Podcast 542: Nasogastric Tubes

Podcast 542: Nasogastric Tubes

Author: Don Stader, MD

Educational Pearls:

  • Nasogastric tubes (NGT) are very uncomfortable for all those involved but some simple tricks and tips may help:
  • Topical lidocaine can be inserted into the nasal passage for local analgesia
  • Afrin may help shrink the mucosal tissue of the nasal turbinates as well
  • Molding the tube with cold/ice water can help - putting it in an ice bath with an endotracheal tube stylet will allow you to mold the tip to your preference

References

Lor YC, Shih PC, Chen HH, et al. The application of lidocaine to alleviate the discomfort of nasogastric tube insertion: A systematic review and meta-analysis. Medicine (Baltimore). 2018;97(5):e9746. doi:10.1097/MD.0000000000009746

https://www.acepnow.com/article/making-ng-tube-placement-less-horrendous/

https://www.aliem.com/trick-of-trade-making-ng-and-np-painless/

Summarized and edited by Erik Verzemnieks, MD



Jaksot(1147)

UnfilterED #8: Dr. Christopher Hoyte

UnfilterED #8: Dr. Christopher Hoyte

Dr. Chris Hoyte is an ED physician, toxicologist and researcher based in Denver, CO. He was featured in Bring Em' All: Chaos. Care. Stories from Medicine's Front Line, a book celebrating emergency phy...

24 Kesä 202047min

Podcast 574:  Cyanide Toxicity

Podcast 574: Cyanide Toxicity

Contributor: Nick Tsipis, MD Educational Pearls: Significant cyanide exposure most commonly occurs from fire/smoke exposure particularly when plastics are involved Cyanide binds to cytochrome oxidase...

23 Kesä 20205min

Podcast 573:  Arsenic Toxicity

Podcast 573: Arsenic Toxicity

Contributor: Nick Tsipis, MD Educational Pearls: Arsenic is a heavy metal that binds to multiple cellular enzymes and inhibits aerobic metabolism  It is primarily absorbed through the skin, respirato...

22 Kesä 20204min

Preview: The Black Doctors Podcast

Preview: The Black Doctors Podcast

In addition to producing our own content, we believe in using our platform to amplify other voices and perspectives in medicine. With that in mind, check out 'The Black Doctor Podcast' from Dr. Steven...

21 Kesä 202030s

Podcast 572:  Locked In Syndrome

Podcast 572: Locked In Syndrome

Contributor: Aaron Lessen, MD Educational Pearls: Locked in syndrome results typically from an infarct of the basilar artery leading to infarction of the brainstem but typically preservation of the h...

16 Kesä 20203min

Podcast 571:  Digital Blocks

Podcast 571: Digital Blocks

Contributor: Jared Scott, MD Educational Pearls: Traditional digital block involves dorsal approach on either side of the digit, injecting local anesthetic along each side to numb all four nerves of ...

15 Kesä 20203min

Podcast 570: Oh no no no to O2

Podcast 570: Oh no no no to O2

Contributor: Aaron Lessen, MD Educational Pearls: Supplemental oxygen is not a completely benign intervention. A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 wer...

9 Kesä 20202min

Podcast 570: Oh no no no to O2

Podcast 570: Oh no no no to O2

Contributor: Aaron Lessen, MD Educational Pearls: Supplemental oxygen is not a completely benign intervention. A recent meta-analysis found that O2 saturations above 96% while on supplemental O2 wer...

9 Kesä 20202min

Suosittua kategoriassa Tiede

rss-mita-tulisi-tietaa
rss-poliisin-mieli
utelias-mieli
tiedekulma-podcast
docemilia
rss-duodecim-lehti
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
filocast-filosofian-perusteet
rss-tervetta-skeptisyytta