Effects of different high-flow nasal cannula flow rates on swallowing function
High-flow nasal cannula therapy is used as a noninvasive treatment for people with acute respiratory disease. The aim of this study was to assess the impact of high-flow nasal cannula different flow rates on different characteristics of swallowing in healthy volunteers. A prospective cohort study wh...
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| Veröffentlicht in: | Clinical biomechanics (Bristol) 2021-10, Vol.89, p.105477-105477, Article 105477 |
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| container_title | Clinical biomechanics (Bristol) |
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| creator | Arizono, Shinichi Oomagari, Masaki Tawara, Yuichi Yanagita, Yorihide Machiguchi, Hikaru Yokomura, Koshi Katagiri, Norimasa Nonoyama, Mika Laura Tanaka, Takako |
| description | High-flow nasal cannula therapy is used as a noninvasive treatment for people with acute respiratory disease. The aim of this study was to assess the impact of high-flow nasal cannula different flow rates on different characteristics of swallowing in healthy volunteers.
A prospective cohort study where healthy adult volunteers were subject to high-flow nasal cannula at different flow rates (0, 10, 20, 30, 40, and 50 L/min, in random order). The 30-mL water swallow test, repetitive saliva swallowing test, and 0-100 mm visual analog scale assessed aspiration, swallow frequency and effort, respectively.
Thirty subjects (mean age 30 years) were enrolled. Nine subjects (30.0%) choked at 10, 40 and 50 L/min during the 30-mL water swallow test (p |
| doi_str_mv | 10.1016/j.clinbiomech.2021.105477 |
| format | Article |
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A prospective cohort study where healthy adult volunteers were subject to high-flow nasal cannula at different flow rates (0, 10, 20, 30, 40, and 50 L/min, in random order). The 30-mL water swallow test, repetitive saliva swallowing test, and 0-100 mm visual analog scale assessed aspiration, swallow frequency and effort, respectively.
Thirty subjects (mean age 30 years) were enrolled. Nine subjects (30.0%) choked at 10, 40 and 50 L/min during the 30-mL water swallow test (p < 0.05). Swallowing effort was increased during flow rates ≥20 compared to 10 L/min (p < 0.05). Flow rates ≥20 L/min resulted in lower number of swallows during the repetitive saliva swallowing test compared to 0 and 10 L/min (p < 0.05).
High-flow nasal cannula flow rates above 40 L/min associated with choking (increased risk of aspiration), and was associated with decreased swallowing function in healthy volunteers. It may be important to assess swallowing function in patients with various clinical conditions and treated with high-flow nasal cannula, especially those at risk of aspiration pneumonia.
•High flow nasal cannula flow rates above 40 L/min increased aspiration risk.•Above 20 L/min increased swallowing effort and decreased swallowing frequency.•Assessing swallowing is important to mitigate risk of pneumonia.</description><identifier>ISSN: 0268-0033</identifier><identifier>EISSN: 1879-1271</identifier><identifier>DOI: 10.1016/j.clinbiomech.2021.105477</identifier><identifier>PMID: 34555543</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>30-mL water swallow test ; Adult ; Cannula ; Deglutition ; Healthy Volunteers ; High-flow nasal cannula therapy ; Humans ; Oxygen Inhalation Therapy ; Prospective Studies ; Repetitive saliva swallowing test ; Swallowing function</subject><ispartof>Clinical biomechanics (Bristol), 2021-10, Vol.89, p.105477-105477, Article 105477</ispartof><rights>2021 Elsevier Ltd</rights><rights>Copyright © 2021 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-f60eabf3119af01808347b05892a67cae4ab8f716bef0c71bb49ad87db1c132d3</citedby><cites>FETCH-LOGICAL-c443t-f60eabf3119af01808347b05892a67cae4ab8f716bef0c71bb49ad87db1c132d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0268003321002072$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34555543$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arizono, Shinichi</creatorcontrib><creatorcontrib>Oomagari, Masaki</creatorcontrib><creatorcontrib>Tawara, Yuichi</creatorcontrib><creatorcontrib>Yanagita, Yorihide</creatorcontrib><creatorcontrib>Machiguchi, Hikaru</creatorcontrib><creatorcontrib>Yokomura, Koshi</creatorcontrib><creatorcontrib>Katagiri, Norimasa</creatorcontrib><creatorcontrib>Nonoyama, Mika Laura</creatorcontrib><creatorcontrib>Tanaka, Takako</creatorcontrib><title>Effects of different high-flow nasal cannula flow rates on swallowing function</title><title>Clinical biomechanics (Bristol)</title><addtitle>Clin Biomech (Bristol, Avon)</addtitle><description>High-flow nasal cannula therapy is used as a noninvasive treatment for people with acute respiratory disease. The aim of this study was to assess the impact of high-flow nasal cannula different flow rates on different characteristics of swallowing in healthy volunteers.
A prospective cohort study where healthy adult volunteers were subject to high-flow nasal cannula at different flow rates (0, 10, 20, 30, 40, and 50 L/min, in random order). The 30-mL water swallow test, repetitive saliva swallowing test, and 0-100 mm visual analog scale assessed aspiration, swallow frequency and effort, respectively.
Thirty subjects (mean age 30 years) were enrolled. Nine subjects (30.0%) choked at 10, 40 and 50 L/min during the 30-mL water swallow test (p < 0.05). Swallowing effort was increased during flow rates ≥20 compared to 10 L/min (p < 0.05). Flow rates ≥20 L/min resulted in lower number of swallows during the repetitive saliva swallowing test compared to 0 and 10 L/min (p < 0.05).
High-flow nasal cannula flow rates above 40 L/min associated with choking (increased risk of aspiration), and was associated with decreased swallowing function in healthy volunteers. It may be important to assess swallowing function in patients with various clinical conditions and treated with high-flow nasal cannula, especially those at risk of aspiration pneumonia.
•High flow nasal cannula flow rates above 40 L/min increased aspiration risk.•Above 20 L/min increased swallowing effort and decreased swallowing frequency.•Assessing swallowing is important to mitigate risk of pneumonia.</description><subject>30-mL water swallow test</subject><subject>Adult</subject><subject>Cannula</subject><subject>Deglutition</subject><subject>Healthy Volunteers</subject><subject>High-flow nasal cannula therapy</subject><subject>Humans</subject><subject>Oxygen Inhalation Therapy</subject><subject>Prospective Studies</subject><subject>Repetitive saliva swallowing test</subject><subject>Swallowing function</subject><issn>0268-0033</issn><issn>1879-1271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkD1PwzAQhi0EoqXwF1DYWFLs2ImTEVXlQ6pggdmynXPrKnGKnYD497ikIEZu8enVcz7dg9AVwXOCSXGznevGOmW7FvRmnuGMxDxnnB-hKSl5lZKMk2M0xVlRphhTOkFnIWwxxizL-SmaUJbHYnSKnpbGgO5D0pmktrH34PpkY9eb1DTdR-JkkE2ipXNDI5PvyMseIu-S8CGbGFi3TszgdG87d45OjGwCXBzeGXq9W74sHtLV8_3j4naVasZon5oCg1SGElJJg0mJS8q4wnlZZbLgWgKTqjScFAoM1pwoxSpZl7xWRBOa1XSGrsd_d757GyD0orVBQ9NIB90QRDyzKFiZcxbRakS170LwYMTO21b6T0Gw2OsUW_FHp9jrFKPOOHt5WDOoFurfyR9_EViMAMRj3y14EbQFp6G2PmoVdWf_seYLz7aM5g</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Arizono, Shinichi</creator><creator>Oomagari, Masaki</creator><creator>Tawara, Yuichi</creator><creator>Yanagita, Yorihide</creator><creator>Machiguchi, Hikaru</creator><creator>Yokomura, Koshi</creator><creator>Katagiri, Norimasa</creator><creator>Nonoyama, Mika Laura</creator><creator>Tanaka, Takako</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202110</creationdate><title>Effects of different high-flow nasal cannula flow rates on swallowing function</title><author>Arizono, Shinichi ; Oomagari, Masaki ; Tawara, Yuichi ; Yanagita, Yorihide ; Machiguchi, Hikaru ; Yokomura, Koshi ; Katagiri, Norimasa ; Nonoyama, Mika Laura ; Tanaka, Takako</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c443t-f60eabf3119af01808347b05892a67cae4ab8f716bef0c71bb49ad87db1c132d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>30-mL water swallow test</topic><topic>Adult</topic><topic>Cannula</topic><topic>Deglutition</topic><topic>Healthy Volunteers</topic><topic>High-flow nasal cannula therapy</topic><topic>Humans</topic><topic>Oxygen Inhalation Therapy</topic><topic>Prospective Studies</topic><topic>Repetitive saliva swallowing test</topic><topic>Swallowing function</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arizono, Shinichi</creatorcontrib><creatorcontrib>Oomagari, Masaki</creatorcontrib><creatorcontrib>Tawara, Yuichi</creatorcontrib><creatorcontrib>Yanagita, Yorihide</creatorcontrib><creatorcontrib>Machiguchi, Hikaru</creatorcontrib><creatorcontrib>Yokomura, Koshi</creatorcontrib><creatorcontrib>Katagiri, Norimasa</creatorcontrib><creatorcontrib>Nonoyama, Mika Laura</creatorcontrib><creatorcontrib>Tanaka, Takako</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical biomechanics (Bristol)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arizono, Shinichi</au><au>Oomagari, Masaki</au><au>Tawara, Yuichi</au><au>Yanagita, Yorihide</au><au>Machiguchi, Hikaru</au><au>Yokomura, Koshi</au><au>Katagiri, Norimasa</au><au>Nonoyama, Mika Laura</au><au>Tanaka, Takako</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of different high-flow nasal cannula flow rates on swallowing function</atitle><jtitle>Clinical biomechanics (Bristol)</jtitle><addtitle>Clin Biomech (Bristol, Avon)</addtitle><date>2021-10</date><risdate>2021</risdate><volume>89</volume><spage>105477</spage><epage>105477</epage><pages>105477-105477</pages><artnum>105477</artnum><issn>0268-0033</issn><eissn>1879-1271</eissn><abstract>High-flow nasal cannula therapy is used as a noninvasive treatment for people with acute respiratory disease. The aim of this study was to assess the impact of high-flow nasal cannula different flow rates on different characteristics of swallowing in healthy volunteers.
A prospective cohort study where healthy adult volunteers were subject to high-flow nasal cannula at different flow rates (0, 10, 20, 30, 40, and 50 L/min, in random order). The 30-mL water swallow test, repetitive saliva swallowing test, and 0-100 mm visual analog scale assessed aspiration, swallow frequency and effort, respectively.
Thirty subjects (mean age 30 years) were enrolled. Nine subjects (30.0%) choked at 10, 40 and 50 L/min during the 30-mL water swallow test (p < 0.05). Swallowing effort was increased during flow rates ≥20 compared to 10 L/min (p < 0.05). Flow rates ≥20 L/min resulted in lower number of swallows during the repetitive saliva swallowing test compared to 0 and 10 L/min (p < 0.05).
High-flow nasal cannula flow rates above 40 L/min associated with choking (increased risk of aspiration), and was associated with decreased swallowing function in healthy volunteers. It may be important to assess swallowing function in patients with various clinical conditions and treated with high-flow nasal cannula, especially those at risk of aspiration pneumonia.
•High flow nasal cannula flow rates above 40 L/min increased aspiration risk.•Above 20 L/min increased swallowing effort and decreased swallowing frequency.•Assessing swallowing is important to mitigate risk of pneumonia.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>34555543</pmid><doi>10.1016/j.clinbiomech.2021.105477</doi><tpages>1</tpages></addata></record> |
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| ispartof | Clinical biomechanics (Bristol), 2021-10, Vol.89, p.105477-105477, Article 105477 |
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| subjects | 30-mL water swallow test Adult Cannula Deglutition Healthy Volunteers High-flow nasal cannula therapy Humans Oxygen Inhalation Therapy Prospective Studies Repetitive saliva swallowing test Swallowing function |
| title | Effects of different high-flow nasal cannula flow rates on swallowing function |
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