Navigating Nutrition Complexity in Critical Care: A Focus on Swallowing Function and Rehabilitation

2025-04

Freeman-Sanderson, Amy

Clayton, Nicola A

Zaga, Charissa J

Sutt, Anna-Liisa

Brodsky, Martin B

Assessment

Critical care

Critical illness

Deglutition disorders

Dysphagia

Nutrition

Post-extubation dysphagia

Rehabilitation

Journal Article

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10.1016/j.ccc.2024.11.001

During the past decade, there has been an increased research focus on the prevalence, nature, and impact of newly acquired critical illness dysphagia. Disordered function can impact the safety and efficiency across all stages of the swallow mechanism, with detrimental impacts on patients' body systems, function, and participation. Accurate assessment of swallow function is key to informed diagnosis and enhances intervention planning. We discuss the current evidence base around dysphagia pathophysiology with a detailed discussion considering the modes of ventilation commonly received in intensive care units. Assessment and management across critical illness are evaluated and future research efforts are presented.

link

Critical care clinics 2025-04; 41(2)

Critical care clinics