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 | |
| 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 | |
| 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 | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
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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