Enteral nutrition is the delivery of nutrients in liquid form directly into the stomach, duodenum, or jejunum and it is an integral part of the therapeutic approach in patients affected by vegetative and minimally conscious state. Indeed, artificial nutrition is of primary importance in ensuring adequate nutrients for the prevention of protein and caloric deficit responsible for the highest increase in therapeutic failure, medical complications and mortality. Neurogenic dysphagia or preesophageal dysphagia is difficulty in swallowing food caused by disease or impairment of the nervous system.Perhaps, the most clinically apparent complication of neurogenic dysphagia is pulmonary aspiration, which may manifest itself acutely as choking or coughing, respiratory distress, wheezing, gasping or gurgling, and tachycardia. However, chronic symptoms (particularly in silent aspiration), including weight loss, production of excessive oral secretions and aspiration pneumonia may be also present.
|Title of host publication||Chronic Disorders of Consciousness: From Research to Clinical Practice|
|Publisher||Nova Science Publishers, Inc.|
|Number of pages||17|
|Publication status||Published - 2013|
ASJC Scopus subject areas