[Dysphagia] A few peds inquiries

[RBeecher at chw.org (Beecher, Robert)]

Staci,

We are doing FEES at Children's Hospital of Wisconsin in Milwaukee.  We
do them as a team with the ENTs.  They pass the scope.  After the study,
we collaborate on the findings and then develop the recommendations
jointly.

Bob

Robert Beecher, M.S., CCC-SLP
Senior Speech/Language Pathologist
Board Recognized Specialist - Swallowing
Children's Hospital of Wisconsin
Masters Family Speech and Hearing Center - M.S.785
P.O. Box 1997
Milwaukee, WI  53201

E-mail rbeecher@chw.org
Phone: 414-266-6282
Fax: 414-266-6189

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
Behalf Of Staci Otto
Sent: Tuesday, June 06, 2006 11:14 AM
To: dysphagia@b9.com; clc1001@comcast.net; scott-dailey@uiowa.edu
Subject: RE: [Dysphagia] A few peds inquiries

Thanks for your feedback. I am aware of all the issues and concerns with
doing peds FEES- just looking for WHO is doing them at the current time.
 Our ENTS are doing them anyway... just beginning a whole new endeavor
here with revamping a few things... and gathering information and
resources

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


>>> "Dailey, Scott" <scott-dailey@uiowa.edu> 06/06/06 10:46 AM >>>
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

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