Bedside swallow evaluation pdf 2025

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Depending on your symptoms, you may have one or more of the following tests: Bedside Swallow Screen. Fiberoptic Endoscopic Evaluation of Swallow (FEES) Upper Endoscopy. Videofluoroscopic Swallow Study (VFSS), also known as a Modified Barium Swallow.
A fiberoptic endoscopic evaluation of swallowing (FEES) test is a procedure used to assess how well you swallow. During the procedure, a speech-language pathologist (SLP) passes a thin, flexible instrument through your nose. Then the SLP views parts of your throat as you swallow.
Dysphagia has long been underrecognised in critical care practice,4 but there is a growing awareness that bedside dysphagia screening by nurses may not only play an important role4,5 in identifying patients at risk of dysphagia and in need of specialised examination but also facilitate safe oral intake in patients not
The basic components include gathering a case history, a clinical exam of oropharyngeal function and swallowing, and perhaps an instrumental examination of the swallow mechanism. The history gathering may include a review of the medical chart, if available, as well as an interview with the patient and/or caregiver.
The Mann Assessment of Swallowing Ability (MASA) was developed by Mann et al. in 2002 as a screening tool for identifying eating and swallowing disorders in patients with stroke. The MASA can be used to quantify the aspiration risk via a bedside test.
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The FEES procedure involves passing the endoscopic instrument through the nose to observe the pharynx and larynx when the individual is swallowing saliva with and without food of varying consistencies [10]. VFSS applies the same principles but uses fluoroscopy over the oral cavity, pharynx, and cervical esophagus [10].
You will likely be asked to swallow a series of substances. They may range from water, thicker liquids, pureed foods, soft foods, and even regular foods. The SLP will note if you have problems chewing, swallowing, or breathing. They will also check if your voice sounds wet. That can be a sign of aspiration.
These tests may include: Modified barium swallow test (MBS) to visually show if material is traveling into your lungs. Fiberoptic endoscopic evaluation of swallowing (FEES) Video fluoroscopic swallowing study. Pharyngeal manometry to check the pressure inside your esophagus. Esophagogastroduodenoscopy.

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