BACKGROUND The RightSpotpH™ indicator is a new device designed to facilitate pH-based confirmation of nasogastric tube placement while minimizing exposure of the operator to nasogastric contents. STUDY OBJECTIVES In vivo and in vitro validation of the RightSpotpH™ indicator. FINDINGS Patients (23) undergoing general anesthesia had placement of a nasogastric tube and gastric pH electrode cat...

OBJECTIVE To compare the bioavailability and safety profile of crushed ticagrelor tablets suspended in water and administered orally or via nasogastric tube, with that of whole tablets administered orally. METHODS In this single-center, open-label, randomized, three-treatment crossover study, 36 healthy volunteers were randomized to receive a single 90-mg dose of ticagrelor administered orall...

A 55-year-old woman was found to have a depressed lesion on the posterior part of the lower gastric body (▶Fig. 1 a). The patient underwent endoscopic submucosal dissection (ESD) and en bloc resection without intraoperative perforation. Prophylactic endoscopic coagulation using Coagrasper (Olympus Medical, Tokyo, Japan) was performed for visible vessels, and endoclips were applied prophylactica...

Background: Insertion of a nasogastric tube in an anesthetized intubated patient may be difficult. A is prone to coil and kink during insertion. The authors hypothesized that gastric biopsy forceps could used as flexible stylet-assisted It can improve the first-attempt success rate over conventional blind technique insertion patient. Materials Methods: Eighty adult patients who required intraop...

Introduction: A Nasogastric (NG) tube insertion is a common technique in all neonatal intensive care units (NICUs). In some cases, NG insertion in infants with friable esophageal tissues may lead to some adverse side-effects, although such problems are not commonly seen. Esophageal perforation is a rare but known complication associated with this procedure. Methods: An infant (first child), we...

OBJECTIVES Insertion of a nasogastric tube, though a common clinical procedure, can produce unexpected complications. We sought to analyse the procedure, and explore means to improve its safety. METHODS We present a case with a thoracic complication. We review the English literature for the range of complications, and collate all available clinical tests used to confirm enteric placement. R...

INTRODUCTION The purpose of our study was to describe the evaluation and outcome of patients with ileus and bowel obstruction admitted to an emergency department (ED) observation unit (OU) and to identify predictors of successful management for such patients. METHODS We performed a retrospective chart review of 129 patients admitted to a university-affiliated, urban, tertiary hospital ED OU f...

BACKGROUND The RightLevelpH indicator is a new device designed to measure the pH of gastric aspirate obtained via a nasogastric tube while minimizing exposure of the operator. OBJECTIVE To validate the RightLevelpH indicator in vivo and in vitro. METHODS With general anesthesia, 20 patients had placement of a nasogastric tube and a gastric pH electrode catheter after endotracheal intubation...