Dysphagia Following Prolonged Endotracheal Intubation: Is There A Rule of Thumb?

Abstract

Prolonged endotracheal intubation is a common iatrogenic cause of swallowing disorders. Clinicians frequently seek a decision-making algorithm to determine appropriate timing of assessment, predict the course of recovery, and determine the need for interventions. Many risk factors are present in any patient requiring mechanical ventilation through an artificial airway, making each case a complex and unique puzzle. This paper reviews the literature regarding effects of prolonged endotracheal intubation and risk factors for adverse events, and underscores the uncertainty inherent in management after extubation.