Swallowing and feeding of young children on high-flow oxygen therapy

South African Journal of Communication Disorders

Field Value
Title Swallowing and feeding of young children on high-flow oxygen therapy
Creator Hoosain, Ruhee Pillay, Bhavani Abdoola, Shabnam Graham, Marien A. Krüger, Esedra
Subject — swallowing; feeding; high-flow oxygen; oral motor characteristics; SOMA; speech-language therapist; burns
Description Background: Oral feeding practices of young patients on high-flow oxygen (HFO2) have been controversial. Limited literature exists on this topic, but new studies suggest introducing oral feeds.Objective: This study aims to describe the changes in swallowing and feeding of a group of young children on HFO2.Method: Twelve participants (mean age 34.17 months [s.d. = 3.97]) on HFO2 were assessed clinically at the bedside using the Schedule of Oral Motor Assessment. Assessments were conducted twice to determine the change in characteristics: upon approval from the managing doctor when respiratory stability on HFO2 was achieved and for a second time on the last day of receiving HFO2 (mean 2.6 days apart). Patients received standard in-patient care and speech therapy intervention.Results: Most participants displayed typical oral motor function at initial and final assessments for liquid, puree and semi-solid consistencies. Purees and soft solid consistencies were introduced to most participants (n = 11, 91.7%). Solids and chewables were challenging for all participants during both assessments. Half of the participants displayed gagging and a wet vocal quality with thin liquids at the initial assessment only.Conclusion: This small-scale study found that HFO2 should not preclude oral diets, but in this sample, small amounts of oral feeding could be introduced with caution, in an individualised manner, and with a collaborative multidisciplinary approach. Further research is essential.Contribution: Partial oral feeding of specific consistencies was possible during the assessment of young paediatric in-patients on HFO2. Monitoring of individual patient characteristics and risk factors by a specialist feeding team is essential.
Publisher AOSIS
Date 2024-03-02
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajcd.v71i1.1010
Source South African Journal of Communication Disorders; Vol 71, No 1 (2024); 7 pages 2225-4765 0379-8046
Language eng
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https://sajcd.org.za/index.php/sajcd/article/view/1010/2134 https://sajcd.org.za/index.php/sajcd/article/view/1010/2135 https://sajcd.org.za/index.php/sajcd/article/view/1010/2136 https://sajcd.org.za/index.php/sajcd/article/view/1010/2137
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Rights Copyright (c) 2024 Ruhee Hoosain, Bhavani Pillay, Shabnam Abdoola, Marien A. Graham, Esedra Krüger https://creativecommons.org/licenses/by/4.0