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IMPORTANT: Starting from Wednesday, May 22, 2024, all manuscripts accepted for publication in 2025 must also be published in an English version. This translation must be managed and funded by the authors, as the journal will no longer cover these costs.

The Revista Chilena de Fonoaudiología accepts manuscripts on an ongoing basis throughout the calendar year. The journal operates under a "continuous publication" model.

Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part I: Swallowing

Authors

  • Rodrigo Tobar-Fredes Universidad de Chile
  • Belén Briceño Meneses Hospital San Juan de Dios de Curicó, Curicó, Chile // Departamento de Ciencias de la Fonoaudiología, Universidad de Talca, Chile
  • Inés Fuentealba Miranda Clínica Las Condes
  • Marisis Orellana Villouta Hospital Clínico de la Universidad de Chile
  • Macarena Venegas-Mahn Hospital Clínico de la Universidad de Chile // Clínica Las Condes
  • Axel Pavez Reyes Hospital de Urgencia Asistencia Pública // Universidad de Las Américas
  • Pablo Vásquez Lara Instituto Nacional del Cáncer
  • Ying Wang Hospital Hernán Henríquez Aravena
  • Ariela González Varas Hospital San José
  • Gabriel Salgado Maldonado Instituto Nacional del Tórax // Laboratorio de Neuropsicología y Neurociencias Clínicas
  • Nelson Saa-Barra Hospital del Salvador
  • Javiera Zúñiga Reyes Hospital Carlos Cisternas de Calama
  • Edison Gutiérrez Cifuentes Hospital Regional de Talca
  • Rocío Vera-González Hospital San José de Victoria // Escuela de Fonoaudiología, Universidad Mayor
  • Felipe Salazar Barra Clínica Dávila
  • Felipe Jiménez Rojas Hospital San Pablo de Coquimbo
  • Pilar Opazo-García Hospital San Juan de Dios de La Serena
  • Pamela Heusser Sagredo Hospital Clínico UC Christus
Vol. 19 (2020): noviembre
https://doi.org/10.5354/0719-4692.2020.60185

Abstract

At the time of writing this article, more than a million people have been affected by the SARS-CoV-2 virus in Chile, displaying different degrees of COVID-19 disease. Severe infections generate a condition that requires invasive ventilatory support and treatment in intensive care units, which, when extended in time, makes necessary conducting a tracheostomy. Despite its benefits for the recovery of patients with respiratory difficulties, it is linked to swallowing disorders that add to the problems generated by COVID-19. This represents a challenge for speech pathologists, who are potentially exposed to the virus because they work on structures of the aerodigestive tract and becuase they conduct procedures that may be aerosol-generating. The aim of this article is to provide guidance and clinical tools for swallowing-intervention in people with tracheostomies and COVID-19. Thees tools spring from a pragmatic analysis of the currently available evidence , interpreted based on our experience of caring more than 561 infected patients. We hope to contribute to the rehabilitation of swallowing of patients with COVID-19 and a tracheostomy. The characteristics of swallowing in this population, its treatment, considerations for the use of specific techniques, and guidelines for improving the quality of life through the maintenance and/or recovery of swallowing functionality are discussed, focused caring and protecting hospitalized patients and the health team.

Keywords:

Dysphagia, Tracheostomy, COVID-19, Speech pathology, Critical care, Swallowing

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How to Cite
Tobar-Fredes, R., Briceño Meneses, B., Fuentealba Miranda, I., Orellana Villouta, M., Venegas-Mahn, M., Pavez Reyes, A., Vásquez Lara, P., Wang, Y., González Varas, A., Salgado Maldonado, G., Saa-Barra, N., Zúñiga Reyes, J., Gutiérrez Cifuentes, E., Vera-González, R., Salazar Barra, F., Jiménez Rojas, F., Opazo-García, P., & Heusser Sagredo, P. (2020). Clinical considerations for speech-language pathologists in the treatment of people with COVID-19 and tracheostomy. Part I: Swallowing. Revista Chilena De Fonoaudiología, 19, 1–12. https://doi.org/10.5354/0719-4692.2020.60185
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Revista Chilena de Fonoaudiología
Facultad de Medicina
Universidad de Chile
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