Abstract
Most of the swallowing trainings as curative treatments for dyssialophagy are hardly carried out under tracheal intubation. A patient who has swallowing dysfunction is exposed to a risk of relapsing aspiration pneumonia just before and after tracheal extubation. We report successful extubations with 25 or 50mg·day-1 prophylactic amitriptyline through a gastric tube in order to inhibit sialorrhea in two patients who repetitively had suffered aspiration pneumonia and consequent circulatory disorders. The sialoschesis, one of the side effects of tricyclic antidepressant, would be a benefitial effect on the old dysphagic patients at the time around tracheal extubation.
