2020
Abnormalities of Aspiration and Swallowing Function in Survivors of Acute Respiratory Failure
Langmore SE, Krisciunas GP, Warner H, White SD, Dvorkin D, Fink D, McNally E, Scheel R, Higgins C, Levitt JE, McKeehan J, Deane S, Siner JM, Vojnik R, Moss M. Abnormalities of Aspiration and Swallowing Function in Survivors of Acute Respiratory Failure. Dysphagia 2020, 36: 831-841. PMID: 33156398, DOI: 10.1007/s00455-020-10199-8.Peer-Reviewed Original ResearchMeSH KeywordsDeglutitionDeglutition DisordersHumansProspective StudiesRespiratory AspirationRespiratory InsufficiencySurvivorsConceptsAcute respiratory failureRespiratory failureARF survivorsMechanical ventilationMultivariable analysisUniversity-based tertiary medical centerPenetration-Aspiration Scale scoresUpper airway edemaProspective cohort studyTertiary medical centerLaryngeal structuresFlexible endoscopic evaluationAirway edemaARF patientsSecondary outcomesCohort studyFunction abnormalitiesPrimary outcomeEndoscopic evaluationPharyngeal weaknessSwallowing examinationSwallowing functionIntensive carePhysiologic abnormalitiesUnivariate analysisThe Association Between Endotracheal Tube Size and Aspiration (During Flexible Endoscopic Evaluation of Swallowing) in Acute Respiratory Failure Survivors.
Krisciunas GP, Langmore SE, Gomez-Taborda S, Fink D, Levitt JE, McKeehan J, McNally E, Scheel R, Rubio AC, Siner JM, Vojnik R, Warner H, White SD, Moss M. The Association Between Endotracheal Tube Size and Aspiration (During Flexible Endoscopic Evaluation of Swallowing) in Acute Respiratory Failure Survivors. Critical Care Medicine 2020, 48: 1604-1611. PMID: 32804785, PMCID: PMC7644217, DOI: 10.1097/ccm.0000000000004554.Peer-Reviewed Original ResearchConceptsEndotracheal tube sizeFlexible endoscopic evaluationSilent aspirationEndoscopic evaluationMedical recordsEndotracheal tubeGranulation tissueAcademic tertiary care medical centerAcute respiratory failure survivorsTertiary care medical centerPenetration-Aspiration Scale scoresAcute respiratory failureModifiable risk factorsProspective cohort studyThird of patientsHours of extubationRisk of aspirationSmall endotracheal tubePatients' medical recordsHospital outcomesRespiratory failureCohort studyPatient demographicsSwallowing examinationMultivariable analysisDevelopment of an Accurate Bedside Swallowing Evaluation Decision Tree Algorithm for Detecting Aspiration in Acute Respiratory Failure Survivors
Moss M, White SD, Warner H, Dvorkin D, Fink D, Gomez-Taborda S, Higgins C, Krisciunas GP, Levitt JE, McKeehan J, McNally E, Rubio A, Scheel R, Siner JM, Vojnik R, Langmore SE. Development of an Accurate Bedside Swallowing Evaluation Decision Tree Algorithm for Detecting Aspiration in Acute Respiratory Failure Survivors. CHEST Journal 2020, 158: 1923-1933. PMID: 32721404, PMCID: PMC7674978, DOI: 10.1016/j.chest.2020.07.051.Peer-Reviewed Original ResearchConceptsAcute respiratory failure survivorsNegative predictive valueHigh riskMulticenter prospective studyRisk of aspirationFlexible endoscopic evaluationRecursive partitioning analysisDetection of aspirationARF survivorsEndoscopic evaluationAirway safetyMechanical ventilationMedian timeAspiration riskProspective studyPatientsPredictive valueStudy designFinal analysisStudy proceduresGold standard evaluationSurvivorsThin liquidsExtubationPartitioning analysis
2019
Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours?
Leder SB, Warner HL, Suiter DM, Young NO, Bhattacharya B, Siner JM, Davis KA, Maerz LL, Rosenbaum SH, Marshall PS, Pisani MA, Siegel MD, Brennan JJ, Schuster KM. Evaluation of Swallow Function Post-Extubation: Is It Necessary to Wait 24 Hours? Annals Of Otology Rhinology & Laryngology 2019, 128: 619-624. PMID: 30841709, DOI: 10.1177/0003489419836115.Peer-Reviewed Original ResearchConceptsIntensive care unitSwallow evaluationDifferent intensive care unitsRe-intubation rateYale Swallow ProtocolMajority of patientsPost-extubation dysphagiaIntubation durationNosocomial pneumoniaPost extubationLonger hospitalizationCare unitProspective InvestigationSwallow ProtocolSwallowingHoursDysphagiaHospitalizationIntubationPneumoniaPatientsIncidenceEvaluationRelationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure
Borders JC, Fink D, Levitt JE, McKeehan J, McNally E, Rubio A, Scheel R, Siner JM, Taborda SG, Vojnik R, Warner H, White SD, Langmore SE, Moss M, Krisciunas GP. Relationship Between Laryngeal Sensation, Length of Intubation, and Aspiration in Patients with Acute Respiratory Failure. Dysphagia 2019, 34: 521-528. PMID: 30694412, PMCID: PMC6660370, DOI: 10.1007/s00455-019-09980-1.Peer-Reviewed Original ResearchConceptsLaryngeal adductor reflexLength of intubationLaryngeal sensationMechanical ventilationDiet recommendationsAbsent laryngeal adductor reflexAcute respiratory failure patientsIntensive care unit admissionLaryngeal sensory deficitsAcute respiratory failureCare unit admissionRespiratory failure patientsPost-extubation dysphagiaFlexible endoscopic evaluationPresence of secretionsUnit admissionRespiratory failureAirway protectionFailure patientsSecondary outcomesEndoscopic evaluationHospitalized patientsMultivariable analysisPoor outcomeSensory deficits
2007
Liberation from Mechanical Ventilation: What Monitoring Matters?
Siner JM, Manthous CA. Liberation from Mechanical Ventilation: What Monitoring Matters? Critical Care Clinics 2007, 23: 613-638. PMID: 17900486, DOI: 10.1016/j.ccc.2007.05.005.Books