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Fritz MA, Howell RJ, Brodsky MB, Suiter DM, Dhar SI, Rameau A, Richard T, Skelley M, Ashford JR, O'Rourke AK, Kuhn MA. Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond. Dysphagia 2020; 36:161-169. [PMID: 32519150 PMCID: PMC7282541 DOI: 10.1007/s00455-020-10144-9] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Accepted: 06/04/2020] [Indexed: 01/25/2023]
Abstract
Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus carriers and variable expression of the disease have also focused attention to appropriate patient care in the context of protection for the healthcare workforce. The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era.
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Affiliation(s)
- Mark A Fritz
- Department of Otolaryngology, Head and Neck Surgery, University of Kentucky, 740 S Limestone, E300E, Lexington, KY, 40536, USA.
| | - Rebecca J Howell
- Department of Otolaryngology, Head and Neck Surgery, University of Cincinnati, Cincinnati, USA
| | - Martin B Brodsky
- Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, USA
- Outcomes After Critical Illness and Surgery (OACIS) Research Group, Johns Hopkins University, Baltimore, USA
- Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Debra M Suiter
- Department of Communication Sciences and Disorders, University of Kentucky, Lexington, USA
| | - Shumon I Dhar
- Department of Otolaryngology, Head and Neck Surgery, Johns Hopkins University, Baltimore, USA
| | - Anais Rameau
- Department of Otolaryngology, Head and Neck Surgery, Weill Cornell Medical College, New York, NY, USA
| | | | | | | | - Ashli K O'Rourke
- Department of Otolaryngology, Head and Neck Surgery, Medical University of South Carolina, Charleston, USA
| | - Maggie A Kuhn
- Department of Otolaryngology, Head and Neck Surgery, University of California-Davis Medical Center, Sacramento, USA
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