Article | March 01, 2005The Frazier Free Water Protocol Kathy Panther Author Affiliations & Notes Kathy Panther Frazier Rehabilitation Institute, Louisville, KY Copyright © 2005 American Speech-Language-Hearing Association Article Information Swallowing, Dysphagia & Feeding Disorders / Articles Article | March 01, 2005 The Frazier Free Water Protocol SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 4-9. doi:10.1044/sasd14.1.4 SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), March 2005, Vol. 14, 4-9. doi:10.1044/sasd14.1.4 View Article Figures Tables PDF PDF Supplemental Data Supplements Multimedia Share Email Twitter Facebook Pinterest Tools Get Citation Citation Panther, K. (2005). The Frazier Free Water Protocol. Perspect Swal Swal Dis (Dysph), 14(1), 4-9. doi: 10.1044/sasd14.1.4. Download citation file: RIS (Zotero) EndNote BibTex Medlars ProCite RefWorks Reference Manager © 2018 American Speech-Language-Hearing Association × Alerts User Alerts You are adding an alert for: The Frazier Free Water Protocol You will receive an email whenever this article is corrected, updated, or cited in the literature. You can manage this and all other alerts in My Account The alert will be sent to: Confirm × Sign In or Create a free account to receive alerts. × Morbidity, hospitalization, and mortality associated with aspiration pneumonia are chief among the concerns of clinicians and researchers working with individuals with dysphagia. Conventional wisdom continues to hold that aspiration of any material into the lungs can lead to aspiration pneumonia. While many questions remain regarding the pathogenesis of aspiration pneumonia, a number of studies have suggested that pulmonary aspiration of differing materials may not present an equal risk for the development of aspiration pneumonia. Olson (1970) found that aspiration of water in the rabbit lung is less injurious to the pulmonary system than milk or a 5% glucose solution in water. Later, Splaingard, Hutchins, Sulton, and Chaudhuri (1988) suggested that pulmonary aspiration in humans is common and usually well tolerated. Schmidt, Holas, Halvorson, and Reding (1994) reported aspiration of thicker fluids and semi-solids was predictive of aspiration pneumonia and death. In that study, the odds ratio was 5.6 times greater for the development of aspiration pneumonia and 9.2 times greater for death in those who aspirated thickened liquids or more solid consistencies when compared to those who did not aspirate or who aspirated thin liquids only. Similarly, Holas, DePippo, and Reding (1994) reported that aspiration pneumonia risk was significantly greater if thick liquid or more solid consistencies were aspirated. Feinberg, Kneble, Tully, and Segall (1990) stated that aspiration of water was benign. Later, Feinberg, Kneble, and Tully (1996) reported that the frequency of aspiration pneumonia did not differ significantly between patients who aspirated thin liquids and those who did not aspirate. First Page Preview × View Large Subscribe to view more For full access to this article, log in to an existing user account, become a SIG affiliate, or purchase a short-term subscription. Become a SIG Affiliate Join a SIG Pay Per View Entire SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia) content & archive 24-hour access $25.00 Buy Now This Issue 24-hour access $17.00 Buy Now This Article 24-hour access $10.00 Buy Now Sign In or Create an Account Please sign in using your ASHA.org login. If you do not have an ASHA login, you may register with us for free by creating a new account. Sign In or Create an Account We've Changed Our Publication Model... The 19 individual SIG Perspectives publications have been relaunched as the new, all-in-one Perspectives of the ASHA Special Interest Groups. Learn more > Related Articles Water, Water Everywhere, But Why? Argument Against Free Water Protocols SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2011, Vol. 20, 109-115. doi:10.1044/sasd20.4.109 3 Ounces Is All You Need SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2009, Vol. 18, 111-116. doi:10.1044/sasd18.4.111 Hot Topics in Dysphagia The ASHA Leader, May 2009, Vol. 14, 10-13. doi:10.1044/leader.FTR1.14072009.10 New Investigator Grant Recipients SIG 13 Perspectives on Swallowing and Swallowing Disorders (Dysphagia), December 2002, Vol. 11, 21-22. doi:10.1044/sasd11.4.21 Simple and Soapy The ASHA Leader, October 2017, Vol. 22, 8. doi:10.1044/leader.GL.22102017.8 Related Topics Swallowing, Dysphagia & Feeding Disorders