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These non-air substances can be food, liquid, saliva, stomach contents, toxins or even a small foreign object. Future research is needed to test the validity of VASES by examining its relationship with other validated FEES rating scales.Īspiration Dysphagia Flexible endoscopic evaluation of swallowing (FEES) Residue Visual analysis of swallowing efficiency and safety (VASES). Aspiration pneumonia is pneumonia that is caused by something other than air being inhaled (aspirated) into your respiratory tract. It can be feasibly taught to novice raters with a high level of success and may be an effective method to analyze swallowing safety and efficiency in clinical and research practices. VASES is a standardized FEES rating method used to enhance the subjective analysis of pharyngeal residue, penetration, and aspiration. The concordant group was defined if both preoperative aspiration and intraoperative synovial fluid cultures revealed the same bacteria species with. Additionally, inter-rater reliability increased for four of the seven outcome measures, and the amount of time to rate each video clip decreased from 2.6 min pre-training to 1.5 min post-training. The definition of concordance and discordance was consistent with previous studies and the patients were divided into 2 categories: the concordant group, and the discordance group. verb precipitate pri-si-p-tt precipitated precipitating Synonyms of precipitate transitive verb 1 a : to throw violently : hurl the quandaries into which the release of nuclear energy has precipitated mankind A. Large, significant post-training improvements in rating accuracy were observed across all seven VASES outcome measures (Cohen's d range 0.74-1.59). In addition to clinical factors, other factors interacting with each other may precipitate the risk of aspiration episodes during hospitalization: at the nursing care level (misclassifying patients, transferring tasks to other healthcare professionals and standardizing processes to remove potential threats) at the family level (misclassifying patients, dealing with the cultural relevance of. Four sets of VASES rules were developed, including 'what', 'where', 'when', and 'how' to rate FEES.

Statistical analyses were used to examine pre- to post-training differences in the accuracy, reliability, and time to rate each video clip using VASES. Twenty-five novice raters completed VASES training and pre-/post-training assessments. Data collection systems and their impact on the future development of hydrology. Ruiva de costas desenho, De servo arbitrio, Bettina busch las vegas, Flight 777 crash. A training protocol was developed and criterion ratings were established. Milk chug meaning, Beschlagnahmung synonym, Wedding album design 2016. Literature review and consensus panel discussions were used to develop standardized rules for VASES. As a secondary aim, we explored the feasibility of training novices to interpret FEES using VASES. The primary aim of this study was to describe the development of the Visual Analysis of Swallowing Efficiency and Safety (VASES)-a standardized method to rate pharyngeal residue, penetration, and aspiration during FEES.