[Dysphagia] Blue Dye Test - Trach patients

[Jai.Gupta at SESIAHS.HEALTH.NSW.GOV.AU (Jai Gupta)]

We know some people can be allergic to Barium do we stop doing MBS? In
medical history inspite of the screening there are still reports of
death secondry to reaction... Every case must be treated with the best
intentions ... We should learn from the rpts publised and use the
information appropriately. It is not commonsense that if some one dies
in a particular procedure which can save millions of life should be
banned just because of that incident..does that happen in medical system
..no thus it is one of the ground rule in our protocol.. not to use BDT
in pt with any inflammatory condition ..medical consent is essential and
there are only 2 deaths one adult and one pead as far as my knowledge
goes and they have thought us what we did not know before. 
Jai Gupta 

-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Dolinger, Eric
Sent: Friday, 20 July 2007 3:31
To: Katherine Rigley-Rowell; dysphagia at dysphagia.com; Sharla Taylor
Subject: Re: [Dysphagia] Blue Dye Test - Trach patients

The other big issue was the case reports of deaths associated with the
(over)use of blue dye in certain critically ill patients.
For this reason, many hospitals stopped allowing it altogether

For example...

http://content.nejm.org/cgi/content/full/343/14/1047

Eric Dolinger, MA CCC-SLP
Senior Speech Pathologist
Christiana Care Health System
Phone 302-733-1015
Fax 302-733-1061
edolinger at christianacare.org

Main office 302-733-1010


-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Katherine
Rigley-Rowell
Sent: Thursday, July 19, 2007 9:44 AM
To: dysphagia at dysphagia.com; Sharla Taylor
Subject: Re: [Dysphagia] Blue Dye Test - Trach patients


When our facility used to do it, we had challenges with obtaining the
dye from our pharmacy due to sterilization requirements, etc.  We
eventually stopped performing the blue dye test due to chance of
infection to some pts.

Kathy Rigley, M.A., CCC
Speech & Language Pathologist
Center for Adult Communication Disorders Beaumont Health Center
Phone: (248) 655-5887
krigley at beaumonthospitals.com

>>> "Taylor, Sharla" <setaylor at ppmh.org> 07/19/07 9:33 AM >>>

Just wanting some comments on anyone's experiences with doing the Blue
Dye test with Trach patients and/or feeding patients on a ventilator.
Thanks!

Sharla E. Taylor, M.Ed., CCC-SLP
Speech Language Pathologist
Phoebe Putney Memorial Hospital
setaylor at ppmh.org
office - (229)312-8616
pager - (229)312-0005- - pager #3382
fax - (229)312-8605



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