关于FEES和VASES的规范性参考值:来自39名非消化不良的社区成年人的初步数据
James A Curtis1,2, James C Borders2, Avery E Dakin2
1Aerodigestive Innovations Research Lab, Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical College, New York City, NY.
概括
本研究确定了吞效率和安全性视觉分析 (VASES) 的初步参考值,用于吞灵活内镜评估 (FEES). 这些规范有助于评估健康成年人的吞功能.
科学领域:
- 语音和听力科学 语言和听力科学
- 临床吞评估的临床评估
- 在医学上进行内镜成像.
背景情况:
- 吞的灵活内镜评估 (FEES) 对于评估吞障碍至关重要.
- 需要标准化的评级尺度来可靠地解释FEES发现.
- 吞效率和安全的视觉分析 (VASES) 是FEES分析的一个有前途的方法.
研究的目的:
- 确定VASES方法的初步规范参考值.
- 为使用FEES评估吞安全性和效率提供一个基准.
- 为了分析健康成年人队列中的关键吞参数.
主要方法:
- 在39名非消化不良的成年人中进行了FEES,使用了一个标准化的协议,具有多样化的玻尿酸特征和说明.
- 吞试验使用VASES方法盲目分析.
- 主要结果包括玻尿酸的位置,透吸收量表 (PAS) 评分和残留量等级;次要结果包括摄入量和吞频率.
主要成果:
- 大多数吞 (75.3%) 获得了1的PAS分数,表明安全吞.
- 当存在时,残留物是最小的,所有地标的中位数评级低于4%.
- 平均饮水量为19.8毫升,饼干咬伤量为1.33克,大多数试验都在一次吞中完成.
结论:
- 从这项研究中得出的初步VASES规范可以作为FEES解释的参考.
- 这些发现是VASES标准化吞评估的第一步.
- 未来的研究应该扩大规范性数据,以更大,更多样化的不同年龄组的人口.
相关概念视频
01:24Serum Studies: Renal Function Tests
24
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
24
01:22Respiratory Volumes and Capacities
2.2K
The respiratory system is responsible for the intake of oxygen and the expulsion of carbon dioxide from the body. Respiratory volumes describe the volume of air in the lungs at different phases of the respiratory cycle. Tidal volume is the air breathed in and out during normal, quiet breathing. Inspiratory reserve volume is the air that can be forcefully inspired beyond the tidal volume. In contrast, expiratory reserve volume refers to the air that can be expelled from the lungs after a normal...
2.2K
01:10Pre-Procedural Guidelines for Assessing Blood Pressure
601
Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
601
01:20Physiology of the Genitourinary System III: Urine Concentration and Dilution
23
The kidneys concentrate or dilute urine to maintain water and electrolyte balance. Nephrons, particularly the loop of Henle, play a crucial role in this process through the countercurrent multiplication system. This system establishes a high osmolarity in the renal medulla, which is essential for water reabsorption. In the loop of Henle’s descending limb, water is reabsorbed into the surrounding medulla due to its permeability to water. In contrast, the ascending limb actively transports...
23
01:23Assessment of blood pressure in brachial artery(two-step method)
787
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
787
01:15Assessment of blood pressure in brachial artery(one-step method)
649
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
649