| Titre : | Role of Ultrasonography in Upper Airway Assessment for Decannulating Tracheostomy in Acquired Brain Injury—A Pilot Study (2022) |
| Auteurs : | Samuel Barnabas Sikha ; Navin B. Prakash ; Naveen Cherian Thomas ; Judy Ann John ; Suma Susan Mathews ; Pavithra Mannam ; Philip George |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 11, 2022) |
| Article en page(s) : | p. 2174-2179 |
| Note générale : | https://doi.org/10.1016/j.apmr.2022.01.158 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Ablation de dispositif ; Dysfonction des cordes vocales ; Endoscopie ; Lésions encéphaliques ; Réadaptation ; Trachéostomie |
| Résumé : |
Objective
To compare the findings of ultrasonography of the upper airway with flexible fiberoptic laryngoscopy and determine the efficacy of transcutaneous laryngeal ultrasonography for decannulation. Design Prospective cross-sectional study. Setting Tertiary care referral center in South India. Participants Twenty-four patients with acquired brain injury (N=24). Main Outcome Measures Participants underwent an airway assessment by ultrasonography followed by assessment of airway by flexible laryngoscopy done within the next 72 hours. Results Vocal cord assessment by ultrasonography revealed a sensitivity of 81.2% and specificity of 87.5%. A statistically significant association between vocal cord mobility as assessed by ultrasonography and decannulation was observed (sensitivity of 81.25%, specificity of 87.5%, P=.002). Although aspiration was not assessed by ultrasonography, a statistically significant association was observed between vocal cord mobility on ultrasonography and aspiration as assessed by laryngoscopy (sensitivity of 81.25%, specificity of 87.5%, P=.011). Conclusion Laryngeal ultrasonography is an emerging diagnostic modality with a potential role for assessing vocal cord mobility and airway prior to decannulation in centers that lack the expertise and the infrastructure to perform a flexible laryngoscopy. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322002295 |
Bibliothèques HE Vinci
