Department of Otolaryngology-Head & Neck Surgery, Boston University School of Medicine, MA.
Department of Speech Pathology and Audiology, Miami University, Oxford, OH.
Am J Speech Lang Pathol. 2022 Jan 18;31(1):163-187. doi: 10.1044/2021_AJSLP-20-00348. Epub 2021 Nov 24.
Representatives of the American Board of Swallowing and Swallowing Disorders (AB-SSD) and American Speech-Language-Hearing Association (ASHA) Special Interest Group (SIG) 13: Swallowing and Swallowing Disorders (Dysphagia) developed this tutorial to identify and recommend best practice guidelines for speech-language pathologists who conduct and interpret fiberoptic endoscopic evaluation of swallowing (FEES) procedures in adults. This document also includes proposed training needs and methods for achieving competency. Expert opinion is provided regarding indications for performing the FEES exam, potential contraindications, adverse effects and safety, equipment and personal protection, the exam protocol, interpretation and documentation of findings, and training requirements to perform and interpret the exam.
This tutorial by the AB-SSD and SIG 13 represents the first update about the FEES procedure since ASHA's position paper and technical report published in 2004. Creation of this document by members of the AB-SSD and SIG 13 is intended to guide professionals who are training for or practicing FEES in the adult population toward established best practices and the highest standards of care.
美国吞咽障碍协会（AB-SSD）和美国言语语言听力协会（ASHA）吞咽障碍特别兴趣小组（SIG）13 的代表制定了本指南，旨在为进行成人纤维内镜吞咽检查（FEES）的言语语言病理学家确定和推荐最佳实践指南。本文件还包括了实现能力的拟议培训需求和方法。关于进行 FEES 检查的适应证、潜在禁忌证、不良反应和安全性、设备和个人防护、检查方案、结果解读和记录，以及进行和解读检查的培训要求等方面提供了专家意见。
AB-SSD 和 SIG 13 的本指南是自 2004 年 ASHA 发表立场文件和技术报告以来，关于 FEES 程序的首次更新。AB-SSD 和 SIG 13 成员制定本文件旨在为正在培训或在成人中进行 FEES 的专业人员提供指导，以遵循既定的最佳实践和最高的护理标准。
