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

<p>The Medical SLP version of a “Battle of the Bands” would be, without a doubt, a “Battle of the Instrumentals.”</p> <p>As in, which is better: MBS or FEES?</p> <p>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.</p> <p>And Dr. Jessica Pisegna is here to talk about it in this week’s episode of The Swallow Your Pride Podcast!</p> <p>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.</p> <p>In this episode, we cover:</p> <p>-When Dr. Pesegna chooses FEES, MBS, or BOTH simultanously. <br /> -What her latest research found when it comes to absent or reduced epiglottic inversion on FEES and what it can mean<br /> -The importance of the brand and color of food dye<br /> -Why FEES should be used in acute care<br /> -The use of residue rating scales and the consistency of clinician ratings.<br /> -Laryngeal sensory testing<br /> -The ice chip protocol and the Frazier Free Water Protocol<br />  -The reliability of Penetration-Aspiration Scale (PAS) on FEES.</p> <p>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!</p> <p>Get the show notes full of references here:<br /> https://syppodcast.com/331</p> <p> TIMESTAMPS:</p> <p>Simultaneous FEES and Video Fluoroscopy (00:03:40)<br /> Research Findings (00:06:18)<br /> Sensitivity of FEES (00:10:00)<br /> FEES in Acute Care (00:14:49)<br /> Triage Protocol (00:16:17)<br /> Simultaneous FEES and Video Fluoroscopy (00:16:45)<br /> Turnaround Time for FEES (00:17:33)<br /> Rating Scales for Residue (00:18:12)<br /> Assessing Reliability Between Clinicians (00:19:48)<br /> New Zealand Secretion Scale (00:22:15)<br /> Global Picture of Patient Care (00:23:44)<br /> Management of Secretions in Acute Care (00:24:39)<br /> Laryngeal Sensory Testing (00:25:17)<br /> Ice Chip Protocol (00:28:55)<br /> FEES and PPIs Ratings (00:35:10)<br /> Challenges and Considerations in Using PAS on FEES (00:38:34)<br /> Reliability of Digest FEES (00:40:26)</p> <p>The post <a href="https://swallowyourpridepodcast.com/331-mbs-vs-fees-time-to-dig-deeper-into-instrumental-swallow-studies-with-jessica-pisegna/">331 – MBS vs FEES: Time to Dig Deeper into Instrumental Swallow Studies with Dr. Jessica Pisegna</a> appeared first on <a href="https://swallowyourpridepodcast.com">Swallow Your Pride Podcast</a>.</p>