Dysphagia in pediatric intensive care unit patients (review)
The known negative consequences of intensive care unit stays, summarized as the post-intensive care syndrome (PICS) and including swallowing disorders (dysphagia) are also encountered in pediatric practice.Materials and methods. The non-systematic review of literature sources was carried out. Domest...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2023-12-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/905 |
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| author | I. A. Lisitsa Yu. S. Aleksandrovich A. N. Zavyalova O. V. Lisovskii S. A. Razumov |
| author_facet | I. A. Lisitsa Yu. S. Aleksandrovich A. N. Zavyalova O. V. Lisovskii S. A. Razumov |
| author_sort | I. A. Lisitsa |
| collection | DOAJ |
| description | The known negative consequences of intensive care unit stays, summarized as the post-intensive care syndrome (PICS) and including swallowing disorders (dysphagia) are also encountered in pediatric practice.Materials and methods. The non-systematic review of literature sources was carried out. Domestic publications were searched in the database on the elibrary website, foreign publications – in PubMed, Google Scholar, Cichrane Library, Cyberleninka, ResearchGate databases in the period of 1990–2023. When analyzed for the query «Dysphagia in Children», 1,496 results were found, «Post-intensive care syndrome in children» – 82 results. We analyzed 142 full-text publications describing the causes, mechanisms, and clinical presentation of dysphagia in children whose swallowing disorders occurred after hospitalization in intensive care units or were associated with severe somatic diseases.Results. The review analyzes the causes, features of diagnosis and treatment of dysphagia in pediatric patients with PIСS. 5 groups of causes in the structure of PIСS that can lead to the development of dysphagia were considered: infectious-trophic, vegetative-metabolic, neuromuscular, emotional-cognitivecomplications and decreased quality of life compared to the premorbid level. Complications associated with the development of dysphagia lead to increased length of stay in intensive care and hospitalization, lead to the development of malnutrition, aspiration pneumonia and other complications. The mechanisms of dysphagia development in children in intensive care units were analyzed. The main ways of dysphagia progression in pediatric practice are determined.Conclusion. Clarification of the causes and understanding of the mechanisms of dysphagia development in conjunction with the implementation of rehabilitation programs can contribute to the improvement of clinical outcomes in children who have undergone a critical condition in the immediate post-discharge period and in the future. |
| format | Article |
| id | doaj-art-3924c822cc5c4cb2a0b3ef4d7175bd6d |
| institution | DOAJ |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2023-12-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-3924c822cc5c4cb2a0b3ef4d7175bd6d2025-08-20T03:18:55ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532023-12-012069710510.24884/2078-5658-2023-20-6-97-105647Dysphagia in pediatric intensive care unit patients (review)I. A. Lisitsa0Yu. S. Aleksandrovich1A. N. Zavyalova2O. V. Lisovskii3S. A. Razumov4St. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversitySt. Petersburg State Pediatric Medical UniversityAstana Medical UniversityThe known negative consequences of intensive care unit stays, summarized as the post-intensive care syndrome (PICS) and including swallowing disorders (dysphagia) are also encountered in pediatric practice.Materials and methods. The non-systematic review of literature sources was carried out. Domestic publications were searched in the database on the elibrary website, foreign publications – in PubMed, Google Scholar, Cichrane Library, Cyberleninka, ResearchGate databases in the period of 1990–2023. When analyzed for the query «Dysphagia in Children», 1,496 results were found, «Post-intensive care syndrome in children» – 82 results. We analyzed 142 full-text publications describing the causes, mechanisms, and clinical presentation of dysphagia in children whose swallowing disorders occurred after hospitalization in intensive care units or were associated with severe somatic diseases.Results. The review analyzes the causes, features of diagnosis and treatment of dysphagia in pediatric patients with PIСS. 5 groups of causes in the structure of PIСS that can lead to the development of dysphagia were considered: infectious-trophic, vegetative-metabolic, neuromuscular, emotional-cognitivecomplications and decreased quality of life compared to the premorbid level. Complications associated with the development of dysphagia lead to increased length of stay in intensive care and hospitalization, lead to the development of malnutrition, aspiration pneumonia and other complications. The mechanisms of dysphagia development in children in intensive care units were analyzed. The main ways of dysphagia progression in pediatric practice are determined.Conclusion. Clarification of the causes and understanding of the mechanisms of dysphagia development in conjunction with the implementation of rehabilitation programs can contribute to the improvement of clinical outcomes in children who have undergone a critical condition in the immediate post-discharge period and in the future.https://www.vair-journal.com/jour/article/view/905dysphagia in childrenpic syndromepost-intensive care dysphagia |
| spellingShingle | I. A. Lisitsa Yu. S. Aleksandrovich A. N. Zavyalova O. V. Lisovskii S. A. Razumov Dysphagia in pediatric intensive care unit patients (review) Вестник анестезиологии и реаниматологии dysphagia in children pic syndrome post-intensive care dysphagia |
| title | Dysphagia in pediatric intensive care unit patients (review) |
| title_full | Dysphagia in pediatric intensive care unit patients (review) |
| title_fullStr | Dysphagia in pediatric intensive care unit patients (review) |
| title_full_unstemmed | Dysphagia in pediatric intensive care unit patients (review) |
| title_short | Dysphagia in pediatric intensive care unit patients (review) |
| title_sort | dysphagia in pediatric intensive care unit patients review |
| topic | dysphagia in children pic syndrome post-intensive care dysphagia |
| url | https://www.vair-journal.com/jour/article/view/905 |
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