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Oxygen insufflation via the working channel during tracheal intubation guided by a flexible optical scope and benefits, dangers, and future of the method: a narrative review.
BJA Open
December 2024
Department of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
When performing tracheal intubation guided by a flexible optical scope, the operator may lose the anatomical orientation and hypoxia may occur. Oxygen insufflation through the working channel of the flexible optical scope is used by anaesthetists to prevent blurring of the lens and to prevent hypoxia. However, fatal iatrogenic injuries from this method are reported.
View Article and Find Full Text PDFComplicated placement of a nasogastric tube in the gastric mucosa: A case report and literature review.
Nurs Crit Care
October 2024
Intensive Care Unit, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.
Article Synopsis
- - Nasogastric tubes (NGTs) are often inserted blindly in ICUs, but misplacement can lead to serious complications like pneumothorax and gastrointestinal bleeding, as highlighted by a case involving a 78-year-old man.
- - The case showed that traditional methods like auscultation (listening for a 'whooshing sound') for confirming NGT placement may be unreliable and are not recommended, with radiographic confirmation being the preferred method despite its limitations.
- - Clinicians should focus on potential signs of NGT misalignment, such as unusual drainage fluid and changes in patient conditions (e.g., hypotension, anemia), and consider patient history of gastrointestinal issues during NGT insertion.
Migration and section of esophageal thermometer in laparoscopic sleeve gastrectomy: Clinical case of a preventable complication.
Int J Surg Case Rep
November 2024
Juárez University of the State of Durango, Mexico. Electronic address:
Introduction And Importance: Laparoscopic sleeve gastrectomy is a prevalent bariatric surgery for managing morbid obesity. Despite its efficacy, complications can arise, particularly from intraoperative devices such as esophageal thermometers and orogastric tubes. These devices, if misplaced or inadequately monitored, can migrate and become entrapped or sectioned during surgery, leading to significant morbidity.
View Article and Find Full Text PDFBalloon catheter-assisted rescue for misplacement of lumen-apposing stent across the pylorus in endoscopic ultrasound-guided transduodenal drainage of walled-off necrosis.
Endoscopy
December 2024
Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, United States.
Ultrasonography for confirmation of gastric tube placement.
Cochrane Database Syst Rev
July 2024
Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
Background: Gastric tubes are commonly used for the administration of drugs and tube feeding for people who are unable to swallow. Feeding via a tube misplaced in the trachea can result in severe pneumonia. Therefore, the confirmation of tube placement in the stomach after tube insertion is important.
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