Exam 2 - VFSS vs FEES Flashcards
can assess anatomy and physiology of upper aerodigestive mechanism used in swallowing
VFSS
FEES
can vary amount and textures
VFSS
FEES
videotaped
VFSS
FEES
able to view pharyngeal swallow as it happens
VFSS
can view oral prep and oral phase
VFSS
can view esophageal phase
VFSS
image lost during actual swallow
FEES
can crudely assess sensory functions
FEES
can view management of secretions and reactions to them
FEES
can document penetration and aspiration
VFSS
FEES
can EASILY view airway closure
FEES
can evaluate compensatory strategies
VFSS
FEES
readily available
VFSS - only if in the hospital
FEES
poratable
VFSS
FEES
exposure to radiation
VFSS
can view repeated swallows
VFSS
FEES
similarities
objective Ax of a&p of upper aerodigestive mechanism used in swallowing
both vary amount and textures
similar Ax processes
differences
obvious technique differences (xray vs camera)
FEES - focus only on the pharynx fromt he nasopharynx to the hypopharynx
VFSS - see all phases
FEES- image lost during swallow or when food covers endoscope
VFSS - see structures during the swallow
FEES - superior when looking at pooled secretions
VFSS - CANNOT see secretions
FEES- more poratable
FEES - NO radiation/can repeat exams without as much concern
VFSS - radiation
FEES - can crudely assess sensory functions
VFSS strengths
videotaped
see oropharyngeal A&P
from lips to esophagus
in hospital - readily accessible
VFSS weaknesses
radiation
not best way to see pooled secretions
difficulty seeing airway closure mechanisms
limited access if outside hospital
short period - abnormal environment- may not be reflective
transportation
inconsistent interpretation among clinicians
VFSS interpretation
MBSImP
Timing Evals
C-VFE
DOSS
penetration-aspiration scale
VSS
FEES strengths
recorded
objective info
superior inspection of pharyngeal anatomy, sensation, laryngeal closure, secretions
accessibility
no concern of xray
used as biofeedback tool for airway protection
longer evals possible
FEES weaknesses
limited scope of view
no image of oral cavity, PES, or esophagus
focus is on the pharyngeal aspects
whiteout - although absence implicates weakness
potential complications - nosebleeds, laryngospasm, vasovagal response; allergic rx to meds used
may not be able to use with combative pts or those with bleeding disorders
FEES interpretation
intro - pt complaints - reasons for referral
findings
protocol - what was presented and characteristics of the swallow
*initiation of pharyngeal swallow
*airway protection
*bolus clearance
impressions
recommendations
