[Dysphagia] FEES Procedure

[bsonies at comcast.net (bsonies at comcast.net)]

I also sent it to Susan  Langmore who did reply to her. All on same wave length.

-------------- Original message -------------- 
From: "Pressman, Hilda" <pressmah at sjhmc.org> 

> I just sent Geriann a response off line recommending that she contact you. 
> Thanks for your reply. I also urged her to sepak with her state association to 
> determine whether FEES is within their scope of practice and if there are any 
> restrictions. We were grateful to you, Sue, for helping us to get FEES within 
> the scope of practice for our licensing in NJ. Hilda Pressman 
> 
> -----Original Message----- 
> From: dysphagia-bounces at dysphagia.com 
> [mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Susan G. 
> Butler/Otolaryngology 
> Sent: Thursday, July 19, 2007 8:12 AM 
> To: gerriann jackson; dysphagia at b9.com 
> Subject: Re: [Dysphagia] FEES Procedure 
> 
> 
> Hi Geriann, 
> 
> One of the more recent articles on safety in FEES/FEESST, that I'm aware 
> of is: 
> 
> ------------------------------ 
> Ann Otol Rhinol Laryngol. 2005 Mar;114(3):173-6.Links 
> Flexible endoscopic evaluation of swallowing with sensory testing: 
> patient characteristics and analysis of safety in 1,340 consecutive 
> examinations.Aviv JE, Murry T, Zschommler A, Cohen M, Gartner C. 
> Voice and Swallowing Center, Department of Otolaryngology-Head and Neck 
> Surgery, College of Physicians and Surgeons, Columbia University, 
> Columbia University Medical Center, New York-Presbyterian Hospital, New 
> York, New York 10032, USA. 
> 
> Flexible endoscopic evaluation of swallowing with sensory testing 
> (FEESST) is a comprehensive endoscopic assessment of the sensory and 
> motor components of a swallow. Previous studies addressing patient 
> safety issues with respect to FEESST included relatively small numbers 
> of patients and paid almost no attention to patient characteristics. The 
> purpose of this study was to determine the incidence of FEESST-related 
> complications in the outpatient and inpatient settings and to analyze 
> patient diagnoses that led to the performance of FEESST. We performed a 
> prospective study of FEESST complications in 1,340 consecutive 
> evaluations performed over a 4 1/2-year period. The primary outcome 
> variables were incidence of epistaxis and airway compromise. The 
> secondary outcome variable was underlying patient diagnoses. The 
> incidence of epistaxis was 1 in 1,340 (0.07%). There were no instances 
> of airway compromise. Stroke was the most common reason for the 
> performance of FEESST (343; 25.6%), followed by cardiac-related 
> dysphagia (298; 22.2%) following open heart surgery (169/298; 56.7%), 
> heart attack, congestive heart failure, or new arrhythmia. The remaining 
> causes were head and neck cancer (207; 15.4%), pulmonary disease (141; 
> 10.5%), chronic neurologic disease (124; 9.3%), and acid reflux disease 
> (80; 6.0%). We conclude that FEESST is a relatively safe procedure for 
> the sensory and motor assessment of dysphagia in a cohort of patients 
> with a wide variety of underlying diagnoses. The emergence of cardiac 
> surgery as a common cause of dysphagia warrants further study. 
> 
> 
> ***They reported 0/0 (0%), airway compromise 1/1340 (0.07%) nose 
> bleeds/epistaxis, and 47/1,340 (3.51%) incomplete exams. 
> 
> If you still need the Susan Langmore abstract let me know. It was an 
> abstract that was probably printed in the back of the Dysphagia Journal 
> as a preceding of Dysphagia Research Society Meeting in 1995 (the 
> abstract printing may have been in 1996, I believe)..... It will be mid 
> next week before I can look for it - but can fax it to you if you need 
> it. 
> 
> Susan 
> 
> 
> Susan G. Butler, PhD, CCC-SLP 
> Associate Professor 
> Center for Voice and Swallowing Disorders 
> Department of Otolaryngology 
> Wake Forest University Health Sciences 
> Medical Center Boulevard 
> Winston-Salem, NC 27157 
> Academic Office: (336) 716-7272 
> Academic Fax (336) 716-3857 
> Clinic: (336) 716-7157 
> Clinic Fax: (336) 716-8878 
> email: sbutler at wfubmc.edu 
> 
> -----Original Message----- 
> From: dysphagia-bounces at dysphagia.com 
> [mailto:dysphagia-bounces at dysphagia.com] On Behalf Of gerriann jackson 
> Sent: Wednesday, July 18, 2007 7:02 PM 
> To: dysphagia at b9.com 
> Subject: [Dysphagia] FEES Procedure 
> 
> To all: 
> 
> I work in a smallish acute care hospital w/ attached LTC and I am 
> currently writing our policy and procedures for FEES. I am meeting with 
> our credentialing board to develop our credentialing procedure (if they 
> approve) I am looking for the data on FEES safety record that was 
> presented at the Dysphagia Research Society Meeting in 
> 1995 by Langmore et al. Our facility's librarian could not access this 
> at all. 
> 
> I appreciate your help, 
> 
> Gerriann Jackson, M.S., CCC-SLP 
> Speech Pathologist 
> ViaHealth of Wayne 
> 
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