A5034780942- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Head and Neck Cancer Studies
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Oral health in cancer treatment
- Airway Management and Intubation Techniques
- Simulation-Based Education in Healthcare
- Asthma and respiratory diseases
- Respiratory and Cough-Related Research
- Spectroscopy Techniques in Biomedical and Chemical Research
- Head and Neck Surgical Oncology
- Nosocomial Infections in ICU
- Oral Health Pathology and Treatment
- Cardiac Arrest and Resuscitation
- Patient Safety and Medication Errors
- Effects of Radiation Exposure
- Child Nutrition and Feeding Issues
- Emergency and Acute Care Studies
- Phonetics and Phonology Research
- Nursing Roles and Practices
- Infant Health and Development
- Optical Imaging and Spectroscopy Techniques
- Radiology practices and education
- Pneumonia and Respiratory Infections
Boston Medical Center
2014-2025
Boston University
2015-2025
Google (United States)
2010-2024
University Medical Center
2011-2019
National Patient Safety Foundation
2017
Abstract Background Neuromuscular electrical stimulation (NMES) is a highly sought after but poorly studied treatment for dysphagia among patients with head and neck cancer dysphagia. This study investigated the efficacy of NMES in this patient population. Methods In double‐blinded, randomized controlled trial, 170 experiencing posttreatment were into active + swallow exercise versus sham groups. Outcomes 12‐week program included changes fluoroscopy measures, diet, quality life. Results...
<b><i>Background:</i></b> There is no appropriately validated scale with which to rate the problem of residue after swallowing. The Boston Residue and Clearance Scale (BRACS) was developed meet this need. Initial reliability validity were assessed. <b><i>Methods:</i></b> BRACS an 11-point ordinal rating scoring three aspects during a fiberoptic endoscopic evaluation swallowing (FEES): (1) amount location residue, (2) presence spontaneous...
Purpose: The aims of this study were to assess the effects 0.2 mL 4% atomized lidocaine on swallowing and tolerability during Fiberoptic Endoscopic Evaluation Swallowing (FEES). Methods: A single blinded was conducted with 17 dysphagic patients, who received 4 standardized boluses in 2 sequential FEES exams under conditions: non-anesthetized (decongestant only) anesthetized (lidocaine + decongestant). After each procedure, patients rated their pain Wong Baker FACES Pain Rating Scale....
To assess Elastic Scattering Spectroscopy (ESS) classification accuracy of benign vs malignant tissue obtained during intra-operative oral cancer resection. The study comprised 104 patients with a biopsy positive for (N = 85) or dysplasia 19) who were scheduled to undergo surgical excision. ESS measurements intraoperatively on and immediately adjacent the lesion within planned resection margin prior excision, contralateral normal-site control tissue. Two-millimeter biopsies from tumor All...
Objectives/Hypothesis Dysphagia is one of the most significant side effects treatment head and neck cancer. Residue aspiration are two indicators dysphagia, but historically only indicator interest, because it may impact health outcomes. Clinicians have anecdotally used residue as another marker swallowing dysfunction, understudied. This project investigated versus on function quality life (QoL) in these patients. Study Design Observational study. Methods A total 168 cancer survivors with...
Objective: This study examined the association between laryngeal sensory deficits and penetration or aspiration. Two methods of testing sensation were carried out to determine which was more highly correlated with Penetration-Aspiration Scale (PAS) scores. Methods: Healthy participants patients dysphagia received an endoscopic swallowing evaluation including 2 sequential tests—air pulse followed by touch method. Normal/impaired responses PAS Results: Fourteen completed both tests. The air...
To determine whether a modifiable risk factor, endotracheal tube size, is associated with the diagnosis of postextubation aspiration in survivors acute respiratory failure.Prospective cohort study.ICUs at four academic tertiary care medical centers.Two hundred ten patients who were least 18 years old, admitted to an ICU, and mechanically ventilated for longer than 48 hours enrolled.Within 72 extubation, all received flexible endoscopic evaluation swallowing examination that entailed...
After radiation therapy (RT) or chemoradiation (CRT) for head and neck cancer, some patients develop significant swallowing problems. This complication is thought to be a result of induced damage chronic alteration tissues whereby the body reacts by producing fibrosis. In persons, this healing process seems go awry, thus causing excess fibrosis dysphagia. The major problem faced with dysphagia stiffness tissue underlying muscle weakness, reduced bolus clearance; hence, food much more...
Clinicians often test laryngeal sensation by touching the mucosa with tip of a flexible laryngoscope. However, pressure applied to larynx using this touch method is unknown, and expected responses elicited are uncertain. The variability in delivered clinicians was investigated, subject touches were also reported.A fiberoptic sensor passed through working channel laryngoscope, its positioned at distal port channel. Two examiners each tested 8 healthy adults. Each examiner touched covering...
Objectives/Hypothesis To evaluate the usefulness of elastic scattering spectroscopy (ESS) as a diagnostic adjunct to frozen section analysis in patients with diagnosed squamous cell carcinoma oral cavity. Study Design Prospective analytic study. Methods Subjects for this single institution, institutional review board–approved study were recruited from among undergoing surgical resection cancer A portable ESS device contact fiberoptic probe was used obtain spectral signals. Four 10 readings...
Purpose: The Australian healthcare system has invested heavily in multidisciplinary cancer care teams. Despite such investments, guidelines that clearly delineate standard of dysphagia treatment are lacking and services provided to Head Neck Cancer (HNC) patients not always consistent. There is little consensus regarding the frequency intensity therapy. This largely due a lack well-designed clinical trials establish efficacy any therapy this patient population. aim study was evaluate HNC...
Abstract Background Swallowing dysfunction after radiotherapy (RT) for head and neck cancer can be devastating. A randomized control trial compared swallow exercises versus exercise plus neuromuscular electrical stimulation therapy found no overall difference in outcomes. Methods Quality of life (QOL), diet, swallowing variables collected at discrete intervals on 117 patients were reanalyzed to test the hypothesis that shorter time between completion beginning program yielded improved...
Abstract Background Swallowing therapy is commonly provided as a treatment to lessen the risk or severity of dysphagia secondary radiotherapy (RT) for head and neck cancer (HNC); however, best practice not yet established. This trial will compare effectiveness prophylactic (high low intensity) versus reactive interventions swallowing in patients with HNC undergoing RT. Methods multi-site, international randomized clinical (RCT) include 952 adult receiving who are at high post-RT dysphagia....
Objective: To evaluate the efficacy and utility of simulation Emergency Airway Response Team (EART) at a tertiary care hospital to improve team dynamics confidence knowledge in managing an emergency airway. Methods: This was descriptive, quantitative performance improvement study. From September 1, 2013, December 177 members EART from anesthesia, otolaryngology, trauma surgery, medicine, ICU nursing, respiratory therapy participated airway simulations. levels were assessed using pre-and...
Hospital-acquired pneumonia (HAP) contributes greatly to patient mortality and healthcare costs. Studies have shown that aggressive oral care in intensive units (ICUs) can significantly reduce rates, hospitals implemented stringent protocols this setting. However, little is known about the effectiveness of reducing HAP non-intensive wards, prompting us conduct a nonrandomized controlled clinical trial. A structured toothbrushing program was provided an experimental cohort patients. control...