Water, Water Everywhere, But Why? Argument Against Free Water Protocols

Abstract

Free water protocols have become common in the management of patients with dysphagia. Their popularity has blossomed in the near-complete absence of any empirical data regarding their safety, efficacy and effectiveness. Proponents point to anecdotal reports and opinion pieces, while recent peer-reviewed investigation shows a mixed bag of safety and efficacy outcomes. This paper presents the argument against administration of “free water” without consideration of numerous factors besides the presence of dysphagia, and strongly urges the developers of the method to submit their data to peer review.