Fw: [Dysphagia] Vfss/mbss preparation

[scott-dailey at uiowa.edu (Dailey, Scott)]

With children, especially infants, the reason we have them NPO for 3
hours prior to the study is because unlike adults, they will not eat if
they are not hungry.  Most babies who have full stomachs have no
interest in taking another bottle.  As we grow (at least for me anyway)
I can eat when I am not hungry.  Babies are smarter than adults in this
regard.

The rationale is not because the contrast tastes bad, because we flavor
it with the individual packets of Crystal Lite or Kool aid for the older
children, and will even mix their formula with the barium for the small
infants if necessary.   Under 4 months of age, they do not seem to
dislike the taste of the liquid barium.


Scott Dailey, MA, CCC-SLP
Speech-Language Pathologist
Department of Otolaryngology-Head & Neck Surgery
University of Iowa Hospitals and Clinics
200 Hawkins Dr. 21219 PFP
Iowa City, IA 52242-1078
(319)356-7030
-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of bsonies@comcast.net
Sent: Wednesday, August 02, 2006 2:38 PM
To: Melinda/ScottP; dysphagia@b9.com
Subject: Re: Fw: [Dysphagia] Vfss/mbss preparation

There is no need to fast and no need to deny food before the study
unless as suggested with children who dont want to swallow the"nasty
tasting stuff".

-------------- Original message -------------- 
From: Melinda/ScottP <msvmsv@swbell.net> 

> 
> 
> 
> ----- Forwarded Message ---- 
> From: Melinda/ScottP 
> To: "Clarke-Goertz, Kim (PAPHR)" 
> Sent: Wednesday, August 2, 2006 12:02:41 PM 
> Subject: Re: [Dysphagia] Vfss/mbss preparation 
> 
> 
> At Scottish Rite Hospital in Dallas, we just ask them not to eat
breakfast--in 
> the hopes that the hungrier they are, they will be more willing to eat
"our 
> foods". Our pt. population is pediatric. Our studies are scheduled for
8 and 9 
> in the morning. 
> Melinda Valentine, M.S., CCC-SLP 
> Licensed Speech-Language Pathologist 
> Texas Scottish Rite Hospital for Children 
> 214-559-7855 
> msvmsv@swbell.net 
> 
> 
> ----- Original Message ---- 
> From: "Clarke-Goertz, Kim (PAPHR)" 
> To: dysphagia listserv 
> Sent: Wednesday, August 2, 2006 11:23:56 AM 
> Subject: [Dysphagia] Vfss/mbss preparation 
> 
> 
> Hi All, 
> What do your facilities say to patients in preparation for
modifieds/videos? 
> E.g., do they ask them to fast for x number of hours prior? Just
wondering 
> what the general consensus on preparation is. 
> I have never had anyone refrain from anything oral or enteral prior to
a 
> study, but the radiology tech/mgr just emailed me stating we should
have 
> patients fast for 12 hours prior to the procedure. 
> What say you all to this? 
> Thanks, 
> Kim 
> 
> 
> 
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