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Procedure: Nasogastric Intubation
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Total 145 results found since Jan 2013.
Nurses' performance of using a screening tool to screen swallowing functions among hospitalized patients with acute stroke.
Conclusion: A screening tool developed for nurses can help nurses to assess swallowing functions and accurately identify dysphagia among patients with acute stroke. Training on using the screening tool and making proper nursing care plans are needed for nurses to improve screening accuracy and competency, and further improve quality of care for stroke patients with dysphagia.
International Journal of Evidence-Based Healthcare (C) 2014 The Joanna Briggs Institute
Source: International Journal of Evidence-Based Healthcare - September 1, 2014 Category: Nursing Tags: Abstracts of Posters: Evidence Utilisation: PDF Only Source Type: research
Intramural hematoma of the esophagus after thrombolysis for ischemic stroke
We report the case of an 88-year-old woman who developed an intramural hematoma of the esophagus after intravenous thrombolysis for an acute ischemic stroke. Before thrombolysis, nasogastric intubation was attempted unsuccessfully. She was kept on nil by mouth, intravenous hydration, proton pump inhibitor, antiemetics, and an antibiotic initiated 2 days before for periodontal disease.
Source: The American Journal of Emergency Medicine - August 29, 2014 Category: Emergency Medicine Authors: Mario Jorge Silva, Joana Saiote, Vera Salvado, Ana Paiva Nunes, Pedro Duarte Tags: Case report Source Type: research
In Process Citation.
Abstract
Management of ischemic stroke is targeted on four therapeutic objectives: limitation of neurological deficit, prevention of earyl stroke recurrence, protection against complications, and secondary prevention. Intravenous thrombolysis within 4.5h of stroke onset is the only proven therapy to improvefunctional outcome. Although promising, neither endovascular recanalisation nor neuroprotective strategies have demonstrated efficacy so far. Immediate administration of antiplatelet agents like acetylsalicylic acid and clopidogrel - in case of intravenous thrombolysis at the earliest after 24h - is effective to...
Source: Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS - June 1, 2014 Category: Intensive Care Authors: Görtler M, Oldag A, Brejova A Tags: Anasthesiol Intensivmed Notfallmed Schmerzther Source Type: research
Oral antiplatelet therapy for acute ischaemic stroke.
CONCLUSIONS: Antiplatelet therapy with aspirin 160 mg to 300 mg daily, given orally (or by nasogastric tube or per rectum in people who cannot swallow) and started within 48 hours of onset of presumed ischaemic stroke, reduced the risk of early recurrent ischaemic stroke without a major risk of early haemorrhagic complications; long-term outcomes were improved.
PMID: 24668137 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - March 26, 2014 Category: Journals (General) Authors: Sandercock PA, Counsell C, Tseng MC, Cecconi E Tags: Cochrane Database Syst Rev 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
Impact of early versus late enteral nutrition on cell mediated immunity and its relationship with Glucagon Like Peptide-1 in intensive care unit patients: a prospective study
Conclusions:
Our findings suggest that early enteral feeding may cause amelioration in cell mediated immunity via factors other than GLP-1 in ICU patients with acute thromboembolic stroke. However, the possible deleterious effects of parenteral nutrition cannot be ruled out.
Source: Critical Care - June 20, 2013 Category: Intensive Care Authors: Okan BakinerEmre BozkirliSemih GirayZulfikar ArlierIlknur KozanogluNurzen SezginCagla SariturkEda Ertorer Source Type: research
Acute stroke, dysphagia and nutritional support.
Abstract
Annually, an estimated 152000 people in the UK have a stroke, accounting for 11% of all deaths in England and Wales, but for those that survive, nutrition is key to the body's recovery. Consequences of malnutrition can include increased susceptibility to infection, delayed healing, impaired cardiovascular function, decreased muscle strength and depression. Given the complex nature of post-stroke dysphagia, it may not be possible that simple screening tools sufficiently identify those at risk of aspiration. If a patient is deemed unsafe or unable to meet their nutrition and hydration needs orally, guidelin...
Source: British Journal of Community Nursing - May 1, 2013 Category: Nursing Authors: Hutchinson E, Wilson N Tags: Br J Community Nurs 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
Gastroesophageal Reflux during Enteral Feeding in Stroke Patients: A 24-hour Esophageal pH-monitoring Study
Conclusions: GER is associated with aspiration pneumonia and occurs more often in patients with stroke lesions in the left hemisphere.
Source: Journal of Stroke and Cerebrovascular Diseases - August 19, 2011 Category: Neurology Authors: Yukie Satou, Hiroaki Oguro, Yo Murakami, Keiichi Onoda, Shingo Mitaki, Chizuko Hamada, Ryo Mizuhara, Shuhei Yamaguchi Tags: Original Articles Source Type: research
