[Summary] The Ice Chip Protocol: A description of the protocol and case reports.
Reading: Pisegna, J. M., & Langmore, S. E. (2018). The Ice Chip Protocol: A description of the protocol and case reports. Perspectives of the ASHA Special Interest Groups, 3(13), 28–46. https://doi.org/10.1044/persp3.sig13.28
Ice chip protocol: Using ice chip for initial swallowing assessment
- General Flow:
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjxtUnt2091QsPXU4T7qX9t0CQAdOpmO4vTMbAKlzyi7KByiRla3Lsw7N6bUXeGFdTKtDeCmR6qGIi92NLFszezZInybt72TrfofE70OWcYJGX5LSYBr2dAYmKN9kAzspbC09qwPLkB1FOHFAHZrJ-XmwlE-Tca6T__LPXvhtz8OIXfHtO__v0w9eqb/w458-h263/Screenshot%202022-12-30%20at%2012.11.54%20PM.png)
Targeted population: patient with reduced use/ non-use of swallow![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeuevS_haGTl10FWxKrIrKnpit-zMu3QuKLHYqXJLVyx81mKLJDwlyDpO9g3UsOqDOjkjh3DBwPrQM5xrPhJj6T94lDYtT2-_0aRMJKf99sBO9TBopaDqwEhgG1082MFS3pMor0Wxvatcv426Bc48sU6dqfwqlsUqStxvN00g4LswTVT4mtu7vEL6W/w431-h179/Screenshot%202022-12-30%20at%2012.13.07%20PM.png)
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgeuevS_haGTl10FWxKrIrKnpit-zMu3QuKLHYqXJLVyx81mKLJDwlyDpO9g3UsOqDOjkjh3DBwPrQM5xrPhJj6T94lDYtT2-_0aRMJKf99sBO9TBopaDqwEhgG1082MFS3pMor0Wxvatcv426Bc48sU6dqfwqlsUqStxvN00g4LswTVT4mtu7vEL6W/w431-h179/Screenshot%202022-12-30%20at%2012.13.07%20PM.png)
Pre-requisite: patient alert, able to sit upright
Why ice chip?
1. Small controllable volume (~1ml/ ice)
2. Cohesive bolus (easily manipulated)
3. Cold (stimulate termal/tactile/chemoreceptors)
4. Relatively benign if aspirated
5. Aspiration of ice chips is predictive of aspiration on thin liquids
Take away: Ice chip protocol ...
👉🏻Can be used to Ax swallowing ability, and to "wake up" swallowing system of patient
👉🏻Leads to Improvement in amount of secretion and location in pharynx (perform under FEES for more detailed assessment!)
Why ice chip?
1. Small controllable volume (~1ml/ ice)
2. Cohesive bolus (easily manipulated)
3. Cold (stimulate termal/tactile/chemoreceptors)
4. Relatively benign if aspirated
5. Aspiration of ice chips is predictive of aspiration on thin liquids
Take away: Ice chip protocol ...
👉🏻Can be used to Ax swallowing ability, and to "wake up" swallowing system of patient
👉🏻Leads to Improvement in amount of secretion and location in pharynx (perform under FEES for more detailed assessment!)
👉🏻Act as a Means of transition from NPO status PO
Limitation of study:
- Ancedotal
- Sample size = 9 patients
Limitation of study:
- Ancedotal
- Sample size = 9 patients