VFSS

Question 1

VFSS, c’est quoi?

Answer 1

Vidéofluroscopic Swallow Study
aka Modified Barium Swallow

C’est un rayon X en vidéo, d’un squelette qui mastique, qui mange, qui bois et qui avale.

Question 2

Pourquoi utiliser le barium dans un VFSS?

Answer 2

Le barium va réfracter la lumière dans un rayon X dans les différentes textures que le patient va boire et manger.

Question 3

C’est quoi le temps maximale d’un VFSS?

Answer 3

30 minutes pour le VFSS.
5 minutes de radiation totale.
C’est 30 minutes, car on prend des pauses.

Question 4

Le barium, ça goute quoi?

Answer 4

Ça goute un peu le craie sucré. C’est un peux pateaux.

Question 5

Il faut s’assurer que le patient n’est pas allergique à quoi, quand on fait un VFSS?

Answer 5

Barium

Question 6

What are the main things I need to be able to do in stage with a VFSS?

Answer 6

1. Trouve les répères anatomiques.
   2.

Question 7

The historic practice of eyeballing barium recipes led to what kind of problem (2 points)?

Answer 7

1. Situations where SLPs confused barium coating for residue.
2. That is, SLP created false positive impressions of swallowing impairment!

Question 8

Where can I find more info about VFSS best practices.

Answer 8

chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://steeleswallowinglab.ca/srrl/wp-content/uploads/VFSS-Best-Practice-Recommendations-V2.0.pdf

Question 9

Catriona Steele strongly recommends that whenever you prepare liquid barium, you do what to confirm the consistency of the product you have prepared at point of service/administration?

Answer 9

run an IDDSI flow test

Question 10

Why does Steele recommend that whenever you prepare liquid barium, you run an IDDSI flow toest of the consistency of the product you have prepared at point of service/administration?

Answer 10

Interactions may occur between the ingredients of barium sulfate powders and thickening agents in pre-thickened liquids, or between these ingredients and components of liquids.

Question 11

What is the IDDSI flow test for extremely thick liquids, level 4?

Answer 11

spoon-tilt and fork drip tests

Question 12

Where to find the Barium Calculator?

Answer 12

https://steeleswallowinglab.ca/srrl/best-practice/barium-recipes/iddsi-barium-calculator/

Question 13

L’enregistrement radiographique de l’anatomie oropharyngée suivi d’une vidéo de la déglutition des bols alimentaires barytés s’appelle….

Answer 13

VFSS
Vidéofluoroscopic Swallow Study

Question 14

Le VFSS permet l’analyse de la déglutition à une cadence de ….

Answer 14

30 images / seconde

Question 15

Avec le VFSS, on voit quel partie du corps?

Answer 15

C’est une vue des lèvres jusqu’au SSO (UES upper esophageal sphincter)

Question 16

Le VFSS permet de visualer quels phases de déglutition?

Answer 16

Toutes les phases de la déglutition (incluant la phase œsophagienne)

Question 17

Le VFSS permet la visualisation des fausses routes à quel moment de la déglutition ?

Answer 17

Avant, pendant, et après la déglutition

Question 18

Le VFSS permet une vue en quel directions (2)?

Answer 18

Le VFSS permet une vue en face (AP)
1. antérieure-postérieure et
2. latérale

Question 19

Le VFSS, ça sert à quoi (4 choses). Nommez-les.

Answer 19

1. Confirmer la présence d’aspiration
2. Prendre des décision clinique
3. Éducation/feedback
4. Recherche

Question 20

The OI score represents the
a) best
b) worst
score observed across all consistencies and volumes; however, there are exceptions to this general rule.

Answer 20

The OI score represents the “worst” (i.e. most impaired) score observed across all consistencies and volumes; however, there are exceptions to this general rule.

Question 21

The first 5ml tsp. administration of thin liquid (trial #1 on the protocol) should not be considered when formulating the OI score. Why is that?

Answer 21

The patient’s response to the first presentation of barium is not representative of their swallowing function. The patient is accommodating to the radiologic environment and the taste of barium and, thus, trial #1 should not be considered for OI scoring.

Question 22

For each of the protocol’s remaining 11 swallow trials, the OI score is based on the
a) first
b) second
c) third
swallow of each trial.

Answer 22

For each of the protocol’s remaining 11 swallow trials, the OI score is based on the initial swallow of each trial. If the patient swallows several times in an attempt to clear the bolus from the oral and/or pharyngeal cavity this would be considered compensation and does not change the impairment score observed on the initial swallow.