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Procedure: Nasogastric Intubation

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Total 145 results found since Jan 2013.

Monitoring of hospital acquired pneumonia in patients with severe brain injury on first access to intensive neurological rehabilitation: First year of observation.
Authors: Beghi G, De Tanti A, Serafini P, Bertolino C, Celentano A, Taormina G Abstract Nosocomial or hospital acquired pneumonia (HAP) is an illness contracted during a hospital stay, generally with onset 48 hours or more after admission to hospital, or within 14 days of discharge from hospital. HAP is divided into subgroups: Ventilator-associated pneumonia (VAP), accounting for 86% of hospital acquired pneumonia, and stroke-associated pneumonia (SAP). The incidence of SAP in neurological intensive care units (NICUs) is 4.1-56.6%, in medical intensive care units (MICUs) it is 17-50%, in stroke units it is 3.9-44% ...
Source: Monaldi Archives for Chest Disease - May 11, 2018 Category: Respiratory Medicine Tags: Monaldi Arch Chest Dis Source Type: research

Management of Dysphagia in Patients with Parkinson's Disease and Related Disorders.
Authors: Umemoto G, Furuya H Abstract Various methods of rehabilitation for dysphagia have been suggested through the experience of treating stroke patients. Although most of these patients recover their swallowing function in a short period, dysphagia in Parkinson's disease (PD) and Parkinson-related disorder (PRD) degenerates with disease progression. Muscle rigidity and bradykinesia are recognized as causes of swallowing dysfunction, and it is difficult to easily apply the strategies for stroke to the rehabilitation of dysphagia in PD patients. Disease severity, weight loss, drooling, and dementia are important ...
Source: Internal Medicine - April 20, 2019 Category: Internal Medicine Tags: Intern Med Source Type: research

Cervical repetitive peripheral magnetic stimulation relieves idiopathic persistent hiccups: A preliminary study of case report
Conclusion: The cervical rPMS therapy is beneficial in treating idiopathic persistent hiccups, particularly in post-stroke patients.
Source: Medicine - October 28, 2022 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Case of the Month #181: Iatrogenic Colon Perforation During Epicardial Pacing Wire Placement
A 79-year-old man was admitted to the hospital with Staphylococcal aureus endocarditis. Before surgery, he had a small right hemispheric cardioembolic stroke. He subsequently underwent mitral valve replacement for treatment of a large posterior leaflet valvular vegetation. Two days after surgery, he clinically deteriorated and developed intolerance to nasogastric feeds and significant abdominal distension and tenderness. He was hemodynamically stable, without fever or increasing leukocytosis. Supine frontal chest and abdominal radiographs (not shown) were ordered and demonstrated postsurgical changes related to recent mitr...
Source: Canadian Association of Radiologists Journal - January 25, 2013 Category: Radiology Authors: Justin Haba, Shamir Patel, Robin Gray Tags: Canadian Residents’ Corner / Coin canadien des résidents en radiologie Source Type: research

Efficacy of Cilostazol in Preventing Aspiration Pneumonia in Acute Cerebral Infarction
This retrospective study examined the effectiveness of cilostazol in preventing aspiration pneumonia in patients with acute cerebral infarction. The 189 subjects ranged in age from 31 to 95 years and included 57 with small-artery occlusion, 107 with large-artery atherothrombosis, and 25 with other disorders. Patients with cardiogenic cerebral embolism or preexisting pneumonia at the time of hospital admission were excluded from the analysis. Neurologic symptoms, cognitive function, and swallowing function were assessed at the first clinical examination, and the ability to perform activities of daily living was assessed at ...
Source: Journal of Stroke and Cerebrovascular Diseases - August 9, 2012 Category: Neurology Authors: Aiko Osawa, Shinichiro Maeshima, Norio Tanahashi Tags: Original Articles Source Type: research

What is the best strategy for successful bowel preparation under special conditions?
Abstract Adequate bowel preparation is important for successful colonoscopic examination. Several effective colonic cleansing agents are available and routinely prescribed, but each carries its own limitations and benefits from particular dosing regimens. The most frequently prescribed colonic cleansing agent, the polyethylene glycol (PEG) cathartic solution, suffers from low patient compliance in general, due to its unpalatable taste and smell coupled with the large ingested volumes required. However, PEG is preferred over other cathartics for use in individuals of advanced age, sufferers of chronic kidney diseas...
Source: World Journal of Gastroenterology : WJG - March 21, 2014 Category: Gastroenterology Authors: Lim YJ, Hong SJ Tags: World J Gastroenterol Source Type: research

Management of acid-related disorders in patients with dysphagia
Publication date: 6 September 2004 Source:The American Journal of Medicine Supplements, Volume 117, Issue 5, Supplement 1 Author(s): Colin W. Howden Dysphagia affects a large and growing number of individuals in the United States, particularly the elderly and those who are neurologically impaired. Swallowing difficulties may be due to age-related changes in oropharyngeal and esophageal functioning as well as central nervous system diseases such as stroke, Parkinson disease, and dementia. Among institutionalized individuals, dysphagia is associated with increased morbidity and mortality. An appreciation of the physiology ...
Source: The American Journal of Medicine Supplements - November 6, 2014 Category: Drugs & Pharmacology Source Type: research

Swallowing Training Combined With Game-Based Biofeedback in Poststroke Dysphagia
Conclusions Laryngeal elevation training combined with game-based biofeedback augments the change in hyoid bone displacement and FOIS scores, and increases the NG tube removal rate in patients with poststroke dysphagia.
Source: PMandR - January 22, 2016 Category: Rehabilitation Source Type: research

Limitations of Routine Verification of Nasogastric Tube Insertion Using X-ray and Auscultation: Two Case Reports of Life-Threatening Complications.
We present 2 cases of rare complications in which the routine verification methods could not detect all the complications related to the nasogastric tube placement. Case 1 was a 17-year-old male who presented with a brain tumor and repeatedly required nasogastric tube placement. Despite normal auscultatory and X-ray findings, the patient's condition deteriorated rapidly after resuming the enteral nutrition (EN). Computed tomography images showed the presence of hepatic portal venous gas (HPVG). Urgent upper gastrointestinal endoscopy showed esophagogastric submucosal tunneling of the tube that required an emergency open to...
Source: Nutrition in Clinical Practice - May 12, 2016 Category: Nutrition Authors: Nejo T, Oya S, Tsukasa T, Yamaguchi N, Matsui T Tags: Nutr Clin Pract Source Type: research

Radiologic Percutaneous Gastrostomy in Nondistended Stomach: A Modified Approach
We describe a simple technique to prevent air escape from the stomach during gastrostomy tube placement. To the best of our knowledge, this technique has not yet been described in the literature. Materials and Methods Four patients with unsuccessful percutaneous endoscopic gastrostomy were referred for fluoroscopic-guided gastrostomy. One patient had a pyriform sinus tumor and three had an ischemic stroke causing dysphagia. Gastric distention was not achieved in the patients due to air escaping into the bowel during the standard RIG procedure. A modified approach using a balloon ...
Source: CardioVascular and Interventional Radiology - May 28, 2016 Category: Radiology Source Type: research

All bleeding stops — but does idarucizumab (Praxbind) make it stop faster?
3.5 out of 5 stars Persistent life-threatening hemorrhage after administration of idarucizumab. Alhashem HM et al. Am J Emerg Med 2016 June 30 [Epub ahead of print] Reference Dabigatran (Pradaxa) is a direct thrombin inhibitor approved for stroke and embolism prophylaxis in patients with non-valve-related atrial fibrillation. When it was first released in 2008, a major disincentive to widespread use was the lack of a reliable reversal agent to treat major bleeds, or to administer before necessary invasive procedures. In October 2015, the U.S. Food and Drug Administration approved idarucizumab (Praxbind), a monoclonal ant...
Source: The Poison Review - July 27, 2016 Category: Toxicology Authors: Leon Gussow Tags: Medical anticoagulant hemorrhage idarucizumab pradaxa praxbind reversal agent Source Type: news

Swallowing Training Combined With Game-Based Biofeedback in  Poststroke Dysphagia
Conclusions Laryngeal elevation training combined with game-based biofeedback augments the change in hyoid bone displacement and FOIS scores, and increases the NG tube removal rate in patients with poststroke dysphagia.
Source: PMandR - August 17, 2016 Category: Rehabilitation Source Type: research

Predictors of Nasogastric Tube Removal Before Acute Hospital Discharge in First-Ever Ischemic Stroke Patients
To identify the predictors of nasogastric tube (NGT) removal.
Source: Archives of Physical Medicine and Rehabilitation - September 27, 2016 Category: Rehabilitation Authors: Yun-Shan Yen, Willy Chou, Ya-Fang Hsu, Mei-Ju Ko, Daniel Chiung Jui Su, Wen-Chih Lin Source Type: research

Clinical significance of platelet reactivity during prasugrel therapy in patients with acute myocardial infarction.
CONCLUSIONS: It is feasible to treat AMI patients with prasugrel. HTPR is a significant independent risk factor for adverse events in AMI patients receiving prasugrel after primary PCI. PMID: 27836373 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - November 7, 2016 Category: Cardiology Authors: Sato T, Namba Y, Kashihara Y, Tanaka M, Fuke S, Yumoto A, Saito H Tags: J Cardiol Source Type: research

An Open-Label Crossover Study of the Pharmacokinetics of the 60-mg Edoxaban Tablet Crushed and Administered Either by a Nasogastric Tube or in Apple Puree in Healthy Adults
ConclusionThe results support the use of edoxaban tablets crushed and administered either via a nasogastric tube or orally mixed in apple puree in patients who are unable to swallow solid oral dose formulations.
Source: Clinical Pharmacokinetics - May 17, 2017 Category: Drugs & Pharmacology Source Type: research