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1. Discuss the development and interrelationships between the respiratory and gastroesophageal systems
2. Assess the impact of respiratory and gastrointestinal functioning on swallowing
3. Identify respiratory and gastroesophageal disease processes for which dysphagia is a symptom
4. Assess the evidence to support various clinical assessment tools such as reflex cough testing, pulse oximetry, blue dye testing and cervical auscultation
5. Identify common indicators of reflux and how they impact the treatment process
6. Recognize which patients are most at risk for developing aspiration pneumonia
7. Determine when GER is actually GERD
8. Compare and contrast the use of various airway management techniques
9. Evaluate the evidence for specific dysphagia management strategies and discuss their effectiveness

RESPIRATORY SYSTEMS

• Overview of systems - anatomy/physiology
• Breathing/Swallowing coordination
• The apneic signal
• The relationship of coordination to aspiration
• Laryngeal Chemical Responses (LCRs)
• Reflexive cough

GASTROESOPHAGEAL SYSTEMS

• esophageal function 
• Barriers to reflux
• Saliva swallows
• Digestive acids
• Reflux mechanisms  
• Relationship to feeding disorders  
• GERD signs and symptoms u
• When does GER become GERD?
• Reflux, feeding and swallowing behaviors
•  Relationship to dysphagia

GI/RESPIRATORY RELATIONSHIPS

• Pressure relationships and their effect u
• Asthma/gastroesophageal reflux connection
• Laryngopharyngeal Reflux (LPR)

ASPIRATION

• Pulmonary Clearance Mechanisms
• Aspiration in infancy
• How much is too much?
• Predictors of pneumonia in various populations
• Aspiration and oral hygiene

RESPIRATORY DISEASE PROCESSES

• Infant Respiratory Distress Syndrome (IRDS)
• Bronchopulmonary Dysplasia (BPD)
• Respiratory Synctial Virus (RSV)
• Congenital Heart defects
• Obstructive Sleep Apnea (OSA) and dysphagia
• Congestive Heart Failure (CHF)
• Obstructive Conditions
• Restrictive Conditions
• Pneumonia vs Pneumonitis
• Community Acquired Pneumonia
• Healthcare Acquired Pneumonia
• Aspiration Pneumonia

AIRWAY MANAGEMENT

• Non-invasive positive pressure ventilation
• High flow nasal cannula
• Intubation
• Post-extubation dysphagia
• Tracheostomies
• Physiological changes associated with tracheotomy

ASPIRATION ASSESSMENT

• Clinical assessment – what are we looking for?
• Cognitive assessment
• Pitch elevation
• Serial swallows
• Oral mechanism
• Respiratory factors
• Cough
• Respiratory muscle strength
• Instrumental assessment
• Modified Barium Swallow studies
• Fiberoptic Endoscopic Evaluation of Swallowing
• 3 ounce water tests
• Understanding lab values

ASPIRATION MANAGEMENT

• Diet modifications
• Implications of dietary changes
• Compliance issues
• Thick liquids
• Complicating factors associated with thickening
• Water protocols
• Compensatory strategies
• Sensory interventions
• Principles of exercise physiology
• Lingual strengthening
• Effortful swallow
• Mendolsohn maneuver
• Masako maneuver
• Shaker head lift
• Chin tuck against resistance
• Head extension exercise
• Jaw opening exercise
• Tongue pull back
• Effortful pitch glide
• Expiratory muscle strength training

REFLUX ASSESSMENT

• Upper GI studies
• Ph Monitoring
• Esophagoscopy
• Scintigraphy

REFLUX MANAGEMENT

• Lifestyle modifications
• Positioning
• Diet modifications
• Medications
• Effects of acid suppression
• Surgical interventions
• New directions in reflux management
• Endoscopic procedures
• Melatonin
• Acupuncture
• Magnetic Sphincter Augmentation

Biography is not currently avaiable.

Continuing Education Information
This educational offering is designed to qualify for continuing education for many professionals in every state.


Materials that are included in this course could include interventions and modalities that are beyond the authorized practice for your profession. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Listed below are the continuing education credit(s) currently available for this educational offering. Please note, your state licensing board dictates what is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact customerservice@vyne.com or 800-397-0180.


CE information is based on 100% attendance.

Speech Therapists, Speech Therapy Assistants, Occupational Therapists, Certified Occupational Therapy Assistants, Rehab Managers, Directors of Nursing, Nurses, Restorative Nursing Staff, Dietitians, Dietary Managers, Nursing Assistants, Respiratory Therapists