To Feed(ing Tube) or Not

Feeding tube replacement: not always that simple!

Although surgical gastrostomy is not a technically troublesome surgery, the procedure may be accompanied by unfavorable outcomes. Most complications occur early in the post-operative period and include feeding tube dislodgment, stomal infection, peritonitis, and pneumonia. The authors report the case of an 83-year-old man who underwent a surgical gastrostomy because of a swallowing disorder aft...

To Tube or Not to Tube? The Role of Intubation during Stroke Thrombectomy

In the 10 years since the FDA first cleared the use of endovascular devices for the treatment of acute stroke, definitive evidence that such therapy improves outcomes remains lacking. The decision to intubate patients undergoing stroke thrombectomy impacts multiple variables that may influence outcomes after stroke. Three main areas where intubation may deleteriously affect acute stroke managem...

Nasogastric tube check, easy or not?

To cite: Koo S. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015214075 DESCRIPTION Our patient required nasogastric tube (NGT) feeding for poor nutritional intake. He was alert when NGT insertion occurred. This required two attempts due to coughing. On the second attempt, coughing was present throughout but settled gradually. NGT insertion may be tricky in the...

Folic Acid Supplementation: to Advise or not to Advise?

Human milk vitamin content after pasteurisation, storage, or tube feeding.

We investigated the effect of the composition of the storage container, Holder pasteurisation, and conditions during tube feeding on the concentration of selected vitamins in human milk. Though the fat soluble vitamins A, D, and E were not affected, the concentration of several water soluble vitamins decreased. The lower vitamin C concentration of milk stored in polypropylene containers compare...