Evidence map›Paper›PMID 36895537›Full record

ArticleCureus2023

A Holistic Approach to Managing Secondary Dysphagia Following Prolonged Intubation and Tracheostomy: A Case Report.

Abhishek Bharadwaj, Praveen K Neema, Habib Md R Karim, Manas P Borthakur, Monica Khetarpal

Abstract readCase Reports
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Abhishek BharadwajAnesthesiology, Critical Care, and Pain Medicine, All India Institute of Medical Sciences, Raipur, IND.
Praveen K NeemaCardiac Anesthesiology, Amrita Institute of Medical Sciences and Research Centre, Kochi, IND.
Habib Md R KarimAnesthesiology, Critical Care, and Pain Medicine, All India Institute of Medical Sciences, Raipur, IND.
Manas P BorthakurAnesthesiology and Critical Care, Sarathi Multispeciality Hospital, Nalbari, IND.
Monica KhetarpalAnesthesiology, Critical Care, and Pain Medicine, All India Institute of Medical Sciences, Raipur, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to swallow and maintain the airway is a critical rehabilitation milestone for patients with swallowing disorders following prolonged tracheal intubation. Tracheostomy and dysphagia often coexist in critically ill patients and given the medical complexity analyzing the evidence to optimize swallowing assessment and management is challenging. It takes a holistic approach to dealing with issues in a critical care patient as we also need to deal with issues other than medical. We present a case of a 68-year-old gentleman who was admitted to the critical care unit following a double barrel ileostomy and had multiple complications and organ dysfunction requiring prolonged supportive management, tracheostomy, and mechanical ventilation. After recovering from primary illness and complications, he had a swallowing disorder (secondary dysphagia), which was managed successfully over the next month. The case highlights the need for screening, a multidisciplinary team, empathy, and effort as a part of a holistic management approach.

Indexed as

complicationscritical caredeglutition disordersintratrachealintubationtrachea

Identifiers

PMID36895537
PMCPMC9988438

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.