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A New Technique to Insert Nasogastric Tube in an Unconscious Intubated Patient

BACKGROUND: Insertion of a nasogastric tube in an unconscious intubated patient may be difficult as they cannot follow the swallowing instructions, and therefore has a high first attempt failure rate. AIM AND METHODS: We describe here a new technique to insert nasogastric tube in an unconscious intu...

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Detalles Bibliográficos
Autores principales: Ghatak, Tanmoy, Samanta, Sukhen, Baronia, Arvind Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560144/
https://www.ncbi.nlm.nih.gov/pubmed/23378961
http://dx.doi.org/10.4103/1947-2714.106215
Descripción
Sumario:BACKGROUND: Insertion of a nasogastric tube in an unconscious intubated patient may be difficult as they cannot follow the swallowing instructions, and therefore has a high first attempt failure rate. AIM AND METHODS: We describe here a new technique to insert nasogastric tube in an unconscious intubated patient by neck flexion and using angiography catheter as a stylet and manipulating the cricoid ring of trachea for easy passage of nasogastric tube. RESULTS AND CONCLUSIONS: The technique is easy and helpful for nasogastric insertion in unconscious intubated patients. Additionally, it neither alters vital responses nor increases intracranial pressure like with laryngoscopy.