scholarly journals Nasogastric Tube Feeding Practice and Associated Complication in stroke Patients in a Tertiary Care Hospital in Bangladesh

2018 ◽  
Vol 4 (1) ◽  
pp. 23-27 ◽  
Author(s):  
Kazi Mohibur Rahman ◽  
Sharif Uddin Khan ◽  
ATM Hasibul Hasan ◽  
Sirajee Shafiqul Islam ◽  
Rajib Nayan Chowdhury ◽  
...  
Keyword(s):  
Aspiration Pneumonia ◽  
Nasogastric Tube ◽  
Tertiary Care ◽  
Tube Feeding ◽  
Electrolyte Imbalance ◽  
Feeding Practice ◽  
Care Hospital ◽  
Stroke Patients ◽  
Nasal Irritation ◽  
Nasogastric Tube Feeding

Background: Nasogastric tube feeding is an integral part of management of stroke patients with feeding difficulties.Objectives: The purpose of the present study was to evaluate the nasogastric tube feeding practice and its complication on stroke patients.Methodology: One hundred (100) adult patients aged ≥ 18 years with stroke were enrolled in the study. The diagnosis of stroke was established by the clinical presentation, neuroimaging. Patients requiring nasogastric tube feeding was included in the study. They were thoroughly examined for any complications from possible use of nasogastric tube. Their caregivers were also thoroughly interviewed using a standard preformed questionnaire regarding any complications as well. Results: A total number of 100 patients were recruited for this study. In this study population, 63.0% patients had ischaemic stroke; 26.0% had haemorrhagic stroke and 9.0% population had sub-arachnoid haemorrhage. The most common indication for NG feeding was difficulty in swallowing (39.0%) followed by semi consciousness (26.0%), unconsciousness (22.0%), inability to maintain feed (10.0%). About 71.0% of the patients had complications from NG tube feeding such as nasal irritation (53.0%), electrolyte imbalance (43.0%), aspiration pneumonia (40.0%) and diarrhea (38.0%).Conclusion: Nasal irritation, aspiration pneumonia, electrolyte imbalance, diarrhea are common complications associated with NG tube feeding which in part may be related to faulty feeding technique.Journal of National Institute of Neurosciences Bangladesh, 2018;4(1): 23-27

scholarly journals Feeding practice in acute stroke patients in a tertiary care hospital

1970 ◽  
Vol 36 (3) ◽  
pp. 78-81
Author(s):  
Md Titu Miah ◽  
Mohammad Al-Amin ◽  
Mohammad Ashik Imran Khan ◽  
KFM Ayaz ◽  
MH Zakaria ◽  
...  
Keyword(s):  
Acute Stroke ◽  
Nasogastric Tube ◽  
Tertiary Care ◽  
Milk Powder ◽  
Tube Feeding ◽  
Small Scale ◽  
Feeding Practice ◽  
Care Hospital ◽  
Stroke Patients ◽  
College Hospital

Background: Feeding is a basic component of care and it is the most common and difficult management issue for stroke patients.Objective of this study was to know the practice of feeding (oral & nasogastric tube feeding), different types of food used and their caloric value in stroke patients. Materials & Methods: This direct observational study was done from June 2010 to November 2010, in different medicine wards of Dhaka Medical College Hospital, and included 100 acute stroke patients confirmed by CT scan or MRI of brain and duration of hospital stay for at least 24 hours.Results: Out of 100 cases, 22% took their feeding orally and 78% cases through nasogastric tube. Artificial milk powder 66% cases (NG tube vs. Orally, 58% vs. 8%), juice 18% (NG tube 13% vs. orally 5%), horlicks & juice & soup 10% (NG tube vs. Orally, 7% vs. 3%), khichury 2% orally, bread & egg & shuji 4% cases orally. In 100 cases studied, none of them fulfilled the calorie requirement up to the standard level according to the guideline of Nutrition & Food Science Institute, of Dhaka University, Bangladesh.Conclusion: Though this study was small scale but the magnitude of under nutrition among stroke patients revealed is alarming and needs urgent attention. DOI: 10.3329/bmrcb.v36i3.7286Bangladesh Med Res Counc Bull 2010; 36: 78-81

scholarly journals Button Gastrostomy Tubes for Pediatric Patients: A Tertiary Care Center Experience

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Fayza Haider ◽  
Hasan Mohamed Ali Isa ◽  
Mohamed Amin Al Awadhi ◽  
Barrak Ayoub ◽  
Ezat Bakhsh ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Neurological Disorders ◽  
Pediatric Patients ◽  
Tertiary Care ◽  
Tube Feeding ◽  
Gastrostomy Tube ◽  
Tube Insertion ◽  
Main Indication ◽  
Nasogastric Tube Feeding ◽  
Button Gastrostomy

Background and Objective. Gastrostomy tube insertion is one of the most common procedures performed as a radical choice to overcome feeding difficulty in children. This study is aimed at describing the replacement of a button tube instead of the long tube for feeding infants and children requiring gastrostomies in a tertiary care hospital. Design and Setting. This retrospective cross-sectional descriptive study was conducted between January 2009 and August 2019 at Salmaniya Medical Complex which is a tertiary health care institute in the Kingdom of Bahrain. Subjects and Methods. Both charts and electronic health records of pediatric patients between the ages of 0 and 14 years were reviewed. Data were collected including age, sex, nationality, diagnosis, surgical information (procedure center and procedure performed), complications, and follow-up. Results. Out of 34 patients who underwent gastrostomy tube insertion, 30 patients had their long tube replaced by a button gastrostomy. Majority were males (N=18, 60%). Prolonged nasogastric tube feeding was the main indication of referral (N=17, 56%) followed by feed intolerance (N=6, 17%) and gastroesophageal reflux disease (N=5, 16%). The main underlying diseases at referral were neurological impairment (N=19, 63%) and metabolic disorders (N=4, 13%). There was no significant difference between patients with neurological disorders and other diseases in terms of gender, nationality, or age. Laparotomy with gastrostomy is the main approach used (N=18, 60%). No reported complications of button tubes in 50% of the patients (N=15). Conclusions. Prolonged nasogastric tube feeding is the main indication of referral for gastrostomy tube insertion. Neurological disorders are the main diagnosis for the cases operated upon. Laparotomy with gastrostomy is the procedure of choice at our center. Majority of patients had no reported complications of button tube replacement. These children are likely to benefit from the button tube with fewer complications.

Long-term nasogastric tube feeding in elderly stroke patients — an assessment of nutritional adequacy and attitudes to gastrostomy feeding in asians

2012 ◽  
Vol 16 (8) ◽  
pp. 701-706 ◽  
Author(s):  
F. Zaherah Mohamed Shah ◽  
H. -S. Suraiya ◽  
P. J. -H. Poi ◽  
K. S. Tan ◽  
P. S. M. Lai ◽  
...  
Keyword(s):  
Nasogastric Tube ◽  
Tube Feeding ◽  
Stroke Patients ◽  
Nutritional Adequacy ◽  
Nasogastric Tube Feeding

scholarly journals Pattern of electrolyte imbalance and their response to corticosteroid therapy in stroke patients admitted in a tertiary care hospital

2018 ◽  
Vol 28 (2) ◽  
pp. 75-80
Author(s):  
AT Islam ◽  
S Afrose ◽  
ZK Joarder ◽  
KAK Azad
Keyword(s):  
Acute Stroke ◽  
Corticosteroid Therapy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Electrolyte Imbalance ◽  
Control Group ◽  
P Value ◽  
Source Population ◽  
Care Hospital ◽  
Stroke Patients

This prospective, single center, case-control study was designed to see the response of electrolyte imbalance in admitted stroke patients receiving corticosteroid therapy in a tertiary care hospital. In IPD, still in many cases of stroke with cerebral edema, injectable corticosteroids are given frequently. Our aim was to find out the common electrolyte imbalances in different type of acute stroke, and, if there was any difference between the patterns of electrolyte imbalance in patients receiving corticosteroids for management, with those who did not receive.Methods: The source population of this study comprised stroke patients attending the DMCH, between 1st January to 30th June 2014. Total 70 patients, 35 as control and 35 as case group, who received steroids, were randomly enrolled for the study. Detail demographic data were collected from the informant was recorded in structured case report form.Result: In our study, 48 (68.55%) patients had infarction and 22 (31.45%) patients had hemorrhagic stroke. Hyponatremia was detected in majority 51 (72.85%), others imbalances are hypernatremia 9(12.85%), hypokalaemia 31(44.28%), hyperkalaemia 2(2.85%) and hypochloraemia 37(52.85%). Out of 48 ischemic stroke, hypernatraemia, hypokalaemia and hypochloraemia was present among 8(16.66%), 19(39.58%) and 24(50%) patients respectively. Out of 22 haemorrhagic stroke patients, 1(4.54%), 12(54.54%), 2(9.09%) and 13(59.09%) cases were found to have hypernatraemia, hypokalaemia, hyperkalaemia and hypochloraemia respectively. After giving injectable steroids, differences were statistically significant between two group, p-value was 0.016 (p<0.05). Among control group 24(68.57%); improvement observed was insignificant.Conclusion: It was statistically evident that, patients receiving injectable corticosteroids in acute stroke, showed improvement and had better outcome than of those who did not receive.Bangladesh J Medicine Jul 2017; 28(2) : 75-80

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