R13
Conditions
Interventions
Group 1: Group A
- first: irritation with capsaicin aerosol
- afterwards (if necessary, if residuals still exist): mechanical stimulation with endoscope
Group 2: Group B
- First: mechanical stimulatio
Sponsors
Kliniken Valens
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Male and female persons with neurogenic dysphagia who receive a video endoscopic swallowing examination (FEES) in the Klinik Valens ? Age> 18 years ? Diagnoses: stroke (infra- or supratentorial), Parkinson's syndrome (idiopathic Parkinson's syndrome, multi-system atrophy, progressive supranuclear palsy, corticobasal degeneration, Lewy-body dementia), intracerebral hemorrhage, traumatic brain injury (without critical illness polyneuro- / -Myopathy) ? 1 out of 4 signs of dysphagia (rattling noises in the airways, moist voice sound at rest or after eating, coughing when taking solid and liquid food, recurrent respiratory infections) ? reflective cough after pharyngeal exposure with capsaicin-containing aerosol; Peak Cough Flow> 2.7 l / s (160 l / min) ? Patients who are unable to completely eliminate pharyngeal residuals using arbitrary clearing maneuvers (compensation strategies, night drinking, throat clearing, swallowing, reflex swallowing / coughing) or after reflex cough caused by food / liquid aspiration / penetration ? Written consent of the test subjects after the information has been given
Exclusion criteria
Exclusion criteria: Patients with structural dysphagia (e.g. trauma, tumor, radiation) • Complication-free, requirement-covering food and liquid intake • Patients with chronic respiratory diseases ? Patients with severe cardiovascular diseases including uncontrolled arterial hypertension ? reflective cough after pharyngeal exposure with capsaicin-containing aerosol; Peak cough flow <2.7 l / s (160 l / min) ? Diagnoses: Neuromuscular Diseases, Encephalomyelitis Disseminata, Critically Illness Polyneuro - / - Myopathy ? Patients without pharyngeal residuals • disturbed nose anatomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is being examined whether the patients can now, through the reflective cough, remove the pharyngeal residues by swallowing or spitting out or whether they can be obtained by the authorities, so that the risk of developing aspiration pneumonia can be improved. | — |
Secondary
| Measure | Time frame |
|---|---|
| If pharyngeal residues still exist after one of the cough stimulations mentioned has been used, a crossover is used for ethical reasons and the respective intervention is used in the other group. | — |
Countries
Switzerland
Contacts
Public ContactEliane Lüthi-Müller
Kliniken Valens
Outcome results
None listed