• Steven B Leder, Heather L Warner, Debra M Suiter, Nwanmegha O Young, Bishwajit Bhattacharya, Jonathan M Siner, Kimberly A Davis, Linda L Maerz, Stanley H Rosenbaum, Peter S Marshall, Margaret A Pisani, Mark D Siegel, Joseph J Brennan, and Kevin M Schuster.
• 1 Department of Surgery, Section of Otolaryngology, Yale School of Medicine, New Haven, CT, USA.
• Ann. Otol. Rhinol. Laryngol. 2019 Jul 1; 128 (7): 619-624.

BackgroundPost-extubation dysphagia is associated with an increased incidence of nosocomial pneumonias, longer hospitalizations, and higher re-intubation rates. The purpose of this study was to determine if it is necessary to delay swallow evaluation for 24 hours post-extubation.MethodsA prospective investigation of swallowing was conducted at 1, 4, and 24 hours post-extubation to determine if it is necessary to delay swallow evaluation following intubation. Participants were 202 adults from 5 different intensive care units (ICU).ResultsA total of 166 of 202 (82.2%) passed the Yale Swallow Protocol at 1 hour post-extubation, with an additional 11 (177/202; 87.6%) at 4 hours, and 8 more (185/202; 91.6%) at 24 hours. Only intubation duration ≥4 days was significantly associated with nonfunctional swallowing.ConclusionsWe found it is not necessary to delay assessment of swallowing in individuals who are post-extubation. Specifically, the majority of patients in our study (82.2%) passed a swallow screening at 1 hour post-extubation.

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