Exploring speech–language pathologists’ training and use of topical nasal anaesthesia during laryngeal endoscopy in the United States

What is already known on this subject Laryngeal endoscopy is an advanced competency procedure completed by SLPs used in the evaluation and treatment of voice and swallowing disorders. Standards for competency lack consistency. Simultaneously, topical nasal anaesthesia may be a component of some exams, yet training and, subsequently, competency is inconsistent. Education and training for use of anaesthesia and navigating potential complications is not a required element of graduate training for SLPs. While SLPs may be independent practitioners of the laryngeal endoscopy procedure, it is unclear if they, or others, are administering the anaesthesia within an IP practice model. What this study adds to the existing knowledge Laryngeal endoscopy is comparatively new within the field of SLP. There are no studies investigating the knowledge, skills, and practice patterns of SLPs related to the use of anaesthetic agents during such procedures. This study adds to the literature regarding the practices of a sample of SLPs in the United States regarding use of topical anaesthesia during flexible laryngeal endoscopy, their training in topical anaesthesia and use/barriers of IP teams during flexible laryngeal endoscopy. Initial insight relative to the variability of training and practice is documented with potential learning needs for SLPs related to pharmacology, patient safety and IP practice. What are the practical and clinical implications of this work? This study offers considerations for SLP graduate and postgraduate training in the areas of topical nasal anaesthesia use and laryngeal endoscopy procedures. The results show variability in training for completion of these exams which may contribute to patient safety and outcomes. Promoting an IP approach to care, specifically roles and responsibilities related to use of anaesthesia, may further benefit those we serve.