Nasal Bridle: Married to Your Tube
نویسنده
چکیده
Scenario #1 A 60-year-old male found unresponsive for roughly 10 hours at his home was brought to the emergency department. A head computer tomography (CT) revealed an ischemic stroke affecting the right middle cerebral artery. He was subsequently admitted to the neurology service and underwent a swallow study, which revealed pharyngeal motor dysfunction and a delay in swallow initiation leading to aspiration. A nasogastric tube (NGT) was placed for nutrition support. Unfortunately, the patient unintentionally removed the NGT tube three times in less than a week. The gastroenterology fellow was consulted for placement of a percutaneous endoscopic gastrostomy (PEG). Is a PEG necessary in this scenario?
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