|
[Date Prev][Date Next]
[Chronological]
[Thread]
[Top]
[Dysphagia] Logemann results
Rob Melchionna <robmelch70 at hotmail.com> wrote: P { margin:0px; padding:0px } body { FONT-SIZE: 10pt; FONT-FAMILY:Tahoma }
"thickened fluids are aspirated, the thicker more than the thinner (as Perlman proved years ago)"
Can you clarify that for us? I've never heard that before.
Perlman PW; Cohen MA; Setzen M; Belafsky PC; Guss J; Mattucci KF; Ditkoff M The risk of aspiration of pureed food as determined by flexible endoscopic evaluation of swallowing with sensory testing. Otolaryngol Head Neck Surg 2004 ;130:80-3
Patients with impaired pharyngeal squeeze at different levels of sensory deficits are at significantly greater risk for aspiration of pureed foods
.. Dysphagic patients who are given a pureed diet to prevent aspiration may still be at risk for aspiration.
Also,
"the almost universl belief that thickening prevents aspiration"
Where did that come from? Do you mean among SLPs? Nurses? MDs? I really don't think this is the case anymore...
*** I'm surprised that you are surprised. I have been excoriated repeatedly for suggesting that thickening does not prevent aspiration as the archives of this list will show. There is a multi-million dollar business now operating on the assumption - transmitted to patients and families - that that thickening is essential to preent aspiration. In fact a recent message on this list clearly implied exactly that. I sincerely wish that it becomes NOT the case any more.
Irene
---------------------------------
> Date: Wed, 9 May 2007 15:45:05 -0700
> From: eripley at yahoo.com
> To: Wilma.Clancy at cdha.nshealth.ca; dysphagia at b9.com
> Subject: [Dysphagia] Logemann results
>
> These are the patients most often found in LTC ? and the Parkinson?s with dementia is actually the parkinsonian stage of dementing illness. I don?t believe anyone has made general statements about all dysphagic patients ? simply that, contrary to popular belief, thickened fluids are aspirated, the thicker more than the thinner (as Perlman proved years ago), and, as the authors say, it is probable that the lungs? ciliary motion cannot clear the gum-based thickener used. If so, this would apply to all since lung function is not affected by dementing illness.
> The importance of the findings is mainly to point out that the almost universl belief that thickening prevents aspiration is false and that dehydration is a constant danger.
>
> Dr I Campbell-Taylor
> Clinical Neuroscientist
> Exclusive Distributor:
> www.interactivetherapy.com
> _______________________________________________
> Dysphagia mail list: Normal and disordered swallowing information
> Dysphagia at dysphagia.com
> Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia
> Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
---------------------------------
Download Messenger. Start an i?m conversation. Support a cause. Join Now!
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
|
|