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Speech swallow study returns

25 Aug 2024

FEES allows medically fragile patients to stay in room



By: Damiana Kahn, speech language pathologist

What is Fiberoptic Endoscopic Evaluation of Swallowing (FEES)?

  • Instrumental assessment to visualize the swallow while the patient is eating and drinking.
  • Speech language pathologist passes an endoscope through the nose to visualize pharyngeal structures and possible penetration and/or aspiration with PO (per os).
  • Study occurs in patient rooms and patients swallow real food/drink, no barium.
  • Food and liquid trials have green food coloring added to improve visibility.

Why FEES?

  • Makes instrumental assessment of swallowing more accessible to medically fragile patients who cannot leave hospital room.
  • No weight limit, which can be a barrier for Modified Barium Swallow (MBS) currently.
  • Ability to directly visualize pharyngeal and laryngeal structures.

What providers need to know:

  • Speech staff will contact providers for orders to complete FEES.

Questions?

Contact Damiana Kahn, speech language pathologist; Kim Baglien, speech language pathologist and interim clinical lead; or Melissa Berry, manager of acute rehab services.