Il ruolo del logopedista all’interno delle Terapie Intensive indicazioni aggiornate rispetto all’epidemia di Covid 19

Contenuto principale dell'articolo

Cristina Reverberi

Abstract

Lo scopo di questo studio è quello di descrivere il ruolo del logopedista nelle terapie intensive in Italia. Ci sono sempre più evidenze a supporto dell’intervento precoce del logopedista nella valutazione e gestione delle difficoltà deglutitorie e comunicative con una ricaduta positiva sugli outcome in termini riabilitativi, nella riduzione della degenza ospedaliera, nella qualità di vita.


Questo report è suddiviso in due sezioni. La prima definisce il ruolo del logopedista nella gestione della disfagia per pazienti con tracheostomia e disfagia post-estubazione. Sono descritte le procedure per la valutazione della funzione deglutitoria così come l’importanza del contributo del logopedista nel processo di svezzamento dalla cannula tracheostomica. La seconda parte descrive l’importanza del logopedista nell’implementare la comunicazione del paziente con il personale infermieristico e medico.


Negli ultimi mesi c’è stato un incremento della richiesta dell’intervento del logopedista dovuta all’emergenza Covid 19 per il trattamento di pazienti positivi al virus nelle terapie intensive; questo report fornisce un contributo utile al logopedista nella gestione di questa popolazione.


In conclusione questo documento vuole guidare i colleghi logopedisti nella gestione dei pazienti nelle terapie intensive.

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Come citare
[1]
Reverberi, C. 2020. Il ruolo del logopedista all’interno delle Terapie Intensive: indicazioni aggiornate rispetto all’epidemia di Covid 19. Italian Journal of Prevention, Diagnostic and Therapeutic Medicine. 3, 3 (giu. 2020), 46-53. DOI:https://doi.org/10.30459/2020-21.
Sezione
Review

Riferimenti bibliografici

Barker, J., Martino, R., Reichardt, et al. Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery. Canadian journal of surgery. Journal Canadien de Chirurgie 2009;52(2), 119–124.

Steidl, E., Ribeiro, C. S., Gonçalves, B. F. et al. (2015). Relationship between Dysphagia and Exacerbations in Chronic Obstructive Pulmonary Disease: A Literature Review. International archives of otorhinolaryngology 2015;19(1), 74–79.

McRae, J., Montgomery, E., Garstang, Z., & Cleary, E.. The role of speech and language therapists in the intensive care unit. Journal of the Intensive Care Society. 2019; 30 september

Zuercher, P., Moret, C. S., Dziewas et al. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Critical care 2019; 23(1), 103.

Macht, M., King, C. J., Wimbish, T. et al. Post-extubation dysphagia is associated with longer hospitalization in survivors of critical illness with neurologic impairment. Critical Care. 2013; 17(3), R119.

Macht, M., Wimbish, T., Bodine, C., et al. ICU-acquired swallowing disorders. Critical care medicine. 2013;41(10), 2396-2405.

Patel, D. A., Krishnaswami, S., Steger, E et al. Economic and survival burden of dysphagia among inpatients in the United States. Diseases of the esophagus: Official journal of the International Society for Diseases of the Esophagus. 2018;31(1), 1–7.

Skoretz, S. A., Flowers, H. L., & Martino, R. The incidence of dysphagia following endotracheal intubation: a systematic review. Chest 2010:137(3), 665-673.

Su, H., Hsiao, T. Y., Ku, S. C. et al. Tongue weakness and somatosensory disturbance following oral endotracheal extubation. Dysphagia 2015;30(2), 188-195.

Colice, G. L., Stukel, T. A., & Dain, B. Laryngeal complications of prolonged intubation. Chest 1989;96(4), 877-884.

Kim, M. J., Park, Y. H., Park, Y. S. et al. Associations between prolonged intubation and developing post-extubation dysphagia and aspiration pneumonia in non-neurologic critically ill patients. Annals of rehabilitation medicine 2015;39(5), 763.

Kwok, A. M., Davis, J. W., Cagle, K. M. et al. Post-extubation dysphagia in trauma patients: it's hard to swallow. The American Journal of Surgery 2013;206(6), 924-928.

Moraes, D., Sassi, F., Mangilli, L., Zilberstein, B., & de Andrade, C. (2013). Clinical prognostic indicators of dysphagia following prolonged orotracheal intubation in ICU patients. Critical care, 17(5), R243.

Medeiros, G. C. D., Sassi, F. C., Mangilli, L. D., Zilberstein, B., & Andrade, C. R. F. D. Clinical dysphagia risk predictors after prolonged orotracheal intubation. Clinics, 2014;69(1), 8-14.

El Solh, A., Okada, M., Bhat, A. et al. Swallowing disorders post orotracheal intubation in the elderly. Intensive Care Med. 2003;29(9) 1451-55

Rassameehiran S, Klomjit S, Mankongpaisarnrung C et al. Postextubation Dysphagia. Proceedings (Baylor University. Medical Center). 2015 Jan;28(1)

Zampolini M, Zaccaria B, Tolli V. et al. Rehabilitation of traumatic brain injury in Italy: a multi-centred study Brain Injury 2012;26(1):27-35

Reverberi C., Lombardi F., Lusuardi M. et al Development of the decannulation prediction tool in patients with dysphagia after acquired brain injury J Am Med Dir Assoc. 2018;20(4):470-475.

Garuti, G., Reverberi, C., Briganti et al. Swallowing disorders in tracheostomised patients: a multidisciplinary-multiprofessional approach in decannulation protocols. Multidisciplinary respiratory medicine 2014; 9(1), 36.

Cao Y. et al. Imaging and Clinical Features of Patients With 2019 Novel Coronavirus SARS-CoV-2: A systematic review and meta-analysis. J Med Virol. 2020 Apr 3

Karlsson V, Bergbom I, and Forsberg A. The lived experience of adult intensive care patients who were conscious during mechanical ventilation: a phenomenological-hermeneutic study. Intens Crit Care Nurs 2012; 28: 6–15.

Menzel LK. Factors related to the emotional responses of intubated patients to being unable to speak. Heart. Lung 1998; 27: 245–252

Christensen, Martin & Michaela Trapl. Development of a modified swallowing screening tool to manage post-extubation dyspahia.Nursing in Critical Care 2018(23): 102-107.

Leder, S. B., Warner, H. L., Suiter, D. M., et al. Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?. Annals of Otology, Rhinology & Laryngology 2018;128(7), 619-624.

Perren, A., Zürcher, P., & Schefold, J. C. Clinical approaches to assess post-extubation dysphagia (PED) in the critically ill. Dysphagia 2019;1-12.

See, K. C., Peng, S. Y., Phua, J. et al. Nurse-performed screening for postextubation dysphagia: a retrospective cohort study in critically ill medical patients. Critical Care, 2016; 20(1), 326.

Warnecke T, Im S, Kaiser C et al. Aspiration and dysphagia screening in acute stroke - the Gugging Swallowing Screen revisited Eur J Neurol. 2017;Apr;24(4):594-601.

Bargellesi, S., Reverberi, C., De Tanti, A. et al. La gestione della cannula tracheostomica nelle persone con grave cerebrolesione acquisita: consenso a un protocollo condiviso. MR Giornale Italiano di Medicina Riabilitativa 2013 April;27(1):9-16

Johnson, K. L., Speirs, L., Mitchell, A. et al. Validation of a postextubation dysphagia screening tool for patients after prolonged endotracheal intubation. American Journal of Critical Care 2018;27(2), 89-96.

Brodsky MB, Mayfield EB, Gross RD. Clinical decision making in the ICU: Dysphagia screening, assessment, and treatment. Seminars in Speech and Language. 2019 Jan 1;40(3):170-187

Ely, E. W., Truman, B., Shintani, A. et a. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). Jama 2003;289(22), 2983-2991.

Pisegna J, Langmore S. The Ice Chip Protocol: A Description of the Protocol and Case Reports Perspectives of the ASHA Special Interest Groups 2018; SIG 13, Vol. 3(Part 1)

Wilson B. Memory Rehabilitation Guilford Press; 1 edition (31 July 2009)

MacAulay, F., Judson, A., Etchels, M. et al. (2002, July). ICU-Talk, a communication aid for intubated intensive care patients. ACM conference on Assistive technologies (Assets ’02). Association for Computing Machinery, New York, NY, USA, 226–230

Beukelman R., Mirenda P. Manuale di Comunicazione Aumentativa e Alternativa, ed., Erikson 2014