Safe Techniques for Nasogastric Tube Placement

We are back with Part 2 of All Things Enteral Access with Dr. Peter Bream! We discuss various aspects of enteric access and management of complications with G and GJ-tubes.

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SYNPOSIS

Dr. Bream provides detailed advice on troubleshooting common issues such as leaking tubes, infections, and clogs. He emphasizes the importance of a multidisciplinary approach in managing special populations, such as patients with ALS and head and neck cancer, and offers guidance for safe and effective procedures. The conversation is rich with practical tips, tricks, and valuable insights that cater to both new and experienced practitioners.

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TIMESTAMPS

00:00 - Introduction

01:47 - Special Populations

07:21 - ALS Patients

09:57 - Head and Neck Cancer Patients

14:05 - Techniques for Gastric Bypass and Altered Anatomy

18:11 - Addressing G-Tube Issues

27:16 - Converting G to GJ-Tubes

31:11 - Advanced Tips and Tricks

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RESOURCES

Weighted Tip Extensions Result in Fewer Gastrojejunostomy Tube Migrations and Increase Tube Lifespan:

https://www.jvir.org/article/S1051-0443(22)01243-X/abstract