intensiv, Inhaltsverzeichnis intensiv 2025; 33(04): 198-204DOI: 10.1055/a-2588-8819 Intensivpflege Dysphagiemanagement Schluckstörungen auf der Intensivstation Claudia Troll , Christian EmsdenArtikel empfehlen Abstract Artikel einzeln kaufen Wie eine Dysphagie, also eine Schluckstörung, das klinische Outcome beeinflusst und warum dieses Störungsbild auf der Intensivstation besondere Aufmerksamkeit verdient. Volltext Referenzen Literatur 1 Prosiegel M, Weber S.. Dysphagie: Diagnostik und Therapie. Ein Wegweiser für kompetentes Handeln. 2. Aufl. Berlin Heidelberg: Springer; 2013 2 Wirth R, Dziewas R.. Neurogene Dysphagie. Internist 2017; 2 (02) 231 3 Stauffer JL, Olson DE, Petty TL.. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 1981; 70 (01) 65-76 4 Stoschus B, Allescher HD.. Drug-induced dysphagia. Dysphagia 1993; 8 (02) 154-9 5 Leder SB, Cohn SM, Moller BA.. Fiberoptic endoscopic documentation of the high incidence of aspiration following extubation in critically ill trauma patients. Dysphagia 1998; 13 (04) 208-12 6 Barker J, Martino R, Reichardt B. et al Incidence and impact of dysphagia in patients receiving prolonged endotracheal intubation after cardiac surgery. Can J Surg 2009; 52 (02) 119-24 7 Santos PM, Afrassiabi A, Weymuller Jr. EA. Risk factors associated with prolonged intubation and laryngeal injury. Otolaryngol Head Neck Surg 1994; 111 (04) 453-9 8 Schumacher J.. SWLS: Satisfaction with life scale. In: Schumacher J, Klaiberg A, Brähler E (Hrsg.). Diagnostische Verfahren zu Lebensqualität und Wohlbefinden. Göttingen: Hogrefe; 2003: S. 329 9 McIntyre M, Doeltgen S, Dalton N. et al Post-extubation dysphagia incidence in critically ill patients: A systematic review and meta-analysis. Aust Crit Care. 2021; 34 (01) 67-75 Epub 2020 Jul 29 10 McIntyre M, Chimunda T, Koppa M. et al Risk factors for postextubation dysphagia: A systematic review and meta-analysis. Laryngoscope 2022; 132 (02) 364-74 11 Macht M, Wimbish T, Clark BJ. et al Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness. Crit Care 2011; 15 (05) R231 12 Macht M, Wimbish T, Bodine C. et al ICU-acquired swallowing disorders. Crit Care Med 2013; 41: 2396-405 13 Schefold JC, Berger D, Zürcher P. et al Dysphagia in mechanically ventilated ICU patients [DYnAMICS]: A prospective observational trial. Crit Care Med 2017; 45: 2061-9 14 Lynch YT, Clark BJ, Macht M. et al The accuracy of the bedside swallowing evaluation for detecting aspiration in survivors of acute respiratory failure. J Crit Care 2017; 39: 143-8 15 Trapl M, Enderle P, Nowotny M. et al Dysphagia bedside screening for acute-stroke patients: The gugging swallowing screen. Stroke 2007; 38: 2948-52 16 Troll C, Trapl-Grundschober M, Teuschl Y. et al A bedside swallowing screen for the identification of post-extubation dysphagia on the intensive care unit – validation of the gugging swallowing screen (GUSS)-ICU. BMC Anesthesiol 2023; 13; 23 (01) 122 17 Dziewas R, Michou E, Trapl-Grundschober M. et al [2021] European stroke organization and European society for swallowing disorders guideline for the diagnosis and treatment of post-stroke dysphagia. Eur Stroke J 2021; 6: LXXXIX-CXV 18 Ely EW, Truman B, Shintani A. et al Monitoring sedation status over time in ICU patients: Reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA 2003; 289 (22) 2983-91 19 Trapl-Grundschober M, Troll C.. Gugging Swallowing Screen for Intensive Care Units – GUSS-ICU; 2021. Norwegische Version. Im Internet: t1p.de/6va91; Stand: 22.04.2025 20 Troll C, Trapl-Grundschober M.. Versão Portuguesa do Gugging Swallowing Screen for Intensive Care Units (GUSS-ICU); 2022. Im Internet: t1p.de/f17yt; Stand: 22.04.2025 21 Likar R, Aroyo I, Bangert K. et al Management of swallowing disorders in ICU patients – a multinational expert opinion. J Crit Care 2024; 79: 154447