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Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part I: Swallowing
Authors
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Rodrigo Tobar-Fredes
Universidad de Chile
https://orcid.org/0000-0002-9299-6727
- Belén Briceño Meneses Hospital San Juan de Dios de Curicó; Universidad de Talca
- Inés Fuentealba Miranda Clínica Las Condes
- Marisis Orellana Villouta Hospital Clínico de la Universidad de Chile
- Macarena Venegas-Mahn Hospital Clínico de la Universidad de Chile; Clínica Las Condes
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Axel Pavez Reyes
Hospital de Urgencia Asistencia Pública; Universidad de las Américas
https://orcid.org/0000-0001-8319-2228
- Pablo Vásquez Lara Instituto Nacional del Cáncer
- Ying Wang Hospital Hernán Henríquez Aravena
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Ariela González Varas
Hospital San José
https://orcid.org/0000-0002-1976-3927
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Gabriel Salgado Maldonado
Instituto Nacional del Tórax; Laboratorio de Neuropsicología y Neurociencias Clínicas
https://orcid.org/0000-0002-4897-8863
- Nelson Saa-Barra Hospital del Salvador
- Javiera Zúñiga Reyes Hospital Carlos Cisternas de Calama
- Edison Gutiérrez Cifuentes Hospital Regional de Talca
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Rocío Vera-González
Hospital San José de Victoria; Universidad Mayor
https://orcid.org/0000-0003-1723-9029
- Felipe Salazar Barra Clínica Dávila
- Felipe Jiménez Rojas Hospital San Pablo de Coquimbo
- Pilar Opazo-García Hospital San Juan de Dios de La Serena
- Pamela Heusser Sagredo Hospital Clínico UC Christus
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Abstract
At the time of writing this article, more than a million people have been affected by the SARS-CoV-2 virus in Chile, displaying different degrees of COVID-19 disease. Severe infections generate a condition that requires invasive ventilatory support and treatment in intensive care units, which, when extended in time, makes necessary conducting a tracheostomy. Despite its benefits for the recovery of patients with respiratory difficulties, it is linked to swallowing disorders that add to the problems generated by COVID-19. This represents a challenge for speech pathologists, who are potentially exposed to the virus because they work on structures of the aerodigestive tract and becuase they conduct procedures that may be aerosol-generating. The aim of this article is to provide guidance and clinical tools for swallowing-intervention in people with tracheostomies and COVID-19. Thees tools spring from a pragmatic analysis of the currently available evidence , interpreted based on our experience of caring more than 561 infected patients. We hope to contribute to the rehabilitation of swallowing of patients with COVID-19 and a tracheostomy. The characteristics of swallowing in this population, its treatment, considerations for the use of specific techniques, and guidelines for improving the quality of life through the maintenance and/or recovery of swallowing functionality are discussed, focused caring and protecting hospitalized patients and the health team.Keywords:
Dysphagia, Tracheostomy, COVID-19, Speech pathology, Critical care, Swallowing
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How to Cite
Tobar-Fredes, R., Briceño Meneses, B., Fuentealba Miranda, I., Orellana Villouta, M., Venegas-Mahn, M., Pavez Reyes, A., Vásquez Lara, P., Wang, Y., González Varas, A., Salgado Maldonado, G., Saa-Barra, N., Zúñiga Reyes, J., Gutiérrez Cifuentes, E., Vera-González, R., Salazar Barra, F., Jiménez Rojas, F., Opazo-García, P., & Heusser Sagredo, P. (2020). Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part I: Swallowing. Revista Chilena De Fonoaudiología, 19, pp. 1–12. https://doi.org/10.5354/0719-4692.2020.60185
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