Fiberoptic Endoscope Evaluation of Swallowing in Infants(FEES)
Conditions
Brief summary
Based on study showing the ability of using FEES in infant in NICU; so the aim of this study to screen the newborns graduated from NICU using clinical bed side evaluation as well as flexible endoscopic assessment of swallowing to identify the ones suffering from oropharyngeal and / or esophageal dysphagia as well as newborns at risk for aspiration &aspiration pneumonia to tailor or identify appropriate feeding plan for those high risk popularities and support them
Detailed description
* Population study& disease condition Newborns that are discharged from NICU and are hemodynamically stable. * Interventions The following study will be conducted in neonatal intensive care unit of Kasr alany and Abu EI-Rish hospital, also conducted in Phoniatrics Outpatient of Kasr alany, Cairo university This study will recruit 75 preterm and 75 fullterm will be recruited in this study; all will be hemodynamically stable on discharge
Interventions
intreventions name :-Fiberoptic endoscopic evaluation of swallowing(FEES) will be performed on all infants enrolled in this study. interventions type: flexible nasopharyngeal laryngoscope 3,5 mm in size with portable camera & light source & video recording system will be used. Procedure will be done without anesthesia .
Sponsors
Cairo University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Intervention model description
75 preterm and 75 fullterm will be recruited in this study; all will be hemodynamically stable on discharge then doing FEES
Eligibility
Sex/Gender
ALL
Age
1 Days to 6 Months
Healthy volunteers
No
Inclusion criteria
* Item * Neonates who discharged from NICU as they are hemodynamic stable
Exclusion criteria
* Item * Neonates with congenital anomalies that interfere with the introduction or the procedure of FEES as nasal deformities, choanal atresia, cleft lip and cleft palate. * Neonates have liver disease and/ or bleeding tendency
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fiberoptic endoscopic evaluation of swallowing (FEES) | baseline | to identify the ones suffering from oropharyngeal and / or esophageal dysphagia as well as newborns at risk for aspiration &aspiration pneumonia by FEES to tailor or identify appropriate feeding plan for those high risk popularities and support them |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Other imaging procedures including X-ray (Chest & abdominal) , U/S(ultrasound) , CT(computer tomography) & ECHO(Echocardiography) | baseline | for any disorder affecting swallowing |
Countries
Egypt
Outcome results
None listed