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Panel Presentations

Laryngology/Broncho-Esophagology

I Want to Eat! Ethical Dilemmas in Chronic Aspiration

Sunday, September 29, 2024
8:00 AM – 9:00 AM EDT
Location: MBCC, 224
CME/MOC Credit: 1
Disclosure(s):
Ozlem E. Tulunay-Ugur, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Priya D. Krishna, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Libby J. Smith, DO:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Chronic aspiration has a significant risk of morbidity and mortality. Patients at most risk are the elderly, head and neck cancer patients, and patients with neurologic deficits. Also, in the era of COVID, patients seeking care due to prolonged ICU stay and deconditioning are filling our practices. The aim of this panel is to discuss the above-mentioned patient scenarios and present, in detail, the intricacies of management options. This will be done via case presentations rather than a didactic lecture. Emphasis will be on diet modification, swallowing therapy along with surgical techniques whilst accentuating patient and family centered care. Ethical dilemmas including timing of gastrostomy tube placement, the role of pleasure eating and approach to patients with dementia will be explored. Important concepts that influence management including sarcopenia, frailty, polypharmacy will be detailed with recommendations on mitigation of the ill-effects of these common problems.

Learning Objectives:

  1. Participants will be able to describe the management of the most common reasons of chronic aspiration through case presentations.
  2. Participants will recognize all existing surgical and non-surgical options in the management of chronic aspiration and be able to prioritize the options to select the appropriate technique.
  3. Participants will be able to identify the presence of ethical dilemmas in the care of aspirating patients and to tailor their care with the knowledge of management options using a patient centered care approach.

    Moderator(s)

  • Ozlem E. Tulunay-Ugur, MD

    Professor, Director Division of Laryngology
    University of Arkansas for Medical Sciences
    Little Rock, AR, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

    • Panelist(s)

  • PK

    Priya D. Krishna, MD

    Associate Professor
    Loma Linda University
    Loma Linda, California, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

  • Libby J. Smith, DO

    Professor of Otolaryngology
    University of Pittsburgh
    Pittsburgh, PA, United States

    Disclosure(s):

    faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.