neuroreha 2021; 13(03): 131-134
DOI: 10.1055/a-1531-8006
Aus der Praxis

Free Water Protocol

Karolina Schmidt
,
Daniela Jungbluth

Patienten mit Schluckstörungen aspirieren häufig Flüssigkeiten, was zu schwerwiegenden bronchopulmonalen Komplikationen führen kann. „Free Water Protocol“ ist ein Vorgehen, das bestimmten Patienten das Wassertrinken trotz Dysphagie erlaubt. Im folgenden Beitrag wird der Ansatz vorgestellt und es wird diskutiert, unter welchen Bedingungen das Protokoll klinisch implementiert werden könnte und welche Aspekte Gegenstand weiterer Forschung bleiben.



Publication History

Article published online:
13 September 2021

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  • Literatur

  • 1 Martino R, Foley N, Bhogal S. et al. Dysphagia after stroke: Incidence, diagnosis, pulmonary complications. Stroke 2005; 36: 2756-2763
  • 2 Rosenbek JC, Robbins JA, Roecker EB. et al. A penetration-aspiration scale. Dysphagia 1996; 11: 93-98
  • 3 Clavé P, De Kraa M, Arreola V. et al. The effect of bolus viscosity on swallowing function in neurogenic dysphagia. Alimentary Pharmacology & Therapeutics 2006; 24: 1385-1394
  • 4 Newman R, Vilardell N, Clavé P. et al. Effect of bolus viscosity on the safety of swallowing and the kinematics of the swallow response in patients with oropharyngeal dysphagia: White paper by the European Society for Swallowing Disorders (ESSD). Dysphagia 2016; 31: 232-249
  • 5 Langmore SE, Terpenning MS, Schork A. et al. Predictors of aspiration pneumonia: How important is dysphagia?. Dysphagia 1998; 13: 69-81
  • 6 Panther K. The Frazier free water protocol. Perspectives on swallowing and swallowing disorders. Dysphagia 2005; 14: 4-9
  • 7 Effros RM, Jacobs ER, Schapira RM. et al. Response of the lungs to aspiration. The American Journal of Medicine 2000; 108: 15S-19S
  • 8 Frey KL, Ramsberger G. Comparison of outcome before and after implementation of a water protocol for patients with cerebrovascular accident and dysphagia. Journal of Neuroscience Nursing 2011; 43: 165-171
  • 9 Garon BR, Engle ME, Ormiston C. A randomized control study to determine the effects of unlimited oral intake of water in patients with identified aspiration. Journal of Neurological Rehabilitation 1997; 11: 139-148
  • 10 Murray J, Doeltgen S, Miller M. et al. Does a water protocol improve the hydration and health status of individuals with thin liquid aspiration following stroke? A randomized controlled trial. Dysphagia 2016; 31: 424-433
  • 11 Carlaw C, Finlayson H, Beggs K. et al. Outcomes of a pilot water protocol project in a rehabilitation setting. Dysphagia 2012; 27: 297-306
  • 12 Kenedi H, Campbell-Vance J, Reynolds J. et al. Implementation and analysis of a free water protocol in acute trauma and stroke patients. Critical Care Nurse 2019; 39: 9-17
  • 13 Bernard S, Loeslie V, Rabatin J. Brief report: Use of a modified Frazier water protocol in critical illness survivors with pulmonary compromise and dysphagia: A pilot study. The American Journal of Occupational Therapy 2016; 70: 1-5
  • 14 Pooyania S, Vandurme L, Daun R. et al. Effects of a free water protocol on inpatients in a neuro-rehabilitation setting. Open Journal of Therapy and Rehabilitation 2015; 3: 132-138
  • 15 Karagiannis MJP, Chivers L, Karagiannis TC. Effects of oral intake of water in patients with oropharyngeal dysphagia. BMC Geriatrics 2011; 11: 9
  • 16 McHorney CA, Robbins J, Lomax K. et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia 2002; 17: 97-114
  • 17 Dziewas R, Pflug C. et al. Neurogene Dysphagie, S1-Leitlinie. In: Deutsche Gesellschaft für Neurologie, Hrsg. Leitlinien für Diagnostik und Therapie in der Neurologie. www.dgn.org/leitlinien Stand: 14.07.2021