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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
Malnutrition in Acute Stroke Patients Stratified by Stroke Severity- A Hospital Based Study.
CONCLUSION: Nutritional status was poor in stroke patients across all stroke severities within weeks. Further longitudinal outcome studies to identify the poor outcome and the evolution of nutritional status are warranted.
PMID: 29468620 [PubMed - in process]
Source: Acta Neurologica Taiwanica - February 24, 2018 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research
One-Year Risk of Pneumonia and Mortality in Patients with Poststroke Dysphagia: A Nationwide Population-Based Study
In the early stages of stroke, the use of a nasogastric tube can reduce complications such as malnutrition, dehydration, and pneumonia. However, its long-term efficacy is controversial.
Source: Journal of Stroke and Cerebrovascular Diseases - February 3, 2018 Category: Neurology Authors: Chung-Han Ho, Wen-Chih Lin, Ya-Fang Hsu, I.-Hui Lee, Yi-Chieh Hung Source Type: research
Upper esophageal sphincter augmentation reduces pharyngeal reflux in nasogastric tube –fed patients
ConclusionsUES‐AD significantly decreases the number of trans‐UES reflux events and can potentially reduce the aspiration risk associated with NGT feeding.
Level of Evidence4. Laryngoscope, 2017
Source: The Laryngoscope - October 8, 2017 Category: ENT & OMF Authors: Hongmei Jiao, Ling Mei, Chenyang Liang, Yun Dai, Zhifang Fu, Lihong Wu, Patrick Sanvanson, Reza Shaker Tags: Broncho ‐Esophagology Source Type: research
What Causes Microcephaly?
Discussion
Microcephaly is usually defined as an occipitofrontal head circumference (OFC) more than 2 standard deviations (SD) below the mean for sex, age and ethnicity. Severe microcephaly is used for OFC < 3 standard deviations. Rates of microcephaly range from 0.5-12 patients/10,000 live births.
The OFC should be measured at every well child visit and at other opportunities and plotted on standard growth charts. The OFC is measured using a nonelastic tape measure around the largest part of the head with the tape measure held above the eyebrows and ears. It is a highly reproducible measurement. There are several diff...
Source: PediatricEducation.org - September 25, 2017 Category: Pediatrics Authors: pediatriceducationmin Tags: Uncategorized Source Type: news
Long Term Use of Nasogastric Tube Has Negative Impact in Swallowing Function in Post-stroke Patient
To investigate the impact of long term use of nasogastric tube in swallowing function in post-stroke patient.
Source: Archives of Physical Medicine and Rehabilitation - September 24, 2017 Category: Rehabilitation Authors: Guo-Xin Ni, Zhi-Yong Wang Source Type: research
Comparison of a curved forceps with a conventional straight forceps for nasogastric tube insertion under videolaryngoscopic guidance: A randomized, crossover manikin study
Background: Nasogastric tube (NGT) insertion is an easy procedure that can be routinely performed under general anesthesia. However, for difficult cases, there are limited insertion techniques available in routine clinical practice, considering the flexibility of NGTs. The SUZY curved forceps are designed for the removal of pharyngolaryngeal foreign bodies under guidance of the McGRATH MAC (McG) videolaryngoscope. Because McG enables clear visualization of the esophageal inlet, we hypothesized that the SUZY forceps can facilitate easier NGT insertion compared with the conventional Magill forceps under McG guidance and desi...
Source: Medicine - September 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research
Interventions for maintaining nasogastric feeding after stroke: an integrative review of effectiveness and acceptability
ConclusionCurrent clinical practice is underpinned by assumptions around the acceptability of NL and HM to secure NGTs. This results in reliance on consensual judgement between professional, patients and their families to guide their use among individuals with dysphagia after stroke. Further research is required to assess the effectiveness of HM and acceptability of both NL and HM among stroke patients to inform guideline development.
Relevance to Clinical PracticeGiven the lack of evidence on the acceptability of HM and NL among stroke patients to inform evidence‐based guidelines and protocols, healthcare professionals ...
Source: Journal of Clinical Nursing - August 9, 2017 Category: Nursing Authors: Catherine Mahoney, Linda Veitch Tags: Review Source Type: research
Dysphagia Screening Using High-resolution Impedance Manometry in Acute Stroke
Conclusions Our assessment program was safe and effective for assessing swallowing function and for determining the appropriate diet plan.
Source: International Journal of Gerontology - August 9, 2017 Category: Geriatrics Source Type: research
Route of Feeding as a Proxy for Dysphagia After Stroke and the Effect of Transdermal Glyceryl Trinitrate: Data from the Efficacy of Nitric Oxide in Stroke Randomised Controlled Trial
AbstractPost-stroke dysphagia is common, associated with poor outcome and often requires non-oral feeding/fluids. The relationship between route of feeding and outcome, as well as treatment with glyceryl trinitrate(GTN), was studied prospectively. The Efficacy of Nitric Oxide in Stroke (ENOS) trial assessed transdermal GTN (5 mg versus none for 7 days) in 4011 patients with acute stroke and high blood pressure. Feeding route (oral = normal or soft diet; non-oral = nasogastric tube, percutaneous endoscopic gastrostomy tube, parenteral fluids, no fluids) was assessed at baseline and day 7. The primary outcome was the mo d...
Source: Translational Stroke Research - August 2, 2017 Category: Neurology Source Type: research
Stroke: ineffective tube securement reduces nutrition and drug treatment.
In conclusion, most tubes studied were lost to inadvertent tube removal, leading to clinically significant delays to nutrition, hydration and drug treatments; this may impair recovery. Reducing tube loss is likely to reduce patient distress, treatment cost and enhance recovery.
PMID: 28640722 [PubMed - in process]
Source: British Journal of Nursing - June 22, 2017 Category: Nursing Authors: Brazier S, Taylor SJ, Allan K, Clemente R, Toher D Tags: Br J Nurs Source Type: research
The impact of aspiration pneumonia and nasogastric feeding on clinical outcomes in stroke patients: a retrospective cohort study
ConclusionHigh prevalence and cost of complications associated with stroke highlights the complexity of providing nursing and allied health care to this patient population. This provides a snap shot of dysphagia related complications experienced by stroke patients.This article is protected by copyright. All rights reserved.
Source: Journal of Clinical Nursing - June 15, 2017 Category: Nursing Authors: Maria Schwarz, Anne Coccetti, Allison Murdoch, Elizabeth Cardell Tags: Original Article 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
Disability and mortality after permanent feeding tube placement in patients with acute stroke (P3.107)
Conclusions:In our large cohort of patients with acute stroke and PEG tubes, nearly 9/10 had severe disability at discharge. From discharge to 1 year, there was no difference in mortality between PEG and NG patient cohorts. These results suggest that PEG tubes serve mainly to prolong survival in patients discharged with severe disability. Our study may help support guideline creation and facilitate discussions with patients and families regarding PEG tube placement after acute stroke.Disclosure: Dr. Joundi has nothing to disclose. Dr. Saposnik has nothing to disclose. Dr. Martino has nothing to disclose. Dr. Fang has nothi...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Joundi, R., Saposnik, G., Martino, R., Fang, J., Giannakeas, V., Porter, J., Kapral, M. Tags: Cerebrovascular Disease and Interventional Neurology Poster Discussion Session Source Type: research
