[DYSPHAGIA] Blue dye test

[bedouin@nwlink.com (bedouin)]

I think it's important to remember the the blue dye test is a screen.  It
screens for overt aspiration, then can indicate whether an individual is
having difficulty managing his/her own secretions over time.  It shouldn't
ever be used an a true test of pharyngeal function.  Even if I have success
with blue dye, I progress cautiously and will closely monitor a patient's
progress and recommend a Mod Ba Swallow Study. 

----------
> From: Ann Wallace <AWallace@echd.org>
> To: 'dysphagia@medonline.com'
> Subject: FW: [DYSPHAGIA] Blue dye test
> Date: Tuesday, March 06, 2001 8:04 AM
> 
> This is why I asked the question.  It seems to me that if blue dye can
mix
> with saliva and be aspirated in swallows of our own secretions (that's
what
> I was calling "osmosis"), then the blue dye test would be no good at all
> because we would suction blue dye later from everyone.  This particular
> patient had had quite a lot of blue dyed thin liquid - maybe half a cup -
> spoonfuls followed by drinking from the cup followed by the straw - with
no
> blue dye suctioned at the time.  So basically, it seems to me that the
blue
> dye test is just a test of overt/frank aspiration at the time of the
swallow
> only.  Right?
>  
> Ann
>  
>  
>  
> -----Original Message-----
> From: Mspslp@aol.com [mailto:Mspslp@aol.com] 
> Sent: Monday, March 05, 2001 8:05 PM
> To: AWallace@echd.org
> Subject: Re: [DYSPHAGIA] Blue dye test
> 
> 
> it can be vallecular or pyriform residues, but can also be from residual
> blue 
> dye on the tongue, that mixes with saliva and is aspirated in swallows of
> our 
> own secretions--which "normals" do during sleep.  Depends on how much,
how 
> long from the study, after a blue dyed test meal, etc., etc.  That's when
we
> 
> usually follow up with MBS or FEES. 
> 
> Mary S. Porter, M.A., CCC 
> Director of Rehabilitation Services 
> Northern Virginia Community Hospital 
> Arlington, VA  22204 
> fax: 703-578-2353 
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