Fiberoptic Endoscopic Evaluation of Swallowing (FEES) has been an instrumental tool used in adult intensive care units for many years. Adult intensivists have had education, training, and exposure to FEES to assess oropharyngeal physiology and direct appropriate treatment plans. Pediatric intensivists and neonatologists have had limited exposure to FEES and typically use videofluroscopic swallow studies (VFSS) as the gold standard for assessing dysphagia in infants. The purpose of this presentation is to review the role of FEES in a level three neonatal intensive care unit (NICU) and pediatric cardiac intensive care unit (PCVICU). Physician perceptions and education/training provided to the critical care nurse will be discussed at length, including an online survey that was completed by pediatric intensivists, neonatologists, and nurses about the role of FEES and safety of FEES with infants.

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