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Dysphagia > Exam 2 - VFSS vs FEES > Flashcards

Exam 2 - VFSS vs FEES Flashcards

1
Q

can assess anatomy and physiology of upper aerodigestive mechanism used in swallowing

A

VFSS
FEES

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2
Q

can vary amount and textures

A

VFSS
FEES

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3
Q

videotaped

A

VFSS
FEES

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4
Q

able to view pharyngeal swallow as it happens

A

VFSS

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5
Q

can view oral prep and oral phase

A

VFSS

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6
Q

can view esophageal phase

A

VFSS

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7
Q

image lost during actual swallow

A

FEES

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8
Q

can crudely assess sensory functions

A

FEES

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9
Q

can view management of secretions and reactions to them

A

FEES

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10
Q

can document penetration and aspiration

A

VFSS
FEES

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11
Q

can EASILY view airway closure

A

FEES

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12
Q

can evaluate compensatory strategies

A

VFSS
FEES

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13
Q

readily available

A

VFSS - only if in the hospital
FEES

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14
Q

poratable

A

VFSS
FEES

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15
Q

exposure to radiation

A

VFSS

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16
Q

can view repeated swallows

A

VFSS
FEES

17
Q

similarities

A

objective Ax of a&p of upper aerodigestive mechanism used in swallowing
both vary amount and textures
similar Ax processes

18
Q

differences

A

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

19
Q

VFSS strengths

A

videotaped
see oropharyngeal A&P
from lips to esophagus
in hospital - readily accessible

20
Q

VFSS weaknesses

A

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

21
Q

VFSS interpretation

A

MBSImP
Timing Evals
C-VFE
DOSS
penetration-aspiration scale
VSS

22
Q

FEES strengths

A

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

23
Q

FEES weaknesses

A

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

24
Q

FEES interpretation

A

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

Dysphagia (6 decks)

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