Related Experiment Video

Updated: May 6, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.4K

Videofluoroscopic swallowing study predicts clinical outcomes in critically Ill children with dysphagia: a

Yoonju Na1, Jaeyoung Choi2, Jihong Choi3

  • 1Department of Physical Medicine and Rehabilitation, Ajou University School of Medicine, Suwon, Republic of Korea.

Frontiers in Pediatrics
|February 21, 2025
PubMed

Insights

Videofluoroscopic swallowing study (VFSS) in critically ill children can identify silent aspiration, predicting longer intensive care unit stays and delayed oral feeding. These findings aid in managing pediatric swallowing disorders.

Area of Science:

  • Pediatric critical care medicine
  • Swallowing disorders
  • Diagnostic imaging

Background:

  • Critically ill children often experience acute dysphagia.
  • Videofluoroscopic swallowing study (VFSS) is a key diagnostic tool.
  • Understanding VFSS features can predict clinical outcomes.

Purpose of the Study:

  • To investigate acute dysphagia features in critically ill children using VFSS.
  • To determine the predictive value of VFSS findings for clinical outcomes.
  • To analyze the relationship between VFSS results and length of stay/feeding modes.

Main Methods:

  • Retrospective observational study of 36 children (aged 1-18) in a pediatric intensive care unit (PICU).
  • Analysis of administrative healthcare data and VFSS reports.
  • Review of VFSS conducted for suspected dysphagia.

Main Results:

  • 52.8% of children exhibited aspiration during VFSS, all classified as silent aspiration.
  • Silent aspiration was associated with a longer length of stay (LOS) in the PICU.
  • VFSS findings like aspiration, delayed swallowing, and residue predicted feeding mode at discharge.

Conclusions:

  • VFSS is crucial for assessing swallowing function in critically ill children.
  • VFSS findings, particularly silent aspiration, can predict LOS and oral feeding delays.
  • Early identification of dysphagia through VFSS improves patient management.
Abstract

Keywords:
critically ill childrendysphagiaintensive care unit (ICU)pediatricvideofluoroscopic swallowing study (VFSS)

More Related Videos

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models08:32

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models

Published on: March 1, 2015

21.1K
Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing07:22

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

441

Related Concept Videos

Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
1.3K
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
1.1K
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy01:26

Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy

This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
681
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
2.6K
Esophageal Achalasia01:27

Esophageal Achalasia

Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide...
79
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
76