Intermittent Oroesophageal Tube Feeding via the Airway in Patients With Dysphagia
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Objective To investigate the feasibility of the use of the oropharyngeal airway (OPA) during intermittent oroesophagealtube (IOET) feeding. Methods Ten patients, who were evaluated using the videofluoroscopic swallowing study (VFSS), were enrolled. One patient withdrew from the study during the study period. Tube insertion time with and without OPA use wasrecorded in the same patients in a random order during the VFSS. Patients who could safely undergo IOET feedingwere then randomly allocated to 2 groups (OPA and non-OPA). Satisfaction Questionnaire with GastrostomyFeeding (SAGA-8) scores and pneumonia incidence were assessed on the 3rd and 10th day after the VFSS. Nonparametricanalysis was used for statistical analyses. Results The IOET insertion time was significantly shorter in the OPA group than in the non-OPA group (17.72±5.79vs. 25.41±10.41 seconds; p=0.017). Complications were not significantly different between the 2 groups (p=0.054). Furthermore, although there were no significant differences in the SAGA-8 scores (25.50±2.38 vs. 21.40±3.13;p=0.066), which reflect the patient/caregiver satisfaction and the ease of tube insertion, patients in the OPA grouptended to be more satisfied with the feeding procedure. Conclusion Although the small size of the study cohort is a limitation of our study, the use of the OPA appears tobe beneficial during IOET feeding in patients with dysphagia.
Abstract
Objective To investigate the feasibility of the use of the oropharyngeal airway (OPA) during intermittent oroesophagealtube (IOET) feeding. Methods Ten patients, who were evaluated using the videofluoroscopic swallowing study (VFSS), were enrolled. One patient withdrew from the study during the study period. Tube insertion time with and without OPA use wasrecorded in the same patients in a random order during the VFSS. Patients who could safely undergo IOET feedingwere then randomly allocated to 2 groups (OPA and non-OPA). Satisfaction Questionnaire with GastrostomyFeeding (SAGA-8) scores and pneumonia incidence were assessed on the 3rd and 10th day after the VFSS. Nonparametricanalysis was used for statistical analyses. Results The IOET insertion time was significantly shorter in the OPA group than in the non-OPA group (17.72±5.79vs. 25.41±10.41 seconds; p=0.017). Complications were not significantly different between the 2 groups (p=0.054). Furthermore, although there were no significant differences in the SAGA-8 scores (25.50±2.38 vs. 21.40±3.13;p=0.066), which reflect the patient/caregiver satisfaction and the ease of tube insertion, patients in the OPA grouptended to be more satisfied with the feeding procedure. Conclusion Although the small size of the study cohort is a limitation of our study, the use of the OPA appears tobe beneficial during IOET feeding in patients with dysphagia.
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