Detection of Saliva Aspiration Using Salivagram in Bedridden Patients with Brain Lesion.
- Author:
In Soon KANG
1
;
Jung Gu KWON
;
Sung Uk LEE
;
Zee Ihn LEE
;
Gi Young PARK
;
Hea Woon PARK
Author Information
1. Department of Rehabilitation Medicine, School of Medicine, Catholic University of Daegu, Korea. hwprm@cu.ac.kr
- Publication Type:Original Article
- Keywords:
Salivagram;
Saliva aspiration;
Brain lesion;
Bedridden
- MeSH:
Brain;
Colloids;
Humans;
Lung;
Male;
Saliva;
Sialorrhea;
Sulfur;
Supine Position;
Tongue;
Tracheostomy
- From:Journal of the Korean Academy of Rehabilitation Medicine
2010;34(5):503-507
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To investigate the aspiration of saliva itself in bedridden patients with brain lesion using the response of radionuclide salivagram, and its association with patient characteristics and clinical factors. METHOD: Thirty two patients (21 men and 11 women) in bedridden state with brain lesion were performed the radionuclide salivagram. (99m)Tc sulfur colloid (1.0 mCi in a drop of saline) was instilled into patients' tongue with supine position. The sequential images were obtained at first 5 minutes and 10 minutes interval for 1 hour, and evaluated the presence of saliva aspiration as the entrance of tracer into major airways or lung parenchyma. The characteristics of patients and the states of cooperation, drooling, tracheostomy, and method of feed were also assessed. RESULTS: Seven out of 32 subjects exhibited positive response of saliva aspiration by radionuclide salivagram. Men, uncooperative, and anterior drooling was significantly associated with positive finding of salivagram (p<0.05). CONCLUSION: In bedridden patients with brain lesion, it seems that radionuclide salivagram may be one of methods for detection of the aspiration of saliva itself.
