Abstract.
The aim of this study was to investigate the relationship between aspiration and oxygen desaturation and to assess the efficacy of using pulse oximetry monitoring as a clinical tool to predict or detect aspiration. The 204 subjects were divided into four groups: 63 control subjects, 110 dysphagics, 9 dysphagics with a cuffed tracheostomy tube and 22 laryngectomized subjects. Arterial oxygen saturation (SpO2) was continuously measured throughout fluorographic examination until an adequate post-examination period afterward. Then, fluorographic findings (aspiration) and SpO2 levels were compared. Eighty-five percent of aspirators showed SpO2 declines of 2% or more during swallowing procedures, but, conversely, aspiration could not be predicted or detected by an SpO2 decline because of low sensitivity and specificity (84.6% and 82.5%, respectively). SpO2 declines were also seen in laryngectomized subjects and non-aspirators with breath-holding. One patient with a cuffed tracheostomy tube showed a transient elevation of SpO2 following aspiration. In conclusion, aspirators show a SpO2 decline during swallowing procedures, but POM is not useful to predict or detect aspiration. Other events, such as breath-holding, posture change, coughing and compromised pulmonary functioning, may be related to oxygen desaturation.
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Higo, R., Tayama, N., Watanabe, T. et al. Pulse oximetry monitoring for the evaluation of swallowing function. Eur Arch Otorhinolaryngol 260, 124–127 (2003). https://doi.org/10.1007/s00405-002-0527-1
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DOI: https://doi.org/10.1007/s00405-002-0527-1