Simultaneous videofluoroscopic swallow study and modified Evans blue dye procedure: An evaluation of blue dye visualization in cases of known aspiration.

Abstract:

:The reliability of the modified Evans blue dye (MEBD) test for the detection of aspirated materials in patients with tracheostomy has been questioned. The videofluoroscopic swallow study (VFSS) has been the standard procedure used to detect aspiration, but there are known risks and the VFSS is not always an available evaluation option for aspiration detection. The purpose of the present study was to investigate the visualization of blue tracheal secretions in cases of known aspiration as documented by the VFSS. Twenty consecutive simultaneous MEBD study and VFSS were completed on patients with tracheostomies at an acute rehabilitation hospital. Overall, the MEBD showed a 50% false-negative error rate. The MEBD identified aspiration in 100% of patients who aspirated more than trace amounts but failed to identify aspiration of trace amounts (0%).

journal_name

Dysphagia

journal_title

Dysphagia

authors

Brady SL,Hildner CD,Hutchins BF

doi

10.1007/PL00009596

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

146-9

issue

3

eissn

0179-051X

issn

1432-0460

pii

10.1007/PL00009596

journal_volume

14

pub_type

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