Delayed gastric perforation following nasogastric tube insertion: the pitfalls of radiographic confirmation

2021 ◽  
Vol 14 (11) ◽  
pp. e244824
Author(s):  
Thomas Wallbridge ◽  
Mahesh Eddula ◽  
Prakash Vadukul ◽  
John Bleasdale
Keyword(s):  
Gastric Perforation ◽  
Abdominal Sepsis ◽  
Right Atrial ◽  
Tube Insertion ◽  
Atrial Thrombus ◽  
National Patient ◽  
Tube Migration ◽  
Oxygen Requirements ◽  
Hospital Cardiac Arrest ◽  
Nasogastric Tube Insertion

A man in his 70s, admitted to intensive care unit following an out of hospital cardiac arrest, had a nasogastric (NG) tube inserted on admission. Correct placement of the NG tube had been confirmed using National Patient Safety Agency (NPSA) criteria and was used for feeding without incident. He remained intubated and ventilated throughout his stay. On day 9 his oxygen requirements increased with subsequent chest imaging revealing an incidental gastric perforation secondary to NG tube migration. The NG tube was removed intact and undamaged. The patient appeared to improve without sequelae from the perforation or signs of abdominal sepsis. Unfortunately his condition deteriorated due to a large right atrial thrombus and life sustaining treatments were withdrawn.

scholarly journals Metastatic renal cell carcinoma complicated by right atrial thrombus

2021 ◽  
Author(s):  
Hafiz Muhammad Abrar Jeelani ◽  
Muhammad Mubbashir Sheikh ◽  
Adeel Riaz ◽  
Nikita Jain ◽  
Nayha Tahir ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Metastatic Renal Cell Carcinoma ◽  
Renal Cell ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals COVID AND THE MASSIVE RIGHT ATRIAL THROMBUS

2021 ◽  
Vol 77 (18) ◽  
pp. 2014
Author(s):  
Shehryar Jumani ◽  
Pavankumar Thota ◽  
Jewelian Baig ◽  
Luis Chozet ◽  
Megan Stevens ◽  
...  
Keyword(s):  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus

scholarly journals Challenges in Clinical Nutrition during the COVID-19 Pandemic

2020 ◽  
Vol 1 (1) ◽  
pp. 13-15
Author(s):  
Christina N.  Katsagoni
Keyword(s):  
Artificial Ventilation ◽  
Clinical Nutrition ◽  
Tube Insertion ◽  
Nutritional Screening ◽  
Nutrition Management ◽  
Muscle Catabolism ◽  
Key Aspects ◽  
Inflammatory Syndrome ◽  
Nutrition Practice ◽  
Nasogastric Tube Insertion

The viral epidemic caused by the new Coronavirus SARS-CoV-2 is responsible for the new Coronavirus disease-2019 (Covid-19). Fifteen percent of the Covid-19 patients will require hospital stay, and 10% of them will need urgent respiratory and hemodynamic support in the intensive care unit (ICU). Covid-19 is an infectious disease characterized by inflammatory syndrome, itself leading to reduced food intake and increased muscle catabolism. Therefore Covid-19 patients are at high risk of being malnourished, making the prevention of malnutrition and the nutritional management key aspects of care. Urgent, brutal and massive arrivals of patients needing urgent respiratory care and artificial ventilation lead to the necessity to reorganize hospital care, wards and staff. In that context, nutritional screening and care may not be considered a priority. Moreover, at the start of the epidemic, due to mask and other protecting material shortage, the risk of healthcare givers contamination have led to not using enteral nutrition, although indicated, because nasogastric tube insertion is an aerosol-generating procedure. Clinical nutrition practice based on the international guidelines should therefore adapt and the use of degraded procedures could unfortunately be the only way. Based on the experience from the first weeks of the epidemic in France, we emphasize ten challenges for clinical nutrition practice. The objective is to bring objective answers to the most frequently met issues to help the clinical nutrition caregivers to promote nutritional care in the hospitalized Covid-19 patient. We propose a flow chart for optimizing the nutrition management of the Covid-19 patients in the non-ICU wards.

Iatrogenic traumatic pontine injury from nasogastric tube insertion in a patient with an occult clival chordoma

2021 ◽  
Author(s):  
Christopher G. Shafik ◽  
Madeleine L. Buck ◽  
Alfredo J. Faria Freitas ◽  
Benjamin J. Dixon ◽  
Rana Dhillon
Keyword(s):  
Nasogastric Tube ◽  
Tube Insertion ◽  
Clival Chordoma ◽  
Nasogastric Tube Insertion

Nasogastric Tube Insertion in intubated patients with the guide of Wire rope: A Prospective Randomized Controlled Study

2021 ◽  
Author(s):  
Hamid Reza Sharifnia ◽  
Sharareh Jahangiri ◽  
Fazeleh Majidi ◽  
Reza Shariat Moharari ◽  
Shaghayegh Shahmirzaei ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Wire Rope ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Tube Insertion ◽  
Randomized Controlled ◽  
Nasogastric Tube Insertion

scholarly journals A rare case of Tetralogy of Fallot with right atrial thrombus presenting with hemiplegia complicating the clinical course

2021 ◽  
Author(s):  
Parag Sharma ◽  
Satyajit Samal ◽  
Debmalya Saha ◽  
Sayyed E. H. Naqvi ◽  
Saket Aggarwal ◽  
...  
Keyword(s):  
Tetralogy Of Fallot ◽  
Rare Case ◽  
Clinical Course ◽  
Right Atrial ◽  
Atrial Thrombus ◽  
Right Atrial Thrombus
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