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Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part I: Swallowing

Authors

  • 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
  • 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
  • Ariela González Varas Hospital San José https://orcid.org/0000-0002-1976-3927
  • 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
  • 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
Vol. 19 (2020): noviembre
https://doi.org/10.5354/0719-4692.2020.60185
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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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Revista Chilena de Fonoaudiología
Facultad de Medicina
Universidad de Chile
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