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[Dysphagia] FEES practices



Yes indeed it could. These presenters indicated that that had not happened but acknowledged the potential.
Lisa
 
 
-----Original Message-----
From: TBAGGS@astate.edu
To: gibtarf@aol.com; amsoltan@utmb.edu; dysphagia@b9.com
Sent: Fri, 13 Oct 2006 4:15 PM
Subject: RE: [Dysphagia] FEES practices


It has always been my understanding that you can elicit a laryngospasm
by doing so and touching the TVFs etc.



-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of gibtarf@aol.com
Sent: Friday, October 13, 2006 2:29 PM
To: amsoltan@utmb.edu; dysphagia@b9.com
Subject: Re: [Dysphagia] FEES practices

I attended that session. No, SLPs do not advance the tip of the scope
beyond the TVFs! These Drs said they do this only at the end of the exam
in case the patient starts coughing vigorously at which time the exam
would be over. It seems to have limited utility. This is a new twist on
the FEES offered by some ENTs.
Lisa Kelchner
 
 
-----Original Message-----
From: amsoltan@utmb.edu
To: dysphagia@b9.com
Sent: Fri, 13 Oct 2006 1:48 PM
Subject: [Dysphagia] FEES practices



Hello all,

I have a question re: FEES practices.  The head of the ENT department at
our 
hospital recently attended the American Academy of Otolaryngology's
annual 
meeting.  Apparently one of the hot topics was the use of FEES, and it
was 
indicated that the tip of the endoscope should always be quickly passed
beyond 
the vocal cords and into the trachea to get an adequate view to assess
for 
aspiration.  Our speech pathologists frequently use FEES in the acute
care and 
outpatient settings, most often without an ENT present (but refer
if/when 
appropriate), and we do not pass the scope below the cords.  Are any of
you 
using this practice with FEES?  If so, is the ENT the one scoping the
patient?  
Is it against our scope of practice to pass the endoscope so far?
Thanks in 
advance for any input!

Sincerely,
Amanda Soltani, M.C.D., CCC-SLP
Speech Pathologist I
University of Texas Medical Branch
(409)772-2711

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