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[DYSPHAGIA] Blue dye test
We use the Blue Dye test as a screen. If the patient passes we then go on
to do an MBS before recommending PO feeding.
> -----Original Message-----
> From: bedouin [SMTP:bedouin@nwlink.com]
> Sent: Tuesday, March 06, 2001 8:13 PM
> To: Ann Wallace; 'dysphagia@medonline.com'
> Subject: Re: [DYSPHAGIA] Blue dye test
>
> 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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