[Dysphagia] Blue Dye Test - Trach patients

[EDolinger at Christianacare.org (Dolinger, Eric)]

You are correct, it was large amounts.  Jai you are also correct...few
reported deaths
In our hospital it was a "hot topic" a few years ago (as well as
infection control....which is an ongoing hot topic so the hospital
stopped stocking the single vials (steri blue if I recall correctly).
So.....trying to be really crafty, we switched to green dye (duh!
Mixture of blue and yellow dye).  We also use minimal amounts.

As far as the use of it for trach/vent patients, we don't do MEBD
testing due to reliability problems and the fact that we can do FEES

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: Staci Otto [mailto:otto at email.chop.edu] 
Sent: Thursday, July 19, 2007 4:57 PM
To: krigley at beaumonthospitals.com; Dolinger, Eric;
dysphagia at dysphagia.com; setaylor at ppmh.org
Subject: Re: [Dysphagia] Blue Dye Test - Trach patients


I believe those cases also involved adding large amounts of blue dye
straight into the enteral feeds - the amount that would be used during a
bedside use of blue dye should be much much lower than those amounts -
and can also be limited and controlled by preparing single syringes of
only 1-2 mL of dye total.  Really one little drop goes a long way... 

Staci Otto MS CCC-SLP
Senior Speech Pathologist
Center for Childhood Communication
Children's Hospital of Philadelphia
215-590-7636
fax # 215-590-5641


>>> "Dolinger, Eric" <EDolinger at Christianacare.org> 07/19/07 1:31 PM
>>>
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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