Fiberoptic endoscopic evaluation of swallowing (FEES) : proposal for informed consent

Fiberoptic endoscopic evaluation of swallowing (FEES) is now a first choice method for studying swallowing disorders on account of the various advantages it offers: easy to use, very well tolerated, allows bedside examination and is economic. Nevertheless, this diagnostic procedure is not without ri...

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Published in:Acta otorhino-laryngologica italica 2008-08, Vol.28 (4), p.206-211
Main Authors: NACCI, A, URSINO, F, LA VELA, R, MATTEUCCI, F, MALLARDI, V, FATTORI, B
Format: Article
Language:English
Subjects:
Biological and medical sciences
Deglutition Disorders - diagnosis
Endoscopy - methods
Endoscopy - standards
Esophagus
Fiber Optic Technology - instrumentation
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Informed Consent
Medical sciences
Other diseases. Semiology
Otorhinolaryngology. Stomatology
Speech therapy
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container_issue 4
container_start_page 206
container_title Acta otorhino-laryngologica italica
container_volume 28
creator NACCI, A
URSINO, F
LA VELA, R
MATTEUCCI, F
MALLARDI, V
FATTORI, B
description Fiberoptic endoscopic evaluation of swallowing (FEES) is now a first choice method for studying swallowing disorders on account of the various advantages it offers: easy to use, very well tolerated, allows bedside examination and is economic. Nevertheless, this diagnostic procedure is not without risks, the most probable consequences of which include discomfort, gagging and/or vomiting, vasovagal syncope, epistaxis, mucosal perforation, adverse reactions to topical anaesthetics and laryngospasm. The risks involved with FEES stress the importance of informing the patient of these; this is an important aspect in medicine that necessarily and immediately implies receiving the patient's so-called "informed consent". Informed consent should be obtained not only by means of specific printed forms but also after the patient has had an interview with the physician who will be performing the procedure and who will offer information according to the personal clinical, psychological, cultural and linguistic situation of the patient and in keeping with the type of procedure proposed. In the case of FEES, as with other invasive or non-invasive diagnostic procedures, therefore, routine written and signed consent, together with a patient/physician interview should fulfil what is known as "complete information". In this report, a specific form for informed consent to FEES procedures, is proposed.
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subjects Biological and medical sciences
Deglutition Disorders - diagnosis
Endoscopy - methods
Endoscopy - standards
Esophagus
Fiber Optic Technology - instrumentation
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Informed Consent
Medical sciences
Other diseases. Semiology
Otorhinolaryngology. Stomatology
Speech therapy
title Fiberoptic endoscopic evaluation of swallowing (FEES) : proposal for informed consent
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