Infant FEES in the Neonatal Intensive Care Unit

Course Number
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 Raquel Garcia, SLPD, CCC-SLP, CNT, BCS-S & Leigh Ann Porter, MA, CCC-SLP
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) has been an instrumental tool used in adult intensive care units for many years. Adult intensivists have had education, training, and exposure to FEES to assess oropharyngeal physiology and direct appropriate treatment plans. Pediatric intensivists and neonatologists have had limited exposure to FEES and typically use videofluroscopic swallow studies (VFSS) as the gold standard for assessing dysphagia in infants. The purpose of this presentation is to review the role of FEES in a level three neonatal intensive care unit (NICU) and pediatric cardiac intensive care unit (PCVICU). Physician perceptions and education/training provided to the critical care nurse will be discussed at length, including an online survey that was completed by pediatric intensivists, neonatologists, and nurses about the role of FEES and safety of FEES with infants.

By the conclusion of this course, participants will be able to:

  1. Review neonate & infant anatomy and physiology for feeding & swallowing
  2. State the differences between FEES & VFSS
  3. Explain role of FEES in infant critical care units
About Raquel: Raquel Garcia is a trained craniofacial speech-language pathologist who is a core member of the Joe DiMaggio Children's Hospital Craniofacial team. She works in the acute care setting in the Neonatal Intensive Care Unit and Pediatric Cardiac Intensive Care Unit. She graduated with her M.S. in communication disorders from Nova Southeastern University and her doctorate of speech-language pathology from Northwestern University. Her clinical interests include velopharyngeal dysfunction, upper airway disorders, infant feeding, neonatal care, neuroanatomy, and dysphagia.

About Leigh Ann: Leigh Ann earned her master’s in Communication Sciences from the University of Central Florida in 2013, and has enjoyed being an SLP ever since. While at UCF, Leigh Ann was part of a grant to prepare SLPs to work with English Language Learners, earning a graduate certificate of TESOL (Teaching English to Speakers of Other Languages).

Leigh Ann now resides in Kansas City where she divides her time working across outpatient, acute, and inpatient rehab settings. She has presented courses offered for ASHA CEUs to regional SLPs on topics such as how the respiratory system and cough influence dysphagia, a review of the literature on dysphagia exercises, and generating measurable dysphagia goals. For multidisciplinary continuing education with PTs and OTs, Leigh Ann has presented on topics such as Cognitive Retraining with an emphasis on memory strategies, and the SLP’s scope of practice & making appropriate patient referrals to the SLP. 
Additional Information

This course is offered for 0.1 ASHA CEU (Introductory level, Professional Area)

Time Ordered Agenda:

1-5: Welcome and background
5-15: Brief overview of feeding in critical care units (i.e. NICU)
15-25: Overview of FEES 25-35: Differences between FEES and VFSS
35-45: Inclusion/Exclusion Criteria, Benefits of Infant FEES
45-60: Live Question and Answer

Course Disclosures: 

Financial: Leigh Ann Porter is a presenter for and receives compensation.
Nonfinancial: No relevant nonfinancial relationships exist. 

Financial: Raquel Garcia is a presenter for and receives compensation.

Nonfinancial: No relevant nonfinancial relationships exist. 

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