Welcome to July!Previously, we talked about the Radiologist-SLP relationship and how important it can be. In our poll, it turned out that many of us may have challenges with this collaboration—but we wish we didn’t! I will definitely keep a look out for more resources on this topic and send them your way!I have talked to so many SLPs that will walk in to any fluoro suite and take on the assessment of the most difficult of adult patients with dysphagia without hesitation—yet those same SLPs feel challenged when asked to complete a pediatric swallowing assessment! There are reasons for this, obviously! Pediatric structures are smaller and have more soft tissue than adults, so not only do they look different, but they can require different beam quality, filtration, and magnification during the MBS study. 1-3 It really is a different procedure that requires training and experience—and the best diagnostic tools possible. 2-4There is a new means for assessing infant swallowing! The first standardized, validated, and reliable assessment tool, the BaByVFSS Impairment Profile (BaByVFSSImP©), is now published. 4 It was developed for the quantification of swallowing observations made from videofluoroscopic swallow studies (VFSS) in bottle-fed babies. The training platform is being developed—Stay tuned!

 

CLICK HERE FOR MORE INFORMATION

One more great resource I wanted to share is the “First Bite” Podcast! The hosts, Michelle Dawson and Erin Forward, are both Speech Language Pathologists and Certified Lactation Counselors. They offer resources for the Pediatric SLP and for continuing education credit through SpeechTherapyPD.com too. Click here for more information, or check them out on Instagram at: @firstbitepodcast

 

 

 

 

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

VARIBAR® (barium sulfate)

IMPORTANT SAFETY INFORMATION:

For Oral Administration. This product should not be used in patients with known or suspected perforation of the GI tract, known obstruction of the GI tract, high risk of aspiration, or hypersensitivity to barium sulfate products. Rarely, severe allergic reactions of anaphylactoid nature have been reported following administration of barium sulfate contrast agents. Aspiration may occur during the modified barium swallow examination, monitor the patient for aspiration.

INDICATIONS AND USAGE | IMPORTANT SAFETY INFORMATION

VARIBAR® (barium sulfate)

Indications and Usage:

VARIBAR® THIN HONEY (barium sulfate) oral suspension, VARIBAR® NECTAR (barium sulfate) oral suspension, and VARIBAR® THIN LIQUID (barium sulfate) for oral suspension, are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients. VARIBAR® HONEY (barium sulfate) oral suspension and VARIBAR® PUDDING (barium sulfate) oral paste are indicated for use in modified barium swallow examinations to evaluate the oral and pharyngeal function and morphology in adult and pediatric patients 6 months of age and older.

IMPORTANT SAFETY INFORMATION:

For Oral Administration. This product should not be used in patients with known or suspected perforation of the GI tract, known obstruction of the GI tract, high risk of aspiration, or hypersensitivity to barium sulfate products. Rarely, severe allergic reactions of anaphylactoid nature have been reported following administration of barium sulfate contrast agents. Aspiration may occur during the modified barium swallow examination, monitor the patient for aspiration.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1‑800‑FDA‑1088.

Please consult full Prescribing Information for VARIBAR HONEY here, for VARIBAR THIN HONEY here, for VARIBAR PUDDING here, for VARIBAR NECTAR here, and for VARIBAR THIN LIQUID here.

VARIBAR is manufactured by E-Z-EM Canada Inc., for E-Z-EM, Inc., a subsidiary of Bracco Diagnostics Inc., Monroe Twp., NJ 08831.

VARIBAR is a registered trademark of E-Z-EM, Inc.

See you soon,

References:1. Steele CM, Martin-Harris B, Gosa M, Edwards Allen S. Diagnosis and Management of Swallowing Physiology: Standardized Contrast, the MBSImP™ & the IDDSI Framework. Appl Radiol. https://appliedradiology.com/articles/diagnosis-and-management-of-swallowing-physiology-standardized-contrast-the-mbsimp-the-iddsi-framework. Accessed March 7, 2023.2. Strauss KJ, Kaste, SC. The ALARA (as low as reasonably achievable) concept in pediatric interventional and fluoroscopic Imaging: Striving to keep radiation doses as low as possible during fluoroscopy of pediatric Patients—a white paper executive summary. Pediatr Radiol. 2006 Sep;36(Suppl 2):110-112.3. McGhee K. Making an important pediatric diagnostic test easier to swallow. Medical University of South Carolina. April 20, 2020. https://web.musc.edu/about/news-center/2020/04/20/bonilha-swallow-study. Accessed March 7, 2023.4. Martin-Harris B, Carson KA, Pinto JM, Lefton-Greif MA. BaByVFSSImP© A Novel Measurement Tool for Videofluoroscopic Assessment of Swallowing Impairment in Bottle-Fed Babies: Establishing a Standard. Dysphagia. 2020 Feb;35(1):90-98.

US-VARH-2300005 07/23