[Dysphagia] Modified Barium Swallow (MBS)

[marthac at noln.com (Martha Carbone)]

We always do a bedside first to assess whether MBS/VFSS is indicated  
and whether pt will participate. In addition to po trials, we do the  
oral motor exam, interview the patient, and gather medical info from  
the chart. The times we go straight to MBS include trach patients and  
dx of aspiration pneumonitis. If I get a bedside ordered for these, I  
defer to the MBS.

Martha Carbone, MS, CCC-SLP

On Jun 6, 2007, at 9:15 AM, dysphagia-request at dysphagia.com wrote:

> From: Karen Kerr <speechie33 at hotmail.com>
> Date: June 6, 2007 12:48:22 AM EDT
> To: <dysphagia at dysphagia.com>
> Subject: [Dysphagia] Modified Barium Swallow (MBS)
>
>
>
> At our facility we run 2-4x MBS per week. Of late we have received a  
> lot of referrals from GP which haven't been appropriate (really didn't  
> need a MBS, could have been managed at bedside). As a result the  
> radiologists have not been happy with us and we are finding it harder  
> to arrange MBS clinics.
>
> What we have considered doing as a result of this is conduct bedside  
> swallowing assessments on all patients referred for a MBS from GPs. If  
> they still require a MBS, then we will arrange it for them. If a MBS  
> is not required, we will negotiate with the GP the need for the MBS.
>
> What I was wondering is if any one has any thoughts on this? Does  
> anyone else do a similar thing? If so, what is your reasoning behind  
> it? Also is there any literature on screening prior to MBS & possibly  
> a selection criteria to assist in selecting the right patients for an  
> MBS.
>
> Thank you in advance.
>
> Karen.
> _________________________________________________________________
> Invite your mail contacts to join your friends list with Windows Live  
> Spaces. It's easy!
> http://spaces.live.com/spacesapi.aspx?wx_action=create&wx_url=/ 
> friends.aspx&mkt=en-us
>
>