[Dysphagia] Fluoro time and instructions

[bsonies at comcast.net (Barbara Sonies)]

You try for 2.5 min of actual exposure with a max of 4-5 minutes. Eleven is
out of the question. You stop the fluoro between barium presentations and
preparations and only fluoro as you give the command to swallow and until it
passes into the  mid or upper esophagus-you should make sure that the bolus
passes through the entire esophagus  and LES into the stomach in at least
one AP view  and screen for reflux or obstruction (obstruction and reflux
are best seen by the use of large boluses and not part of our MBS).
Dr B Sonies-BRS-S 


On 1/18/07 4:56 PM, "Sharon Manders" <sharon.manders at gmail.com> wrote:

> Hi,
> 
> Does anyone know if there is a maximum fluoro time that is acceptable for an
> MBS? Our old machine had an alarm that would ring after 5 minutes. One of
> our SLPs had a patient last week and the fluoro time was 11 minutes which
> the Head Rad said was unacceptable and more than double what she would
> consider the maximum. Can anyone point me to anything with a number or a
> range?
> 
> Also, how many people instruct the patient not to swallow until they (the
> SLP) have moved away from the beam (and does it work)?  Obviously not all of
> our patients would be able to follow this instruction. I just want an idea
> as we are having a lot of problems lately in Diagnostic Imaging. Any
> thoughts and ideas are welcome.
> 
> Thanks,
> 
> Sharon