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
Dysphagia ◽  
2021 ◽  
Author(s):  
Tomohisa Ohno ◽  
Naomi Tanaka ◽  
Mariko Fujimori ◽  
Keishi Okamoto ◽  
Satoe Hagiwara ◽  
...  

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.


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

2015 ◽  
Vol 96 (7) ◽  
pp. 1277-1283 ◽  
Author(s):  
Anna Guillén-Solà ◽  
Sandra Cecilia Chiarella ◽  
Juan Martínez-Orfila ◽  
Esther Duarte ◽  
Martha Alvarado-Panesso ◽  
...  

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

2008 ◽  
Vol 17 (3) ◽  
pp. 110-118 ◽  
Author(s):  
Joan C. Arvedson

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.


Author(s):  
B. G. Babayan ◽  
S. A. Bagdasaryan ◽  
M. A. Melkumyan ◽  
A. R. Mikaelyan

2009 ◽  
Vol 59 (12) ◽  
pp. 1400-1404
Author(s):  
Marius Tudorascu ◽  
Spiridon Oprea ◽  
Afrodita Doina Marculescu ◽  
Stefania Tudorascu

The mechanism of the enzymatic iodination process of diethylmaleate and diethylfumarate (which present no miscibility with water) in the presence of lactoperoxidase, both in diluted hydrogen peroxide solution and in a generating system of hydrogen peroxide using ammonium and calcium iodides as halide sources in disperse system (after an ultrasonic pretreatment) was studied. The obtained sole product (diethyl-2, 3-diiodosuccinate) after the enzymatic iodination process was directly hydrolyzed to a tartaric acid present in an optically inactive form. The mechanism of obtaining the intermediate and final products and respectively, the existence of both D, L-tartaric acid and meso-tartaric acids (as lithium bitartrates) were also investigated.


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