Clinical Reasoning and Problem Solving For Pediatric Instrumental Assessments
Population:
PediatricDiscipline:
SLPDiagnosis:
Feeding and SwallowingReferences:
- Harrington, B. M., & Maybee, J. L. (2022). Pediatric FEES: What It Takes to Achieve Optimal Outcomes. Perspectives of the ASHA Special Interest Groups, 7(6), 1972-1983.
- Fuller, L., Miles, A., Dharmarathna, I., & Allen, J. (2022). Variability in Swallowing Biomechanics in Infants with Feeding Difficulties: A Videofluoroscopic Analysis. Dysphagia, 37(6), 1740-1747.
- Dharmarathna, I., Miles, A., & Allen, J. (2021). Predicting penetration–aspiration through quantitative swallow measures of children: a videofluoroscopic study. European Archives of Oto-Rhino-Laryngology, 278, 1907-1916.
This flow sheet/decision tree helps differentiate and help with decision making between a FEES vs MBSS in the pediatric population and explores common pitfalls. This printable clinical reference is for speech-language pathologists working with pediatric patients, covering Feeding and Swallowing. Print Resource, US Letter, 2 pages. Members can view and print it.
Use this resource when a patient, family, or colleague asks:
- How do I decide between FEES and VFSS in pediatric dysphagia cases?
- How do I interpret limited swallow data when aspiration is not clearly captured?
- What should I do when a child cannot participate in an instrumental swallow study?
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