Thank you for the clarification, Angela. What I meant was if the infant was
offered formula (because of aspiration risks) why would it be better than
offering breastmilk? So many times, with an aspirating baby, the parents are
told to give something other than breastmilk, and to me, that seems a worse
choice than something that was made for the baby.
Based on the Frazier wp, if something is going to be aspirated, it should be
as close to human/normal composition as possible, I would think.
It sounds like you've got a far more advanced system than what is currently
available around here - nice!
Sam Doak
On Tue, Mar 30, 2010 at 8:52 AM, Kirkwood, Angela
<[log in to unmask]>wrote:
> Sam... we just can't compare infants to geriatrics. An infant's diet is
> all liquid which requires continued suck swallow breathe cycling.
> Adequate growth is dependent on intake. If any one has an opportunity
> to view a modified barium swallow with an infant patient, it would be
> worth your time. Based on the Frazier water protocol, our Speech
> Pathologists/Therapist use sterile water to evaluate swallows and
> therapy to begin feeds with very, very limited volume to prepare and
> work up to sucking and swallow skills for the baby to be able to take in
> enough for a swallow study. Water just would not be appropriate for
> infant intake for obvious reasons. Also, I am referring to situations
> that aspiration is documented and not in question. I am also referring
> to those situations that require very thick texture to prevent
> aspiration. By the way, we would have already trialed and assessed the
> infant with the breastmilk using slow flow nipple AND external pacing
> both clinically and under videofluoro (xray).
> Angie Kirkwood, RN, BSN, IBCLC, RLC
>
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