Abstract
The modified Evan's blue dye procedure (MEBD) is a method of performing tracheal suctioning of the patient through the tracheostomy tube after administration of color-contrasted food and liquid. The MEBD is done when radiographic or fiberoptic procedures are not available or practical. In 5 tracheostomized patients, the MEBD does not detect aspiration.
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DeVita M, Spierer-Rundback L: Swallowing disorders in patients with prolonged orotracheal intubation or tracheostomy tubes. Crit Care Med 18:1328–1330, 1990
Elpern E, Scott M, Petro L, Ries M: Pulmonary aspiration in mechanically ventilated patients with tracheostomies. Chest 105: 563–566, 1994
Stauffer J, Olson D, Petty T: Complications and consequences of endotracheal intubation and tracheostomy, a prospective study of 150 critically ill adult patients. Am J of Med 70:65–75, 1981
Nash M: Swallowing problems in the tracheotomized patient. Otol Cl No Am 21:701–709, 1988
Logemann J: Evaluation and Treatment of Swallowing Disorders. San Diego: College-Hill Press, 1983
Langmore SE, Schatz K, Olson N: Fiberoptic endoscopic examination of swallowing safety: a new procedure. Dysphagia 2:216–219, 1988
Spray S, Zuidema G, Cameron J: Aspiration pneumonia. Incidence of aspiration with endotracheal tubes. Am J Surg 131:701–703, 1976
Cameron J, Reynolds J, Zuidema G: Aspiration in patients with tracheostomies. Surg Gyn Obstet 136:68–70, 1973
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Thompson-Henry, S., Braddock, B. The modified Evan's blue dye procedure fails to detect aspiration in the tracheostomized patient: Five case reports. Dysphagia 10, 172–174 (1995). https://doi.org/10.1007/BF00260973
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DOI: https://doi.org/10.1007/BF00260973