96. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie

Dr. med.

Vorsitz

Prof. Dr. med.

NUR Wissenschaftliches Programm / ONLY Scientific Programme

Diagnostik und Therapie laryngealer und trachealer Fehlbildungen 

Vortrag auf Einladung

Diagnostik und Therapie der Ösophagusatresie

Langzeitoutcome und europäische Perspektiven der Ösophagusatresie

Ösophagotracheale Fehlbildungen aus kinderpneumologischer Sicht

PD Dr. med.

Auswirkung der Flaschenernährung in erhöhter Seitenlage und mit Pacing auf die Koordination von Schlucken und Atmen bei gesunden Frühgeborenen

Sonstiges

PÄDHNO-SON

IntroductionFeeding newborns and premature babies is a challenge for everyone involved. Problems with feeding can lead to malnutrition with subsequent tube feeding due to aspiration. The underlying mechanisms are unknown and little data is available on physiological swallowing capacity and breath-swallow coordination (ASK) in neonates and preterm infants.MethodyIn three prospective studies (University of Düsseldorf 2015094347), a combined bioimpedance/EMG measurement system (RehaIngest(R), Hasomed, Magdeburg) was used to investigate the feeding process in 20 newborns and 20 premature infants (+/- 30.5 weeks) and the influence of a lateral position and the pacing feeding technique in 20 premature infants. The movement of the larynx and the ASK were recorded synchronously. The data were marked and the parameters for laryngeal movement and ASK were analyzed.ResultsIn a direct comparison of newborn and premature infants, there was no difference in the swallowing processes (laryngeal elevation, pharyngeal closure, EMG activity). There was a difference in the length of the swallowing phases with an earlier fatigue of the preterm infants with subsequent aspiration events. Preterm infants in the elevated lateral position showed greater safety during feeding, with no choking or coughing events (p=0.03). The use of pacing resulted in fewer and shorter pauses in breathing.ConclusionThere is no difference in the physiology of swallowing and ASK in neonates and preterm infants. The lower muscle mass with earlier fatigue in preterm infants is the cause of an increased number of aspirations. Lateral positioning and pacing reduce the requirements for premature babies.nein

Session 10
HNO trifft Kinderchirurgie – Ösophago-Tracheale Fehlbildungen im Kindesalter

Termin

Vorsitz

Thema

Programm

Session 10HNO trifft Kinderchirurgie – Ösophago-Tracheale Fehlbildungen im Kindesalter

Termin

Vorsitz

Thema

Programm

Session 10
HNO trifft Kinderchirurgie – Ösophago-Tracheale Fehlbildungen im Kindesalter