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Session VI: Testing the Aerodigestive Patient in the ICU: What, When, Why, How?

 Saturday, March 9 ,2019

11:00 a.m.-12:00 p.m.

  (Each presentation is 20 minutes)

 Moderator:

Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF

Susan Langmore PhD, CCC-SLP, BCS-S

 


 

Clinical Decision Making in Managing Complex Patients With Dysphagia

Sebastian Doeltgen, MSLT, PhD

Clinical decision making for complex dysphagic adults can be challenging. Clinical reasoning must be based on the information revealed from the tests, therapies, and different providers’ expertise. Intuition is often needed in providing the right solutions, while understanding the difficulties faced by the families and providers in being compliant to therapies.

After this presentation, attendees will be able to:

  • Gain an overview of reasoning strategies.
  • Understand the complex process of decision making in dysphagia assessment. 

A Critical Look at the Aerodigestive Evaluation Strategies in the ICU Patient: What Are They? When To Do and When Not To Do? 

Ashli O'Rourke, MS, MD

An in-depth understanding of airway evaluation methods and their clinical appropriateness in applying new information to the diagnosis and practice of safe swallowing will be discussed during this presentation.

After this presentation, attendees will be able to:

  • Name at least three signs that an ICU patient may not be appropriate for intervention.
  • Discuss the pros and cons of various airway evaluation methods that may benefit ICU patients. 

Critical Appraisal of Existing and Emerging Testing Methods in the Evaluation of the Dysphagic Patient

Ravinder Mittal, MD

This presentation will discuss the importance of pharyngo-esophageal high resolution impedance manometry methods in the evaluation of dysphagia. In addition, a discussion into the role of upper esophageal sphincter, esophageal body and lower esophageal sphincter in influencing dysphagia will be presented. Combining testing modalities to enhance the clinical interpretation and develop personalized approaches will be presented.

Evaluation of the Aerodigestive Tract in the ICU Patient: What, When, Why (or not) & How? 

Sudarshan Jadcherla, MD, DCH, FRCP(Irel), AGAF

Clinical crib-side evaluation can be limited in the ICU infant with chronic lung disease or aerodigestive symptoms. Cross-systems interrogation using combination modalities and instrumentation in developing personalized strategies, and make clinically appropriate recommendations to achieve the best outcomes will be discussed.

After this presentation, attendees will be able to:

  • Understand multi-disciplinary and multi-systemic investigations for the dysphagic infant in the ICU. 
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