Important in setting risk LRTI History - Coughing/choking/gagging/cyanosis/wheeze with feed - Types of feeds ?modified diet - Drooling/noisy breathing - Relationship between feeds and symptoms Examination - Posture - Drooling - Cough/gag - Tongue - UA noises - Anatomical anomalies e.g. cleft lip/palate - Increased WOB Investigate - Observe feed - CXR - VFSS - Barium meal/swallow Manage - Upright posture post feeds - Thicken feeds - PPI to reduce gastric acidity - Trial NJT - Fundoplication - PEG +/- PEJ Consider cause - Above: cleft, micrognathia, bulbar palsy - Below: GORD

Aspiration Flashcards by Lauren D'Agostino

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Aspiration

Important in setting risk LRTI
History
- Coughing/choking/gagging/cyanosis/wheeze with feed
- Types of feeds ?modified diet
- Drooling/noisy breathing
- Relationship between feeds and symptoms

Examination

Posture
Drooling
Cough/gag
Tongue
UA noises
Anatomical anomalies e.g. cleft lip/palate
Increased WOB

Investigate

Observe feed
CXR
VFSS
Barium meal/swallow

Manage

Upright posture post feeds
Thicken feeds
PPI to reduce gastric acidity
Trial NJT
Fundoplication
PEG +/- PEJ

Consider cause

Above: cleft, micrognathia, bulbar palsy
Below: GORD

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Aspiration Flashcards

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