Moving Forward with Dysphagia Care: Implementing Strategies during the COVID-19 Pandemic and Beyond

Dysphagia. 2021 Apr;36(2):161-169. doi: 10.1007/s00455-020-10144-9. Epub 2020 Jun 9.

Abstract

Growing numbers of SARS-CoV-2 cases coupled with limited understanding of transmissibility and virulence, have challenged the current workflow and clinical care pathways for the dysphagia provider. At the same time, the need for non-COVID-19-related dysphagia care persists. Increased awareness of asymptomatic virus carriers and variable expression of the disease have also focused attention to appropriate patient care in the context of protection for the healthcare workforce. The objective of this review was to create a clinical algorithm and reference for dysphagia clinicians across clinical settings to minimize spread of COVID-19 cases while providing optimal care to patients suffering from swallowing disorders. Every practitioner and healthcare system will likely have different constraints or preferences leading to the utilization of one technique over another. Knowledge about this pandemic increases every day, but the algorithms provided here will help in considering the best options for proceeding with safe and effective dysphagia care in this new era.

Keywords: Assessment; COVID-19; Dysphagia; SARS-CoV-2; Telemedicine; Treatment.

Publication types

  • Review

MeSH terms

  • COVID-19 / epidemiology*
  • COVID-19 / prevention & control
  • COVID-19 / transmission
  • Deglutition Disorders / therapy*
  • Humans
  • Infection Control / organization & administration*
  • Telemedicine / organization & administration*