Although recommended to promote safe swallowing and reduce aspiration in patients with dysphagia, modified diets may result in reduced food intake, increasing the risk of malnutrition for some patients with dysphagia.
Reducing the time the meal is in the stomach might also reduce aspiration risk.
14 Changes in body and/or head posture may be recommended as compensatory techniques to reduce aspiration or residue.
To reduce aspiration it is important to be able to detect it at the bedside and hence alter management to reduce risk factors.
To successfully apply IAPS and reduce aspiration, the suctioning method, duration of application and position of the suctioning tube should be further optimized.
Another approach to reduce aspiration is to use post-pyloric feeding, such as a jejunal extension tube through a gastrostomy, or a direct percutaneous endoscopic jejunostomy has also been used to decrease gastroesophageal regurgitation and prevent aspiration ((22, 23)).
Low-volume low-pressure cuffs that were made of high-compliance silicone and produced fewer folds have been also investigated and were found to reduce aspiration but with no data about VAP [ 16].
This reduces aspirations to a psychological trait, often associated to other qualities like inspiration, self-esteem and self-efficacy (see Spohrer, 2011).
Recent data suggest beneficial effects of tapered cuffed tracheal tubes in reducing aspiration.
Reported gains have included advances in oral diet, reduced aspiration, and reduced dependence on tube feeding.
Some patients also exhibited reduced aspiration as a result of the sour bolus.
