EDITOR: We report a case in which we used the GlideScope to facilitate the successful insertion of nasogastric tube. A 66-yr-old male was scheduled for an elective left-sided hemi-mandibulectomy with radial free flap reconstruction for squamous cell carcinoma of the oral cavity. On assessment, the patient’s airway was Mallampati 2 and mouth opening was three fingerbreadths wide. We induced anae...

BACKGROUND Nasogastric tubes are an important component of care in patients with gastrointestinal obstructions. However, they are prone to malfunction despite conventional flushing techniques, with potentially severe consequences. There is no widely accepted, gold-standard way to ensure that a nasogastric tube succeeds in maintaining an empty stomach following flushing. METHODS We have develo...

Purpose: According to frequent needs to gastric decompression by nasogastric tube insertion during laparoscopic Cholecystectomy, the current comparative study was accomplished through single blind clinical trial considering both the presence and the absence of guide wire insertion. Materials and Methods: Twenty patients were selected for elective surgery of laparoscopic Cholecystectomywith ...

OBJECTIVES Nasogastric (NG) intubation is one of the most common procedures performed in the emergency department (ED) and other hospital settings. The aim of this study was to compare the level of pain during NG tube insertion in groups receiving local ketamine plus water-soluble lubricating gel and water-soluble lubricating gel alone (the latter is the common practice in our hospital). It was...

A critical point of nasogastric feeding tube placement, potentially resulting in an unsafe and/or non-effective operation of the device, is the monitoring of its proper placement into the stomach. A properly obtained and interpreted radiograph is currently recommended to confirm placement. We reported the case of a 68-year-old demented woman referred for complicated dysphagia. A nasogastric tub...

Nasogastric and nasoenteral tubes are necessary in medical practice, but they are unpleasant and hard to be tolerated during long periods. This paper describes a technique of fastening the nasogastric or nasoenteral catheter that is easy to be performed, diminishes the discomfort and avoids most of nasal complications related to its location. Benjoim solution moistens the tube and the skin of t...

Casimiro HJ, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-221799 Description A 62-year-old woman with history of frontotemporal dementia was admitted to a Psychiatry ward due to severe insomnia. In the morning, after the admission a nasogastric tube was placed to initiate enteral feeding and medication since she was refusing all oral intake. Later that night, she was found unresponsive, dyspn...

BACKGROUND Edoxaban is an orally active, direct factor Xa inhibitor indicated to reduce the risk of stroke and systemic embolism in non-valvular atrial fibrillation and for the treatment of venous thromboembolism. OBJECTIVES This study assessed the pharmacokinetics, safety, and tolerability of the edoxaban 60-mg tablet crushed and administered via a nasogastric tube in a water suspension or o...

Nasogastric tubes are widely used for enteral feeding and administration of medication but unexpected complications can arise during their insertion or removal. There are no standardized ways of dealing with such complications and the safer methods of insertion available are mostly expensive. We present here a case of knotted nasogastric tube and the different approaches that were used to remov...

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...