Concurrent Session IV - ASPIRATION FROM A MULTIDISCIPLINARY APPROACH
Moderators: Dana Williams, MD, Phoenix Children's Hospital and Matthew Riley, MD, Providence Pediatric Gastroenterology

Gastroenterology
Rachel Rosen, MD, Boston Children's Hospital
Objectives:
  • To discuss the role for GI testing in the evaluation aspiration
  • To review the implications of different thickeners on GI symptoms
  • To understand the implications of reflux therapies in the aspirating patient
Rachel Rosen
(Adobe PDF File)
Otolaryngology
Michael Rutter, MD, Cincinnati Childrens Hospital Medical Center
Objectives:
  • Recognize that aspiration may be due to anatomical causes or functional causes (such as neurological compromise)
  • Be familiar with the surgical solutions to anatomical problems
  • Be familiar with the surgical and non-surgical interventions for functional causes
Michael Rutter
(Adobe PDF File)
Aspiration from the Pulmonologist’s perspective
R Paul Boesch, DO, Mayo Clinic
Objectives:
  • Recognize the presentation of chronic pulmonary aspiration in children
  • Understand the impact of chronic aspiration on the lungs
  • Understand the components of the diagnostic evaluation of chronic aspiration and when to use them
  • Understand the importance of a multidisciplinary approach to aspiration evaluation and management
R Paul Boesch
(Adobe PDF File)
Speech Language-Pathology
Joan Arvedson, PhD, CCC SLP, Children’s Hospital of Wisconsin
Objectives:
  • Identify pros and cons of methods for delineating aspiration in infants and children
  • Incorporate findings from instrumental swallow evaluations to aid in making management decisions for infants and children with oropharyngeal dysphagia
  • Discuss 3 variables related to frequency and texture specificity of aspiration in infants and children
Joan Arvedson
(Adobe PDF File)
Nutrition
Bridget Hron, MD, Boston Children's Hospital
Objectives:
  • to understand the data behind the use of blends to treat aerodigestive disorders
  • to understand the differences in blend options and the implications on motility and gastroesophageal reflux
  • to understand the limitations of blenderized feeds in the current insurance climate
Bridget Hron
(Adobe PDF File)