[Dysphagia] A few peds inquiries

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

Staci,

I have completed FEES on some older children 10 years and up. All have
been cognitively intact.  There dysphagia was from Neurosurgical
interventions (cervical spine surgeries).

I have concerns about completing FEES with infants, although I know some
are doing this.  Infants are obligate nose breathers and placing an
endoscope in essentially 1/2 of the nasal airway (endoscope is larger
than an NG tube also) could have the potential for disrupting
respiratory coordination.  I have not data to support this.  I have also
witnessed Otolaryngologist placing endoscopes in the nurseries, and most
infants do not react favorably.  I have observed only one infant lie
completely still as the scope was inserted by the otolaryngologist.
This infant had no gag, no swallow, no suck, and was aspirating
significant amounts of saliva due to perinatal hypoxia.  This infant was
not sedated.  

Just my experience.

Scott

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 Staci Otto
Sent: Tuesday, June 06, 2006 8:56 AM
To: dysphagia@b9.com; clc1001@comcast.net
Subject: [Dysphagia] A few peds inquiries

Pediatric therapist looking for some resources/contacts regarding:

oral hygiene protocols for infants/peds?  
utilizing the Frazier water protocol, or modified version of it, with
peds?

Anyone doing FEES on peds?



Staci Otto MS CCC-SLP
Children's Hospital of Philadelphia
215-590-7636

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