Pediatric texture swallow

  • Patient preparation: NPO for 4 hours for younger patients who will only drink when hungry, otherwise NPO not required
  • Contrast used: thin and nectar and honey and paste consistency barium and paste mixed with cracker consistency barium
  • Technique: set video to high frame-rate mode, lateral image, center at uvula, magnify to fill screen, have patient swallow each different texture
  • Images to obtain: scout chest, video of each barium consistency
  • Looking for: airway penetration and aspiration and whether or not a spontaneous cough reflex is elicited with aspiration
  • Post procedure tasks: advise patient to drink plenty of liquids to wash barium out of system and that barium will lighten color of stools