Analysis of swallowing and respiratory rehabilitation in a patient with left cerebellar and temporal ischaemic stroke

In this thesis work, the rehabilitation of a patient who suffered a left temporal and cerebellar ischemic stroke will be analyzed, leaving with motor sequelae at the level of the right hemibody and swallowing disorders that were emphasized with the use of the tracheostomy as an artificial airway mechanism. and prolonged mechanical ventilation.According to the Argentine Society of Intensive Care (2020) dysphagia as an alteration of the swallowing process is one of the most frequent problems to be treated in ICUs. This disorder causes an increase in morbidity, mortality and a prolongation of hospital stay. Currently, there are no protocols or guidelines for the early detection of dysphagia in the ICU, however, in the present work the risk factors, the prevalence, the swallowing evaluation methods and the adapted rehabilitation that were carried out will be developed. to our clinical case. The main objective will be to describe the interdisciplinary work carried out jointly by the area of respiratory kinesiology and speech therapy in order to stimulate the sensitivity of the aerodigestive crossroads and the altered swallowing mechanism. To achieve this objective, a descriptive study was carried out in which all the data and the procedures that the patient went through from the beginning of the hospitalization in the Center for the Disengagement of Mechanical Ventilation and Rehabilitation were collected, their analysis and later the final conclusion from all the information gathering.