8.1 - FEES Flashcards
What does FEES stand for?
Fiberoptic Endoscopic Evaluation of Swallowing
What does only FEES allow us to see?
5
Secretions
Anatomy + muscular abnormalities
Effects of altered anatomy on bolus flow
Glottic closure (voicing)
Bolus path and exact location of bolus
What does VFSS (Barium) allow us to see?
5
Bolus location at height of swallow
Analysis of oral + esophageal phase
Base of Tongue retraction
UES opening
Extent of aspiration
What is the intended outcome of FEES?
3
Identifying normal/abnormal anatomy + physiology of the swallow
Evaluating effects of compensatory strategies
Requesting limitations
Is there certification for FEES?
No but ASHA has recommendations
What are the parts of a FEES equipment?
4
Fiberoptic Nasoendoscope
Light source
Camera
Recording device
What is the whiteout period?
When all the swallowing structures are squeezed together during the swallow
Do most patients experience pain with FEES?
No
What are four benefits of FEES?
Can be administered at bedside
Does not have time limitations
Does not have limitations on how much food can be digested
Uses real food
What are two benefits of VFSS?
Visualizes the entire oral-pharyngeal swallow
Can measure the effects of compensatory approaches
What are three disadvantages of FEES?
Cannot see oral cavity
Cannot see the actual swallow due to whiteout
Possible discomfort
What are three disadvantages of VFSS?
Uses radiation
Must be administered in a radiology suite with technician
Unable to see secretions
What substances are usually used during FEES?
6
Thin liquid
Nectar-thick liquid
Honey-thick liquid
Applesauce
Diced peaches (soft solid)
Cookie/cracker
What negative things might you see on a FEES?
4
Spillage (delayed swallow)
Residue
Penetration
Aspiration
