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[Dysphagia] FEES practices
I attended that session. No, SLPs do not advance the tip of the scope beyond the TVFs! These Drs said they do this only at the end of the exam in case the patient starts coughing vigorously at which time the exam would be over. It seems to have limited utility. This is a new twist on the FEES offered by some ENTs.
Lisa Kelchner
-----Original Message-----
From: amsoltan@utmb.edu
To: dysphagia@b9.com
Sent: Fri, 13 Oct 2006 1:48 PM
Subject: [Dysphagia] FEES practices
Hello all,
I have a question re: FEES practices. The head of the ENT department at our
hospital recently attended the American Academy of Otolaryngology's annual
meeting. Apparently one of the hot topics was the use of FEES, and it was
indicated that the tip of the endoscope should always be quickly passed beyond
the vocal cords and into the trachea to get an adequate view to assess for
aspiration. Our speech pathologists frequently use FEES in the acute care and
outpatient settings, most often without an ENT present (but refer if/when
appropriate), and we do not pass the scope below the cords. Are any of you
using this practice with FEES? If so, is the ENT the one scoping the patient?
Is it against our scope of practice to pass the endoscope so far? Thanks in
advance for any input!
Sincerely,
Amanda Soltani, M.C.D., CCC-SLP
Speech Pathologist I
University of Texas Medical Branch
(409)772-2711
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