331 – MBS vs FEES: Time to Dig Deeper into Instrumental Swallow Studies with Dr. Jessica Pisegna

Swallow Your Pride Podcast

Theresa Richard, MA, CCC-SLP, BCS-S

Education, Health & Fitness, Business, Careers, Medicine

4.8 • 899 Ratings

🗓️ 3 June 2024

⏱️ 44 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

The Medical SLP version of a “Battle of the Bands” would be, without a doubt, a “Battle of the Instrumentals.”

As in, which is better: MBS or FEES?

The MBS has historically been viewed as the “gold standard” of instrumentals, but a LOT more research has come out about FEES since its introduction into the dysphagia world.

And Dr. Jessica Pisegna is here to talk about it in this week’s episode of The Swallow Your Pride Podcast!

Dr. Pesegna is the section chief at Boston Medical Center of the voice and swallowing center and has worked closely with the one and only Dr. Susan Langmore.

In this episode, we cover:

-When Dr. Pesegna chooses FEES, MBS, or BOTH simultanously.
-What her latest research found when it comes to absent or reduced epiglottic inversion on FEES and what it can mean
-The importance of the brand and color of food dye
-Why FEES should be used in acute care
-The use of residue rating scales and the consistency of clinician ratings.
-Laryngeal sensory testing
-The ice chip protocol and the Frazier Free Water Protocol
-The reliability of Penetration-Aspiration Scale (PAS) on FEES.

Prep your barium and get your scopes out, because this episode will leave you motivated to step up your game in the world of instrumental swallow studies!

Get the show notes full of references here:
https://syppodcast.com/331

TIMESTAMPS:

Simultaneous FEES and Video Fluoroscopy (00:03:40)
Research Findings (00:06:18)
Sensitivity of FEES (00:10:00)
FEES in Acute Care (00:14:49)
Triage Protocol (00:16:17)
Simultaneous FEES and Video Fluoroscopy (00:16:45)
Turnaround Time for FEES (00:17:33)
Rating Scales for Residue (00:18:12)
Assessing Reliability Between Clinicians (00:19:48)
New Zealand Secretion Scale (00:22:15)
Global Picture of Patient Care (00:23:44)
Management of Secretions in Acute Care (00:24:39)
Laryngeal Sensory Testing (00:25:17)
Ice Chip Protocol (00:28:55)
FEES and PPIs Ratings (00:35:10)
Challenges and Considerations in Using PAS on FEES (00:38:34)
Reliability of Digest FEES (00:40:26)

The post 331 – MBS vs FEES: Time to Dig Deeper into Instrumental Swallow Studies with Dr. Jessica Pisegna appeared first on Swallow Your Pride Podcast.

Transcript

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0:00.0	On this episode of the Swallier Pride Podcast, we have Dr.
0:02.9	Jess Fesegna.
0:04.1	Dr. Jess Fesegna is an Asha certified speech-language pathologist and is board certified
0:08.1	in swallowing and swallowing disorders.
0:09.8	Her clinical practice at Boston Medical Center focuses on rehabilitation of adult
0:13.6	swallowing, voicing, and speech disorders. She centers her research on
0:17.4	adult diagnostics and rehabilitation of swallowing, particularly evaluation and
0:21.6	treatment methodology as it relates to clinical outcomes.
0:24.8	Dr. Pasegna is dedicated to providing evidence-based clinical care and studying research to
0:29.9	improve dysphasia outcomes as well as teaching and mentoring others.
0:33.7	Dr. Pasekna has numerous publications and regularly contributes to academic forums.
0:38.5	She is an assistant professor of Odolaryngology within the Boston University, Chobanian, and Avidecian School of Medicine.
0:45.6	In addition to her clinical research and teaching responsibilities, Dr. Pasegna is the director of the
0:50.0	Center for Voices and Swallowing and Section Chief of the Speech and Swallowing Service at Boston Medical
0:55.2	Center. Welcome to the Swaleo Pride Podcast. I'm your host Teresa Richard. I'm a board
1:11.1	certified specialist in swallowing andowing and Swallowing Disorders and
1:14.0	founder of the Med-S-L-P collective and Med-SlP education. This podcast is dedicated to
1:19.7	delivering the latest evidence-based practice to medical SLPs everywhere while also recognizing
1:24.9	that medical SLPs everywhere are doing the best with what they've got.
1:28.8	Whether you are a new clinician seeking tangible tools for therapy or a seasoned vet stuck in a rut, my goal is simple to help you advance your
1:36.1	practice without feeling overwhelmed or underappreciated. This means that together will build confidence,
1:41.6	broaden your knowledge, and reignite your passion for our field.
	...

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