Ayako Nakane ◽  
Shino Murata ◽  
Shinya Mikushi ◽  
...  
Keyword(s):  
Silent Aspiration ◽  
Cough Test

Simplified Cough Test for Screening Silent Aspiration

2012 ◽  
Vol 93 (11) ◽  
pp. 1982-1986 ◽  
Author(s):  
Mitsuyasu Sato ◽  
Haruka Tohara ◽  
Takatoshi Iida ◽  
Satoko Wada ◽  
Motoharu Inoue ◽  
...  
Keyword(s):  
Silent Aspiration ◽  
Cough Test

scholarly journals Cough-Inducing Method Using a Tartaric Acid Nebulizer for Patients with Silent Aspiration

Dysphagia ◽  
2021 ◽  
Author(s):  
Tomohisa Ohno ◽  
Naomi Tanaka ◽  
Mariko Fujimori ◽  
Keishi Okamoto ◽  
Satoe Hagiwara ◽  
...  
Keyword(s):  
Observational Study ◽  
Tartaric Acid ◽  
Retrospective Observational Study ◽  
Single Institution ◽  
Silent Aspiration ◽  
Cough Reflex ◽  
Voluntary Cough ◽  
Cough Test ◽  
Novel Method

AbstractThe tartaric acid nebulizer is a well-known cough test to evaluate cough function. This study aimed to evaluate the effectiveness of a cough-inducing method using tartaric acid (CiTA). Patients with dysphagia examined by videofluoroscopic examination of swallowing (VF) at a single institution from May 2017 to August 2017 were included in this retrospective observational study. Although undergoing VF, patients who had aspirated without reflexively coughing or who had coughed insufficiently, were instructed to cough voluntarily. Patients who could not cough voluntarily or had expectorated insufficiently underwent the CiTA method. The rate of cough induction and the effectiveness of expectoration using the CiTA method were evaluated. One hundred fifty-four patients (mean age 69.2 ± 16.8 years) were evaluated. Eighty-seven patients aspirated during VF. Of those patients, 15 were able to expectorate via the cough reflex, 18 were able to expectorate with a voluntary cough, and 12 required suctioning for removal of aspirated material. The remaining 42 patients underwent the CiTA method. Thirty-eight patients (90.4%) could reflexively cough, and 30 (71.4%) could expectorate the aspirated material. This novel method, CiTA, was effective for cough induction in patients with dysphagia, especially for those with silent aspiration.

Usefulness of Citric Cough Test for Screening of Silent Aspiration in Subacute Stroke Patients: A Prospective Study

2015 ◽  
Vol 96 (7) ◽  
pp. 1277-1283 ◽  
Author(s):  
Anna Guillén-Solà ◽  
Sandra Cecilia Chiarella ◽  
Juan Martínez-Orfila ◽  
Esther Duarte ◽  
Martha Alvarado-Panesso ◽  
...  
Keyword(s):  
Prospective Study ◽  
Stroke Patients ◽  
Silent Aspiration ◽  
Cough Test ◽  
Subacute Stroke ◽  
A Prospective Study

Evaluation of Silent Aspiration According to Reflex Cough Test Using Tartaric Acid Inhalation

2013 ◽  
Vol 64 (1) ◽  
pp. 21-26
Author(s):  
Tomohisa Hirai ◽  
Noriyuki Fukushima ◽  
Nobuyuki Miyahara
Keyword(s):  
Tartaric Acid ◽  
Silent Aspiration ◽  
Cough Test ◽  
Reflex Cough

Food for Thought on Pediatric Feeding and Swallowing

2008 ◽  
Vol 17 (3) ◽  
pp. 110-118 ◽  
Author(s):  
Joan C. Arvedson
Keyword(s):  
Developmentally Appropriate ◽  
Evidence Based ◽  
Silent Aspiration ◽  
Multiple Systems ◽  
Young Infants ◽  
Adequate Understanding ◽  
Nutrition And Hydration ◽  
Pediatric Feeding ◽  
Areas Of Concern ◽  
And Function

Abstract “Food for Thought” provides an opportunity for review of pertinent topics to add to updates in areas of concern for professionals involved with feeding and swallowing issues in infants and children. Given the frequency with which speech-language pathologists (SLPs) make decisions to alter feedings when young infants demonstrate silent aspiration on videofluoroscopic swallow studies (VFSS), the need for increased understanding about cough and its development/maturation is a high priority. In addition, understanding of the role(s) of laryngeal chemoreflexes (LCRs), relationships (or lack of relationships) between cough and esophagitis, gastroesophageal reflux (GER), and chronic salivary aspiration is critical. Decision making regarding management must take into account multiple systems and their interactions in order to provide safe feeding for all children to meet nutrition and hydration needs without being at risk for pulmonary problems. The responsibility is huge and should encourage all to search the literature so that clinical practice is as evidence-based as possible; this often requires adequate understanding of developmentally appropriate neurophysiology and function.

RELATIONSHIP BETWEEN GLASGOW COMA SCALE AND AIRWAYS PROTECTIVE REFLEXES IN CEREBRO VASCULAR ATTACK PATIENTS

2021 ◽  
pp. 81-83
Author(s):  
Sonakshi Saha ◽  
Indraneel Dasgupta ◽  
Amit Bhowmik
Keyword(s):  
Prospective Observational Study ◽  
Indian Population ◽  
Clinical History ◽  
Mechanical Ventilator ◽  
Senior Physician ◽  
Cough Test ◽  
Group 15 ◽  
The Central Nervous System ◽  
Supraglottic Larynx ◽  
Selection Of

Introduction: The laryngeal cough reex (LCR) protects the supraglottic larynx from signicant aspiration of food or uids during inspiration or pharyngeal spillage during swallowing 1. The reex cough test (RCT), using nebulized tartaric acid solution, provides an effective stimulus to the receptors in the supraglottic mucosa, and, like a reex hammer or percussor, triggers a cascade of neurological activity in both craniospinal nerves and the central nervous system. The vagus nerve mediates the afferent component of the LCR. Aims And Objective:To nd the relation between glasgowcoma scale and airway protective reexes in Indian population. Materials And Methods: This study was a prospective observational study. Clinical history and examination is mandatory for selection of the eligible patients. All the procedure was done, only once a traumatically, in patients. Suction apparatus was made available all the time beside the patients in case they vomit. Procedure was done under supervision of senior physician. Result And Analysis: We found that in ≤5 GCS Group, 15(100.0%) patients had Intubation. In 6-8 GCS Group, 7(10.6%) patients had Intubation. In ≥9 GCS Group, 8(20.5%) patients had Intubation. Association of Intubation vs GCS Group was statistically signicant (p<0.0001). In ≤5 GCS Group, 15(100.0%) patients had Immediate Intubation. Summary And Conclusion: In our study, 11(9.2%) patients were Attenuated/ Diminished (Absent Cough and Gag reex) air way protective reexes checked later, 19(15.8%) patients were Not Applicable (As Pt Mechanical Ventilator) air way protective reexes checked later and 90(75.0%) patients were Patent (Present Cough and Gag reex) air way protective reexes checked later. Mechanical Ventilator was more in low GCS (≤5) which was statistically signicant.

Sign in / Sign up

Export Citation Format

Share Document