[Dysphagia] Logemann results and MBS

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

Hi 
I agree everyone has a right to opinion, and I still think the issue if thickened fluid goes over board at times. I don't think there is enough evidence to support that in real practice use of thickened fluid should be obsolete, we know FWP is not for all clients. With our current practice I think we are doing well. Unless we know (large scale multicentre studies or data) what is documented level on Asp Pneumonia in pt seen with thickened fluid and those without thickened fluid, we cannot ascertain if thickened fluid bad. It is a complex issue. We have started collecting data on Performance Indicator on how many pts develop Asp Pneumonia(AP) after Speech Pathology interventions and preliminary data on multicenter study shows on 618 pt only 18 developed and some of these already had AP and some were end stage QOL and not compliant and some had PEG so Pneumonitis rather then AP. We are hoping in future we will get more accurate data. I still take the stand thickened fluid is a useful intervention strategy if used cautiously and skilfully and as a mean to reach the goal of restoring normal/ adequate swallow. 
Ta
 

Jai Gupta. M.Sc.(S.H.) CPSP MSPA 
Manager, Speech Pathology Department 
The Sutherland Hospital 
* Locked Bag 21, Taren Point  NSW  2229 Australia
* +612 9540 7111 page 594 or Direct +612 9540 7558  
*+612 9540 7717 *+61 0401 373 324 
mailto:Jai.Gupta @  <mailto:Jai.Gupta@ sesiahs.health.nsw.gov.au> sesiahs.health.nsw.gov.au 

A Thought 

You see things; and you say, "Why?" But I dream things that never were; and I say, "Why not?" ...... George Bernard Shaw


 




-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley at yahoo.com]
Sent: Thursday, 10 May 2007 10:27 AM
To: Jai Gupta; dysphagia at b9.com
Subject: Logemann results and MBS 


    "I really cannot understand why some people are so obsessed about not giving 
thickened fluid when there is clinical evidence on MBS's that it has some 
advantages in some cases"
 
The Logemann study showed clearly that what happened on VFSS was not replicated in real life. That is the point. Whether or not the VFSS shows aspiration of thickened fluids or not, the end result is the same. One cannot extrapolate from a VFSS as to what will happen during a meal with real food and liquid. 

Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com


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