Guidewire-assisted Nasogastric Tube Insertion in Post Stroke Patients: A Simple Bedside Trick

Both intradeglutitive aspiration and postdeglutitive aspiration occur in stroke due to abnormalities of the opening muscles of the upper esophageal sphincter, old age, long-standing reflux, and muscular disorders. [...]aspiration risk is often an indication for nutritional support using nasogastric...

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Bibliographic Details
Published in:Neurology India 2019-09, Vol.67 (5), p.1367-1368
Main Authors: Madhusudhan, Soumya, Srinivasaiah, Bharath, Pai, Raghavendra, Gopalaiah, Venkatesh
Format: Article
Language:English
Subjects:
Aspiration pneumonia
Deglutition disorders
Dysphagia
Morbidity
Mortality
Pneumonia
Stroke
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Summary:Both intradeglutitive aspiration and postdeglutitive aspiration occur in stroke due to abnormalities of the opening muscles of the upper esophageal sphincter, old age, long-standing reflux, and muscular disorders. [...]aspiration risk is often an indication for nutritional support using nasogastric tubes (NGTs). {Figure 1} Several alternate methods used to facilitate insertion include the use of angiography catheter guidewire,[5] the use of a tracheal tube as a conduit,[6] the use of a videolaryngoscope for insertion,[7] the use of ureteral guidwire as a stylet[8] and the forward displacement of the larynx. [...]the guidewire-assisted passage of NGT is less time-consuming as well as a cost-effective, quick and safe option available at the bedside.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.271240