NG Tube for Bowel Obstruction || What's the Evidence? 🕖 скачать в хорошем качестве

NG Tube for Bowel Obstruction || What's the Evidence? 🕖

Is there good evidence for NG Tube insertion for Bowel Obstruction? In this EM Quick Hits video, Dr. Justin Morgenstern discusses the studies that look at outcomes after NG tube placement... Visit emergencymedicinecases.com for more high quality free open access podcasts, written summaries, videos, quiz vault and blogs. -------------------------------------------------------------- 📺 About This Video Nasogastric (NG) tubes are routinely placed in the ED to decompress the stomach when a small bowel obstruction (SBO) is diagnosed; however, there is no good evidence for the routine use of NG tubes in this situation, and they are rated as one of the most painful procedures in EM by patients There are no RCTs looking at the use of NG tubes in SBO; however, observational data suggests worse outcomes with NG tubes than without. Fonseca 2013: 290 patients admitted with an SBO, 20% of them were managed without an NG tube. Use of an NG tube resulted in longer time to resolution, longer stay in hospital and higher rates of complications. Non-operative management was successful in 2/3 of patients regardless of NG tube placement. Berman 2015: 181 patients admitted with an SBO, 1/2 were managed without an NG tube. No association between use of an NG tube and mortality, surgery or bowel resection. NG tube placement was associated with longer hospital stay. Prophylactic NG tubes in post-op ileus is also a common practice; however, a systematic review of 28 studies found that ileus resolved faster in patients without NG tubes. Please donate to EM Cases to help ensure continued high quality free open access EM education. https://emergencymedicinecases.com/do... Find the EM Cases podcast, the most listened to Emergency Medicine podcast in the world, wherever you listen to your podcasts. https://podcasts.apple.com/ca/podcast... ⚡️ 𝐂𝐎𝐍𝐍𝐄𝐂𝐓 𝐖𝐈𝐓𝐇 𝐔𝐒: Instagram:   / emergencymedicinecases   Twitter: https://x.com/EMCases Facebook:   / emcases   BlueSky: https://bsky.app/profile/emcases.bsky... #BowelObstruction #ngtube Disclaimer: The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose, treat, or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of Emergency Medicine Cases of the Schwarz-Reisman Emergency Medicine Institute. SUBSCRIBE NOW* ------------------------------------------------------------------------------------------------------