{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T21:23:57Z","timestamp":1772313837093,"version":"3.50.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Unabh\u00e4ngig von der Art der kritischen Erkrankung haben tracheotomierte Patienten ein hohes Risiko f\u00fcr die Entwicklung einer Schluckst\u00f6rung. Diese ist potenziell lebensbedrohlich, da sie zu Aspiration und Pneumonie f\u00fchren kann. Vor einer oralen Nahrungsgabe sollte daher unbedingt eine Schluckdiagnostik mittels Bolusf\u00e4rbetest und\/oder FEES durchgef\u00fchrt werden. Da ein physiologischer Luftstrom durch den Larynx und ein ad\u00e4quater subglottischer Druck Schl\u00fcsselkomponenten eines effektiven Schluckaktes sind, sollte eine Oralisierung bei geblockter Trachealkan\u00fcle m\u00f6glichst vermieden werden.<\/jats:p>","DOI":"10.1055\/a-1076-9686","type":"journal-article","created":{"date-parts":[[2022,12,29]],"date-time":"2022-12-29T23:34:11Z","timestamp":1672356851000},"page":"27-31","source":"Crossref","is-referenced-by-count":1,"title":["Dysphagie bei tracheotomierten Patienten nach Langzeitbeatmung"],"prefix":"10.1055","volume":"102","author":[{"given":"M.-D.","family":"Heidler","sequence":"additional","affiliation":[{"name":"Neurologisches Rehabilitationszentrum (N1), Brandenburg-Klinik, Bernau"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,29]]},"reference":[{"key":"ref1","first-page":"3","article-title":"Rehabilitation schwerer pharyngo-laryngo-trachealer Sensibilit\u00e4tsst\u00f6rungen bei neurologischen Patienten mit geblockter Trachealkan\u00fcle","volume":"13","author":"M D Heidler","year":"2007","journal-title":"Neurol Rehabil"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1378\/chest.09-1823","article-title":"The incidence of dysphagia following endotracheal intubation","volume":"137","author":"S A Skoretz","year":"2010","journal-title":"Chest"},{"key":"ref3","first-page":"119","article-title":"Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery","volume":"52","author":"J Barker","year":"2009","journal-title":"Can J Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1097\/00003246-199012000-00004","article-title":"Swallowing disorders in patients with prolonged orotracheal intubation or tracheostomy tubes","volume":"18","author":"M A DeVita","year":"1990","journal-title":"Crit Care Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1097\/00001199-199910000-00006","article-title":"Causes and complications associated with swallowing disorders in traumatic brain injury","volume":"14","author":"A S Morgan","year":"1999","journal-title":"J Head Trauma Rehabil"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s00455-003-0022-x","article-title":"Effects of cuff deflation and one-way tracheostomy speaking valve placement on swallow physiology","volume":"18","author":"D M Suiter","year":"2003","journal-title":"Dysphagia"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1097\/00003246-199503000-00012","article-title":"Alteration in swallowing reflex after extubation in intensive care patients","volume":"23","author":"V De Larminat","year":"1995","journal-title":"Crit Care Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1007\/s00063-013-0217-3","article-title":"Dysphagie-Management im Akut- und Langzeitverlauf bei kritisch kranken intensivpflichtigen Patienten","volume":"7","author":"J Zielske","year":"2014","journal-title":"Med Klin Intensivmed Notfmed"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"R231","DOI":"10.1186\/cc10472","article-title":"Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness","volume":"15","author":"M Macht","year":"2011","journal-title":"Crit Care"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1378\/chest.122.5.1721","article-title":"Incidence and type of aspiration in acute care patients requiring mechanical ventilation via a new tracheotomy","volume":"122","author":"S B Leder","year":"2002","journal-title":"Chest"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1007\/s00063-011-0021-x","article-title":"Langzeitprognose alter Patienten nach intensivmedizinischer Behandlung","volume":"1","author":"M Wehler","year":"2011","journal-title":"Med Klin Intensivmed Notfmed"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.jcrc.2018.07.006","article-title":"A multimodal rehabilitation program for patients with ICU acquired weakness improves ventilator weaning and discharge home","volume":"47","author":"A C Verceles","year":"2018","journal-title":"J Crit Care"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1007\/s00063-016-0226-0","article-title":"Diaphragmale Dysfunktion. Fakten f\u00fcr den Kliniker","volume":"7","author":"C S Bruells","year":"2018","journal-title":"Med Klin Intensivmed Notfmed"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00063-014-0397-5","article-title":"Oralisierung langzeitbeatmeter Patienten mit Trachealkan\u00fcle","volume":"1","author":"M D Heidler","year":"2015","journal-title":"Med Klin Intensivmed Notfmed"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1007\/s00115-017-0332-0","article-title":"Prolongiertes Weaning in der neurologisch-neurochirurgischen Fr\u00fchrehabilitation. S2k-Leitlinie herausgegeben von der Weaning-Kommission der Deutschen Gesellschaft f\u00fcr Neurorehabilitation e.\u200aV. 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