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[Dysphagia] FEES Procedure
Thank you EVERYONE!
Gerriann
-----Original Message-----
From: bsonies at comcast.net [mailto:bsonies at comcast.net]
Sent: Thursday, July 19, 2007 10:21 AM
To: Pressman, Hilda; Susan G. Butler/Otolaryngology; gerriann jackson;
dysphagia at b9.com
Subject: Re: [Dysphagia] FEES Procedure
I also sent it to Susan Langmore who did reply to her. All on same wave
length.
-------------- Original message --------------
From: "Pressman, Hilda" <pressmah at sjhmc.org>
> I just sent Geriann a response off line recommending that she contact
you.
> Thanks for your reply. I also urged her to sepak with her state
association to
> determine whether FEES is within their scope of practice and if there
are any
> restrictions. We were grateful to you, Sue, for helping us to get FEES
within
> the scope of practice for our licensing in NJ. Hilda Pressman
>
> -----Original Message-----
> From: dysphagia-bounces at dysphagia.com
> [mailto:dysphagia-bounces at dysphagia.com]On Behalf Of Susan G.
> Butler/Otolaryngology
> Sent: Thursday, July 19, 2007 8:12 AM
> To: gerriann jackson; dysphagia at b9.com
> Subject: Re: [Dysphagia] FEES Procedure
>
>
> Hi Geriann,
>
> One of the more recent articles on safety in FEES/FEESST, that I'm
aware
> of is:
>
> ------------------------------
> Ann Otol Rhinol Laryngol. 2005 Mar;114(3):173-6.Links
> Flexible endoscopic evaluation of swallowing with sensory testing:
> patient characteristics and analysis of safety in 1,340 consecutive
> examinations.Aviv JE, Murry T, Zschommler A, Cohen M, Gartner C.
> Voice and Swallowing Center, Department of Otolaryngology-Head and
Neck
> Surgery, College of Physicians and Surgeons, Columbia University,
> Columbia University Medical Center, New York-Presbyterian Hospital,
New
> York, New York 10032, USA.
>
> Flexible endoscopic evaluation of swallowing with sensory testing
> (FEESST) is a comprehensive endoscopic assessment of the sensory and
> motor components of a swallow. Previous studies addressing patient
> safety issues with respect to FEESST i ncluded relatively small
numbers
> of patients and paid almost no attention to patient characteristics.
The
> purpose of this study was to determine the incidence of FEESST-related
> complications in the outpatient and inpatient settings and to analyze
> patient diagnoses that led to the performance of FEESST. We performed
a
> prospective study of FEESST complications in 1,340 consecutive
> evaluations performed over a 4 1/2-year period. The primary outcome
> variables were incidence of epistaxis and airway compromise. The
> secondary outcome variable was underlying patient diagnoses. The
> incidence of epistaxis was 1 in 1,340 (0.07%). There were no instances
> of airway compromise. Stroke was the most common reason for the
> performance of FEESST (343; 25.6%), followed by cardiac-related
> dysphagia (298; 22.2%) following open heart surgery (169/298; 56.7%),
> heart attack, congestive heart failure, or new arrhythmia. The
remaining
> causes were head and neck cancer (207; 15.4%), pulmonary disease (141;
> 10.5%), chronic neurologic disease (124; 9.3%), and acid reflux
disease
> (80; 6.0%). We conclude that FEESST is a relatively safe procedure for
> the sensory and motor assessment of dysphagia in a cohort of patients
> with a wide variety of underlying diagnoses. The emergence of cardiac
> surgery as a common cause of dysphagia warrants further study.
>
>
> ***They reported 0/0 (0%), airway compromise 1/1340 (0.07%) nose
> bleeds/epistaxis, and 47/1,340 (3.51%) incomplete exams.
>
> If you still need the Susan Langmore abstract let me know. It was an
> abstract that was probably printed in the back of the Dysphagia
Journal
> as a preceding of Dysphagia Research Society Meeting in 1995 (the
> abstract printing may have been in 1996, I believe)..... It will be
mid
> next week before I can look for it - but can fax it to you if you need
> it.
>
> Susan
>
>
> Susan G. Butler, PhD, CCC-SLP
> Associate Professor
> Center for Voice and Swallowing Disorders
> Department of Otolaryngology
> Wake Forest University Health Sciences
> Medical Center Boulevard
> Winston-Salem, NC 27157
> Academic Office: (336) 716-7272
> Academic Fax (336) 716-3857
> Clinic: (336) 716-7157
> Clinic Fax: (336) 716-8878
> email: sbutler at wfubmc.edu
>
> -----Original Message-----
> From: dysphagia-bounces at dysphagia.com
> [mailto:dysphagia-bounces at dysphagia.com] On Behalf Of gerriann jackson
> Sent: Wednesday, July 18, 2007 7:02 PM
> To: dysphagia at b9.com
> Subject: [Dysphagia] FEES Procedure
>
> To all:
>
> I work in a smallish acute care hospital w/ attached LTC and I am
> currently writing our policy and procedures for FEES. I am meeting
with
> our credentialing board to develop our credentialing procedure (if
they
> approve) I am looking for the data on FEES safety record that was
> presented at the Dysphagia Research Society Meeting in
> 1995 by Langmore et al. Our facility's librarian could not access this
> at all.
>
> I appreciate your help,
>
> Gerriann Jackson, M.S., CCC-SLP
> Speech Pathologist
> ViaHealth of Wayne
>
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