Why FEES?
Concern / Complaint
Difficulty swallowing food, liquids, meds
Food feels "stuck" in throat
Frequent throat clearing or coughing during meals
Fatigue with meals
Weight loss, dehydration, malnutrition
Uncoordinated breathing and swallow timing
- Excessive or unmanaged secretions
Assist With Treatment Planning
Diet texture recommendations
Timely diagnostic results and recommendations
Determine safety for texture upgrade
Assess and determine effective compensatory strategies
Verify/determine effective NMES electrode placement
Video can be used for patient biofeedback and caregiver education
Determine physiological cause for dysphagia, leading to customized and specific treatment interventions
Types of Patients
Patients with recurrent respiratory illness
Patients with head and neck cancer (pre & post radiation)
Those with G-Tubes and persistent coughing
Progressive Neurological diagnosis
Trach or vent dependent
Difficulty with head or trunk control
Anatomical deviations to larynx, pharynx
- Dysphagia resulting from a stroke or TBI
Benefit Over MBS
Patient can have repeated FEES
Bedside capabilities for ICU patients
Patient's size or posture/positioning is not a barrier
More cost-effective
No radiation exposure
No exam duration restrictions
Onsite eval is convenient to patient
No need to transport patient out of facility/off the unit
- Isolation precautions are not a barrier