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Background: A systematic appraisal of the comparative efficacy and safety profiles of naso-intestinal tube versus gastric tube feeding in the context of enteral nutrition for mechanically ventilated (MV) patients is imperative. Such an evaluation is essential to inform clinical practice, ensuring that the chosen method of nutritional support is both optimal and safe for this patient population.

Methods: We executed an exhaustive search across PubMed et al.

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Background: It has been demonstrated that aspiration during endotracheal intubation in preterm infants with gastroesophageal reflux is a contributing factor in the worsening of lung diseases and the development of bronchopulmonary dysplasia (BPD). This study aims to compare the safety and efficacy of early transpyloric (TP) tube feeding with that of nasogastric (NG) tube feeding in relation to BPD.

Methods: The study population consisted of 39 extremely low birth weight infants (ELBWIs) with mechanical ventilation and an enteral feeding volume of 50 mL/kg/day, which were randomly assigned to different groups based on the method of tube feeding.

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Hyperkaliaemic cardiac arrest in Angelman's syndrome following suxamethonium.

BMJ Case Rep

December 2024

Critical Care, North West Anglia NHS Foundation Trust, Peterborough, UK.

We present a case of hyperkaliaemic cardiac arrest in a patient with Angelman's syndrome after administration of suxamethonium in rapid sequence intubation. The patient was admitted to the critical care unit in with aspiration pneumonia and intestinal obstruction. They had a cardiac arrest after suxamethonium administration.

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Article Synopsis
  • LCIG is a treatment for advanced Parkinson's disease, often starting with a nasojejunal tube (NJT) test phase, but some centers have initiated treatment directly with a PEG-J tube.
  • A study compared these two methods in 33 advanced PD patients, evaluating treatment discontinuations, adverse events, and hospital stay length.
  • Results showed no significant differences in complications or discontinuations between the two methods, but direct initiation with PEG-J reduced hospital stays significantly.
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Article Synopsis
  • - The study compares the outcomes of two gastrostomy tube placement techniques—laparoscopic (LAP) and percutaneous endoscopic (PEG)—in pediatric patients, focusing on complications and the need for additional procedures.
  • - Researchers reviewed records of 688 patients aged 0-18 who had GT placements, finding that LAP patients were generally younger and lighter than PEG patients, but both groups had similar rates of major complications.
  • - Results showed that PEG patients had a higher likelihood of developing skin infections, while no LAP placements failed during the study period, indicating potential advantages of LAP over PEG in certain aspects.
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