Most of the time, when this occurs, the person will cough in attempt to expel the food or liquid from their lungs. However, there are situations when the person coughs completely absentmindedly. A ″silent aspiration″ is what is referred to as this. If aspiration occurs on a regular basis, it can cause lung damage if left untreated.
The most reliable statistics come from acute stroke patients, in whom 2 percent to 25 percent of patients aspirate quietly. Mechanisms related with silent aspiration may include central or local weakness/incoordination of the pharyngeal muscle, diminished laryngopharyngeal sensation, impaired capacity to create a reflexive cough, and low substance P or dopamine levels.
This individual is not a member of ResearchGate, or he or she has not claimed this research as of yet. Despite the fact that clinically obvious aspiration is widespread in persons with dysphagia, a considerable number of these subjects may aspirate silently, that is, without any outward evidence of swallowing difficulties.
These problems are more likely in those who have had a brain injury or who have neurological illnesses such as Parkinson’s disease or multiple sclerosis. Have consumed excessive amounts of alcohol or drugs. Are of a more mature age (65 and over). Aspiration pneumonia is more prevalent among nursing home residents than in the general population.
Dysphagia is a disorder that affects a large number of older people who live in nursing homes. Evidence also suggests that aspiration is one of the most serious health hazards for these older persons, with the condition more likely to result in respiratory infections, aspiration pneumonia, and unexpected abrupt death.
The median survival time was 736 days for the patients who were observed. Of the patients that were seen, 84.2 percent died within the observation period. Pneumonia, respiratory failure, and asphyxia were the most common reasons of death (65.6 percent ).
Keeping aspiration from dysphagia to a minimum
When it comes to identifying cases of silent aspiration, tests are frequently quite useful. The following tests may be performed: modified barium swallow test (MBS). This can indicate whether or not foreign matter is entering your lungs.
If it is discovered that your loved one has dysphagia, the following suggestions might assist you in efficiently managing their condition:
Reduced degree of awareness, supine posture, presence of a nasogastric tube, tracheal intubation and mechanical ventilation, bolus or intermittent food administration techniques, high-risk illness and injury circumstances, and advanced age were the most frequently stated risk factors.
A risk for aspiration was identified in 34.3 percent of the patients, with aspiration occurring in 30.5 percent of those who were at risk. Risk factors for aspiration included dysphagia, an impaired or nonexistent gag reflex, neurological illnesses such as Parkinson’s disease, and impaired physical mobility, all of which were statistically related with the condition in question.
The frequency of sudden mortality due to food asphyxiation is quite low in the general population. An previous research of hospitalized adult patients, on the other hand, discovered that food asphyxiation was the cause of death in 14 of 1,087 (1.3 percent) autopsies done over a 5-year period. Those patients passed away abruptly, either while or immediately after meals were consumed.
Having fluid in the lungs may be frightening, potentially deadly, and extremely painful for the patient. It may seem like you are drowning since each breath takes in fluid into the lungs rather than air, leading in shortness of breath. Fluid in the lungs of the elderly is extremely frequent, and it may be quite difficult to cure when it does occur.
Aspiration can result in more serious complications such as infection and tissue damage. Aspiration pneumonia is characterized by the following symptoms:
Most of the time, when this occurs, the person will cough in attempt to expel the food or liquid from their lungs. However, there are situations when the person coughs completely absentmindedly. A ″quiet aspiration″ is what is referred to as this. If aspiration occurs on a regular basis, it can cause lung damage if left untreated.