This videofluoroscopic swallow study, which shows fluid penetrating into the trachea without triggering a cough reflex, screams silent aspiration. Although this condition is common in patients with neurologic impairment or altered mental status, remember that post-extubation dysphagia and aspiration affect at least 20% of patients recovering from respiratory failure, like the patient recovering from sepsis in the case. Don’t let your patients’ struggles go unheard; speech–language pathologists can help with the assessment and with treatment, including swallowing exercises.
Comment
This videofluoroscopic swallow study, which shows fluid penetrating into the trachea without triggering a cough reflex, screams silent aspiration. Although this condition is common in patients with neurologic impairment or altered mental status, remember that post-extubation dysphagia and aspiration affect at least 20% of patients recovering from respiratory failure, like the patient recovering from sepsis in the case. Don’t let your patients’ struggles go unheard; speech–language pathologists can help with the assessment and with treatment, including swallowing exercises.