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Objective: To analyze, in light of recent scientific literature, the interfaces between nursing and speech-language pathology in the interdisciplinary care of critically ill patients with neurogenic dysphagia, emphasizing patient safety in the intensive care unit. Method: An integrative literature review was conducted, searching the PubMed/MEDLINE, LILACS, and SciELO databases for publications from 2021 to 2026. DeCS/MeSH descriptors related to dysphagia, swallowing disorders, nursing, speech-language pathology, intensive care, stroke, and mechanical ventilation were used, combined with Boolean operators. Results: The literature shows that neurogenic dysphagia—particularly following stroke, prolonged orotracheal intubation, and tracheostomy—is associated with aspiration pneumonia, malnutrition, dehydration, prolonged hospital stays, mortality, and poorer functional recovery. Five thematic categories were identified: early identification and risk stratification; clinical, ventilatory, and hemodynamic monitoring; nursing interventions; specialized speech-language pathology care; and quality-of-care indicators in the ICU. Conclusion: Safe care for critically ill patients with dysphagia requires the integration of nursing clinical reasoning, specialized speech-language pathology assessment, institutional protocols, invasive monitoring when indicated, hemodynamic support, mechanical ventilation management, judicious use of vasoactive drugs, and evidence-based decision-making. An interdisciplinary approach reduces avoidable risks and improves the transition between critical care, rehabilitation, and functional recovery.
Referências
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Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Juliana Marques de Souza, Cleber Aparecido Medeiros da Silva, Thiago Inocêncio Trofelli, Luís Carlos Bueno, Paulo Henrique Dias Trofelli, Fábio Caxico de Abreu Júnior, Sara Luciana de Andrade, Marilu de Souza Franco, Diely Aparecida de Oliveira Soares, Alexsandro N. Oliveira, Samira Aparecida Pogianela Alvim