The Upper Esophageal Sphincter Contraction Strength
Conditions
Brief summary
The investigators studied that swallowing function of patients receiving the Early Recovery Accelerated Swallowing (ERAS-W program) training will recover fast than that of patients in the control group. The ERAS program training will be initiated before surgery and continue to after surgery.
Detailed description
The older patients (≥65 years old) with OFI-8≥4 undergoing elective orthopedic surgery requiring tracheal intubation will be recruited. Patients will be randomized into an intervention and a control group. Patients in the intervention groups will received the ERAS-W program, while those in the control group will receive the swallowing education video.
Interventions
not receiving early rehabilitation swallowing program from before and after surgery
the Taiwan Dysphagia Society's publicly shared swallowing exercises for dysphagia, which is from before and after surgery
Sponsors
Study design
Masking description
Data manager knows whether the patients are in the intervention or control group. However, the patients, caregiver, investigator, and outcome assessors do not know whether the patients are in the intervention or control group.
Intervention model description
Patients receive early recovery of swallowing rehabiliation before surgery and continued to after surgery
Eligibility
Inclusion criteria
* elective surgery * general anesthesia with endotracheal intubation
Exclusion criteria
* major organ dysfunction, ex: chronic kidney disease, hear failure * bleeding tendency
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| UES pressure, mmHg | about six months |