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Updated: May 11, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
[FEES in the stroke unit: recommendations for implementation in the clinical routine]
1Klinik für Allgemeine Neurologie, Universitätklinikum Münster, Albert-Schweitzer-Campus 1, 48129 Münster, Deutschland. dziewas@uni-muenster.de
Flexible endoscopic evaluation of swallowing (FEES) aids acute stroke dysphagia assessment. This guide details FEES implementation, training, and team-based care for improved patient outcomes.
Area of Science:
- Neurology
- Gastroenterology
- Otolaryngology
Context:
- Dysphagia affects 50% of acute stroke patients, increasing morbidity and mortality.
- Aspiration pneumonia is a common complication linked to dysphagia post-stroke.
Purpose:
- To provide recommendations for the implementation and execution of Flexible Endoscopic Evaluation of Swallowing (FEES) in German stroke units.
- To standardize FEES training and practice for neurologists and speech-language pathologists (SLPs).
Summary:
- A 3-step process (training, supervised practice, independent practice) is recommended for acquiring FEES proficiency.
- FEES should be a collaborative effort between neurologists and SLPs, with flexible role allocation.
- Standardized endoscopic grading and a unified educational curriculum are crucial for effective stroke-related dysphagia management.
Impact:
- Enhances diagnostic accuracy for dysphagia in acute stroke patients.
- Promotes interprofessional communication and efficient workflow in stroke care.
- Aims to improve patient outcomes by optimizing dysphagia assessment and management strategies.
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