[Dysphagia] Fluoro time and instructions

[TBAGGS at astate.edu (TERRY W. BAGGS)]

I agree with what Barbara said but also want to highlight your
instructions to "not swallow" until you've moved away.  That's not only
good for safety reasons but it also tells you information about the
patient's ability to control the bolus.



-----Original Message-----
From: dysphagia-bounces at b9.com [mailto:dysphagia-bounces at b9.com] On
Behalf Of Barbara Sonies
Sent: Thursday, January 18, 2007 5:58 PM
To: Sharon Manders; dysphagia at b9.com
Subject: Re: [Dysphagia] Fluoro time and instructions

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


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