[Dysphagia] Silent aspiration

[Janet.finger at kindredhealthcare.com (Janet.finger@kindredhealthcare.com)]

Maybe 50% accuracy with a negative. A positive blue dye test is 100% accurate. I tell pts & families that a positive test tells me something, a negative tells me nothing. I see trach pts all day long so believe me I understand the pros & cons of blue dye testing. But thank you for the clarification,

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Laura_Bear@uhs.org
Sent: Thursday, November 10, 2005 11:36 AM
To: finger, Janet L
Cc: dysphagia@b9.com; LCDM11@aol.com
Subject: RE: [Dysphagia] Silent aspiration



But remember, the blue dye test only has a 50% accuracy rate....have to
take whole picture into consideration--pt. history (including GERD) and
present condition,respiratory function/ chest x-ray results, lab results,
clinical exam, medication effects, co-morbidities, ability to feed self and
perform oral care, etc....and even then, mey not be able to say silent
aspiration for sure, but should be able to tell if pt. is likely to
aspirate silently, or otherwise....
Laura Bear
MS, CCC-SLP
UHS hospitals
Johnson city, NY

---

This message and any attachments may contain information that is protected by law as privileged and confidential, and is transmitted for the sole use of the intended recipient(s). If you are not the intended recipient, you are hereby notified that any use, dissemination, copying or retention of this e-mail or the information contained herein is strictly prohibited. If you have received this e-mail in error, please immediately notify the sender by e-mail, and permanently delete this e-mail.


_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia






*************************************************************
The information contained in this E-mail transmission is
intended only for the use of the individual or entity to whom
it is addressed. It may contain privileged, confidential,
and protected health information.

If you received it in error, you are on notice of its status.
Please notify us immediately by reply e-mail and then please
delete this message from your system.  Please do not copy it
or use it for any purposes, or disclose its contents to any
other person. To do so could violate state and Federal
privacy laws. Thank you for your cooperation.
Please contact the sender if you need assistance.