Tutorial on Clinical Practice for Use of the Fiberoptic Endoscopic Evaluation of Swallowing Procedure With Pediatric Populations: Part 2.

Autor: Miller CK; Aerodigestive and Esophageal Center, Division of Speech-Language Pathology, Cincinnati Children's Hospital Medical Center, OH., Reynolds J; Neonatal Intensive Care Unit, Baylor University Medical Center, Dallas, TX., Kelchner LN; Department of Communication Sciences and Disorders, University of Cincinnati, OH., Scarborough D; Department of Speech Pathology and Audiology, Miami University, Oxford, OH., Langmore S; Department of Otolaryngology-Head & Neck Surgery, Boston University School of Medicine, MA., Gosa M; Department of Communicative Disorders, The University of Alabama, Tuscaloosa.
Jazyk: angličtina
Zdroj: American journal of speech-language pathology [Am J Speech Lang Pathol] 2023 Jan 11; Vol. 32 (1), pp. 55-82. Date of Electronic Publication: 2022 Dec 20.
DOI: 10.1044/2022_AJSLP-22-00057
Abstrakt: Purpose: This is Part 2 of a two-part tutorial series establishing clinical guidelines pertaining to the administration of fiberoptic endoscopic evaluation of swallowing (FEES) developed by representatives of the American Board of Swallowing and Swallowing Disorders, all of whom are members of Special Interest Group 13. Whereas Part 1 focused on use of FEES with adults and included general information common to using FEES in any population, the purpose of this tutorial is to provide clinicians with updated best practice clinical guidelines for performing, interpreting, and documenting outcomes when using FEES with the pediatric population. This document has two main sections. The first section discusses the history of pediatric FEES, needed knowledge and skill pertaining to all elements of performing and interpreting the examination including detailed information related to indications and contraindications, developmental anatomical and physiological changes across childhood, preparing for and conducting the examination, medical collaboration, and patient safety. The second section provides detailed guidelines for clinicians who require training for use of FEES with the pediatric population.
Conclusions: This first of its kind tutorial offers guidelines for clinicians who perform, interpret, and/or want to train to perform FEES in the pediatric population. Important clinical distinctions exist when using FEES with the pediatric population versus with the adult population. Developmental changes, pediatric medical frailty, provider-parent/caregiver interaction, collaboration with physician colleagues, and patient safety are representative of key areas highlighted in this document.
Databáze: MEDLINE