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Logopädische Rehabilitation von Patienten mit Trachealkanülen in der Neurologie

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Tracheotomie und Tracheostomaversorgung

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Zusammenfassung

Die logopädische Therapie von tracheotomierten neurologischen Patienten gewinnt immer mehr an Bedeutung. In der Therapie sind neurologische bzw. neuropsychologische Zusatzstörungen zu berücksichtigen, die den therapeutischen Zugang zum Teil erschweren. Ein akinetischer Mutismus, ein reduzierter Antrieb und zusätzliche Aufmerksamkeitsstörungen können die logopädische Therapie beeinflussen. Nach Einführung in spezielle klinische Situationen mit häufigen neurologischen Patienten soll der Leser in klinisch und apparativ wichtige Diagnostikschritte eingeführt werden, um anschließend das logopädische Vorgehen vom Entcuffungsprozess, über Speichelmanagement, Bolusschlucktraining, Stimm- und Sprechtraining bis hin zum oralen Kostaufbau beim tracheotomierten schluckgestörten Patienten zu lernen.

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Literatur

  • Adams V et al. (2013) A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia 28(3):350–369

    Google Scholar 

  • Afkari S (2007) Measuring frequency of spontaneous swallowing. Australas Phys Eng Sci Med 30(4):313–7

    Google Scholar 

  • ASHA American Speech-Language-Hearing Association. (01. Februar 2015). Online verfügbar unter: http://www.asha.org/SLP/clinical/Frequently-Asked-Questions-on-Tracheotomy-and-Swallowing. (Abgerufen am: 10.06.2017)

  • Bartolome G, Schröter-Morasch H (2013) Schluckstörungen: Diagnostik und Rehabilitation, 5. Aufl. Urban & Fischer/Elsevier, München

    Google Scholar 

  • Belafsky PC et al. (2003) The accuracy of the modified Evan’s blue dye test in predicting aspiration. Laryngoscope 113(11):1969–1972

    Google Scholar 

  • Bonanno PC (1971) Swallowing dysfunction after tracheostomy. Ann Surg 174(1):29–33

    Google Scholar 

  • Brady SL et al. (1999) Simultaneous videofluoroscopic swallow study and modified Evans blue dye procedure: An evaluation of blue dye visualization in cases of known aspiration. Dysphagia 14(3):146–149

    Google Scholar 

  • Cameron JL et al. (1973) Aspiration in patients with tracheostomies. Surg Gynecol Obstet 136(1):68–70

    Google Scholar 

  • Carter EL et al. (2014) Strategies to prevent ventilation-associated pneumonia: the effect of cuff pressure monitoring techniques and tracheal tube type on aspiration of subglottic secretions: an in-vitro study. Eur J Anaesthesiol 31(3):166–171

    Google Scholar 

  • Crary MA et al. (2013) Spontaneous swallowing frequency has potential to identify dysphagia in acute stroke. Stroke 44(12):3452–3457

    Google Scholar 

  • Davis LA, Thompson SS (2004) Characteristics of dysphagia in elderly patients requiring mechanical ventilation. Dysphagia 19(1):7–14

    Google Scholar 

  • DePew CL, McCarthy MS (2007) Subglottic secretion drainage: a literature review. AACN Adv Crit Care 18(4):366–379

    Google Scholar 

  • Deutsche Gesellschaft für Neurologie Leitlinien Neurogene Dysphagie. (01. Februar 2015). Online verfügbar unter: http://www.dgn.org/images/red_leitlinien/LL_2014/LL_91_2012_Neurogene_Dysphagien.pdf. (Abgerufen am: 10.06.2017)

  • Ding R, Logemann J (2005) Swallow physiology in patients with trach cuff inflated or deflated: a retrospective study. Head Neck 27(9):809–813

    Google Scholar 

  • Doggett DL et al. (2001) Prevention of pneumonia in elderly stroke patients by systematic diagnosis and treatment of dysphagia: An evidence-based comprehensive analysis of the literature. Dysphagia16(4):279–295

    Google Scholar 

  • Donzelli J et al. (2004) Using modified Evan’s Blue Dye Test to predict aspiration. Laryngoscope 114(9):1680–1681; author reply 1681

    Google Scholar 

  • Ebihara T et al. (2006) A randomized trial of olfactory stimulation using black pepper oil in older people with swallowing dysfunction. J Am Geriatr Soc 54(9):1401–1406

    Google Scholar 

  • Eibling DE, Gross RD (1996) Subglottic air pressure: a key component of swallowing efficiency. Ann Otol Rhinol Laryngol 105(4):253–258

    Google Scholar 

  • Frost SA et al. (2013) Subglottic secretion drainage for preventing ventilator associated pneumonia: a meta-analysis. Aust Crit Care 26(4):180–188

    Google Scholar 

  • Hey C et al. (2014) Penetrations-Aspirations-Skala nach Rosenbek; Validierung der deutschen Version für die endoskopische Dysphagiediagnostik. HNO 62:276–281

    Google Scholar 

  • Jung SJ et al. (2012) Effect of decannulation on pharyngeal and laryngeal movement in post-stroke tracheostomized patients. Ann Rehabil Med 36(3):356–364

    Google Scholar 

  • Larsen R, Ziegenfuß T (2013) Beatmung Indikationen – Techniken – Krankheitsbilder. Springer, Berlin Heidelberg

    Google Scholar 

  • Logemann JA (1985) Aspiration in head and neck surgical patients. Ann Otol Rhinol Laryngol 94(4 Pt 1):373–376

    Google Scholar 

  • Logemann JA (1997) Evaluation and treatment of swallowing disorders, 2. Aufl. Pro-Ed Australia

    Google Scholar 

  • Nakamura T, Fujishima I (2013) Usefulness of ice massage in triggering the swallow reflex. J Stroke Cerebrovasc Dis 22(4):378–382

    Google Scholar 

  • Pannunzio TG (1996) Aspiration of oral feedings in patients with tracheostomies. AACN Clin Issues 7(4):560–569

    Google Scholar 

  • Ramsey DJ et al. (2003) Early assessments of dysphagia and aspiration risk in acute stroke patients. Stroke 34(5):1252–1257

    Google Scholar 

  • Rosenbek JC et al. (1996) A penetration-aspiration scale. Dysphagia 11(2):93–98

    Google Scholar 

  • Rosenbek JC et al. (1998) Comparing treatment intensities of tactile-thermal application. Dysphagia 13(1):1–9

    Google Scholar 

  • Sciortino K et al. (2003) Effects of mechanical, cold, gustatory, and combined stimulation to the human anterior faucial pillars. Dysphagia 18(1):16–26

    Google Scholar 

  • Seidl RO et al. (2005) The influence of tracheotomy tubes on the swallowing frequency in neurogenic dysphagia. Otolaryngol Head Neck Surg 132(3):484–486

    Google Scholar 

  • Smith HA et al. (2000) The combination of bedside swallowing assessment and oxygen saturation monitoring of swallowing in acute stroke: a safe and humane screening tool. Age Ageing 29(6):495–499

    Google Scholar 

  • Steele CM et al. (2015) Erratum to: The influence of food texture and liquid consistency modification on swallowing physiology and function: a systematic review. Dysphagia 30(2):272–273

    Google Scholar 

  • Suiter DM et al. (2003) Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology. Dysphagia18(4):284–292

    Google Scholar 

  • Thompson-Henry S, Braddock B (1995) The modified Evan’s blue dye procedure fails to detect aspiration in the tracheostomized patient: five case reports. Dysphagia 10(3):172–174

    Google Scholar 

  • Trapl M et al. (2007) Dysphagia bedside screening for acute-stroke patients: The Gugging Swallowing Screen. Stroke 38:2948–2952

    Google Scholar 

  • Wang TG et al. (2005) Pulse oximetry does not reliably detect aspiration on videofluoroscopic swallowing study. Arch Phys Med Rehabil 86(4):730–734

    Google Scholar 

  • Winklmaier U et al. (2005) Evaluation des Aspirationsschutzes blockbarer Trachealkanülen. HNO 12:1057–1062

    Google Scholar 

  • Winklmaier U et al. (2006) Leakage of fluid in different types of tracheal tubes. Dysphagia 21(4):237–242

    Google Scholar 

  • Wirth R et al. (2013) Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) in Zusammenarbeit mit der GESKES, der AKE, der DGN und der DGG. Klinische Ernährung in der Neurologie. Online verfügbar unter: http://www.awmf.org/uploads/tx_szleitlinien/073-020l_S3_Klinische_Ernährung_Neurologie_2013-09.pdf. (Abgerufen am: 10.06.2017)

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Authors and Affiliations

  1. Abteilung Neurologie/Stroke Unit, Universitätsklinikum Tulln, Alter Ziegelweg 10, 3430, Tulln, Österreich

    MAS, MSc Michaela Trapl

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  1. MAS, MSc Michaela Trapl
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Correspondence to Michaela Trapl .

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Editors and Affiliations

  1. Univ.-HNO-Klinik, Medizinische Universität Wien, Wien, Austria

    Berit Schneider-Stickler

  2. Abteilung für HNO, Kopf- und Halschirurgie, Klinikum Mutterhaus der Borromäerinnen, Trier, Deutschland

    Peter Kress

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Trapl, M. (2018). Logopädische Rehabilitation von Patienten mit Trachealkanülen in der Neurologie. In: Schneider-Stickler, B., Kress, P. (eds) Tracheotomie und Tracheostomaversorgung. Springer, Vienna. https://doi.org/10.1007/978-3-7091-4868-6_18

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  • DOI: https://doi.org/10.1007/978-3-7091-4868-6_18

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-4867-9

  • Online ISBN: 978-3-7091-4868-6

  • eBook Packages: Medicine (German Language)

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