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Six (24%) patients aspirated during assessment: 4 patients during clinical assessment (2 of these also had radiological evidence of aspiration); 1 patient aspirated during VFSS without symptoms of aspiration (silent aspiration); and 1 patient aspirated after an episode of gastroesophageal reflux.
Conclusion: This study suggests that silent aspiration is highly prevalent in this population group.
Sato M, Tohara H, Iida T, Wada S, Inoue M, Ueda K. Simplified cough test for screening silent aspiration.
To detect silent aspiration in a homogeneous sample of stroke patients using the citric acid cough test.
This study evaluates the incidence of silent aspiration identified by VF and FEES in a 20 bedded tertiary Cardio-Respiratory Intensive Care Unit.
Objectives: To determine the incidence of silent aspiration, defined as "aspiration before, during, or after swallowing in the absence of cough or visible signs of choking and distress 2," in ICU patients assessed by VF or FEES between July 2014 and June 2015.
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To describe 13 neurologically normal infants with chronic respiratory symptoms who had swallowing dysfunction with silent chronic aspiration without gastroesophageal reflux (GER) as the cause of their respiratory symptoms.
How common is aspiration, silent or otherwise?
After the videofluoroscopy, the radiologist and speech and language therapist commented on the oral and pharyngeal phases, timing of swallow, and aspiration (silent or symptomatic).
Ironically, the Labour government got there with its Food 2030 document, which was good in aspiration but silent on delivery mechanisms.
Aspiration, both overt and silent, can also be present with some regularity after this procedure, and it appears intuitive that identification of aspiration with the appropriate measures of avoidance of oral intake and avoidance of oral contrast studies may help reduce the consequences of aspiration pneumonia.
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