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01-12-2013 | Original Article

Swallowing and Respiratory Distress in Hospitalized Patients with Bronchiolitis

Authors: Alberto Maffey, Teresita Moviglia, Catalina Mirabello, Lidia Blumenthal, Luis Gentile, Mabel Niremberg, Guillermo Gilligan, Alejandro Teper

Published in: Dysphagia | Issue 4/2013

Abstract

The aim of this study was to evaluate the risk of airway and/or pulmonary food or saliva aspiration in infants with moderate respiratory distress who are hospitalized with respiratory syncytial virus (RSV) bronchiolitis. This prospective, descriptive study was conducted during two epidemic RSV seasons at the Ricardo Gutiérrez Children’s Hospital in Buenos Aires, Argentina. Included were otherwise healthy infants in their first wheezing episode with a modified Tal clinical score between 5 and 9. Swallowing was evaluated using a dynamic technetium-99 m colloid radionuclide salivagram using a gamma camera, followed by video fluoroscopy using nonionic and ionic contrast material. Fifteen patients (7 boys) were included. Age at evaluation (mean ± SD) was 4.3 ± 1.5 months; clinical score was 7.5 ± 1.4. Patients required (mean ± SD) supplemental oxygen and hospitalization 7.5 ± 3.7 and 8.8 ± 4.3 days, respectively. All technetium-99 m salivagram (10/10, as the gamma camera equipment was out of service during part of the study) and video fluoroscopy (15/15) studies were normal. No episodes of aspiration or laryngeal penetration were detected in any patient. Our study found that infants hospitalized with moderate respiratory distress due to RSV bronchiolitis did not show aspiration.

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Title: Swallowing and Respiratory Distress in Hospitalized Patients with Bronchiolitis
Authors: Alberto Maffey
Teresita Moviglia
Catalina Mirabello
Lidia Blumenthal
Luis Gentile
Mabel Niremberg
Guillermo Gilligan
Alejandro Teper
Publication date: 01-12-2013
Publisher: Springer US
Published in: Dysphagia / Issue 4/2013
Print ISSN: 0179-051X
Electronic ISSN: 1432-0460
DOI: https://doi.org/10.1007/s00455-013-9470-0

At a glance: The STEP trials

Springer Medicine

Swallowing and Respiratory Distress in Hospitalized Patients with Bronchiolitis

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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