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PD103127 Cover image
Presenter(s): Elizabeth S Norberg, MS, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Endotracheal intubation can have a significant impact on both swallow function and laryngeal integrity. When consulted after extubation, SLPs may have questions such as: How long after extubation should the assessment occur? What can I learn from a bedside swallow exam and is it enough? What findings should prompt an ENT referral? This session will examine current research to inform clinical decision-making and discuss the early utilization of flexible endoscopic evaluation of swallowing (FEES) to identify deficits and guide clinicians to make appropriate referrals.
Presenter(s): Katlyn E. McGrattan, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session describes the evidence to assist in answering questions like: Is a swallow that initiates in the pyriform sinuses "delayed" and the source of a child's impairment? Is coughing during a feed a clear sign of aspiration that warrants instrumental assessment and conservative management? What is the significance of stress cues during a feed?
Presenter(s): Pamela M Dodrill, PhD, CCC-SLP, BCS-S, CNT
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: The session explores clinical feeding assessment tools that are appropriate for use in various clinical settings with children from birth to 3 years of age with varying etiologies. The speaker discusses pros and cons of various assessment tools as well as the importance of incorporating functional measures into your assessment battery to help guide meaningful management goals.
Presenter(s): Jenny E Reynolds, MS, CCC-SLP, CLC, CNT, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session describes the value of interprofessional practice (IPP) on a pediatric FEES (flexible [or fiberoptic] endoscopic evaluation of swallowing) team. The presenter shares FEES case studies that illustrate this collaborative model for dysphagia management; describes the successes and challenges encountered by the IPP team during pediatric FEES; and reviews current FEES literature in the pediatric population.
Presenter(s): Joan C Arvedson, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session discusses challenges for the future as a combination of art and science as well as highlights areas of consensus and controversy in the many facets of practice that encompass pediatric feeding and swallowing.
Presenter(s): Katie S. Allen, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: When SLPs are tasked with evaluating and treating patients who use high flow nasal cannula oxygenation systems, they may have questions about these systems' potential impact on swallowing. This session discusses the literature on swallowing and use of high flow nasal cannulas and the implications for dysphagia evaluation and treatment.
Presenter(s): Luis F Riquelme, PhD, CCC-SLP, BCS-S
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Modifying diet consistencies is one of the more common approaches to dysphagia care. However, much controversy remains regarding how SLPs tackle decision-making and about the actual modification and measurement of liquids and foods in terms of nutrition and safety as primary goals of dysphagia treatment. This session addresses the complexities in both processes, with a focus on achieving the best outcomes for each patient.
Presenter(s): Alicia Kim Vose, PhD, CCC-SLP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: Impairments in laryngeal vestibule closure (LVC) are a major cause of aspiration during swallowing. Accurately identifying LVC impairment is a priority in dysphagia management as aspiration can occur if LVC is absent or delayed, or duration is reduced. However, this mechanism is often overlooked and underreported in the evaluation of swallowing and in swallowing research. This session discusses methods for incorporating LVC as a primary outcome measure in dysphagia diagnosis and management to increase diagnostic accuracy and optimize dysphagia management.
Presenter(s): Gintas Krisciunas, MPH, MA; Susan L Langmore, PhD, CCC-SLP, BCS-S; Renee Speyer, PhD
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session reviews what it means for a measure to be objective, subjective, and/or valid and applies these concepts to fiberoptic endoscopic evaluation of swallowing (FEES). The presenters also discuss other, equally important, criteria to consider when evaluating a patient for dysphagia: accuracy, meaningfulness, and relevancy.
Presenter(s): Rinki Varindani Desai, MS, CCC-SLP, CBIS, CDP
Credit(s): PDHs: 1.0, ASHA CEUs*: 0.1
Summary: This session shares preferred practices for selecting, conducting, and interpreting instrumental swallow exams. The speaker discusses strengths and limitations of different instrumental exams, along with clinical applications to promote more accurate dysphagia diagnosis, targeted treatment planning, and positive patient outcomes. The session includes tips for critical thinking and current evidence supporting the use of instrumental exams to optimize the safety and quality of life of those living with swallowing disorders.
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