Immortalization: placement of a percutaneous endoscopic gastrostomy tube and tracheostomy in a neurologically devastated patient.
نویسنده
چکیده
Surgeons share their challenges and dilemmas in making ethical decisions in these twelve personal stories. The three commentary articles draw out the lessons the stories address. The commentators come from diverse backgrounds including sociology, bioethics, nursing, and surgery.
منابع مشابه
Study of Percutaneous Endoscopic Gastrostomy Outcomes
Background and Objective: Percutaneous endoscopic gastrostomy (PEG) is the technique of choice for providing enteral access to patients who require long-term enteral nutrition. This study was performed to evaluate the outcomes and complications of PEG. Materials and Methods: In this semi-experimental study, 77 patients (45 men, 32 women; age mean: 58.9±19.7 years, Min: 14 years, Max: 89 Years)...
متن کاملExtubation Failure in an Adolescent Patient after General Anesthesia for Gastrostomy Tube Placement
Myasthenia gravis (MG) is an autoimmune disease resulting in destruction of the post-synaptic nicotinic receptors at the neuromuscular junction. Classically, the earliest symptoms of MG are ocular, including ptosis and diplopia. Other less common early symptoms include dysphagia and fatigable chewing. Our case report describes the unusual presentation of MG in a teenager patient and presented f...
متن کاملDiffuse Idiopathic Skeletal Hyperostosis: Persistent Sore Throat and Dysphagia in an Elderly Smoker Male
Diffuse idiopathic skeletal hyperostosis (DISH) is rarely symptomatic. However, it can present with dyspnea, hoarseness, dysphagia, and stridor. An 80-year-old chronic smoker male presented with 6-month history of sore throat and progressive dysphagia. Computed tomography of the neck revealed bulky anterior bridging syndesmophytes along the anterior aspect of the cervical spine and facet effusi...
متن کاملAcceptability and outcomes of percutaneous endoscopic gastrostomy (PEG) tube placement and patient quality of life.
BACKGROUND/AIMS Since its description in 1980, percutaneous endoscopic gastrostomy has been a widely used method for insertion of a gastrostomy tube in patients who are unable to swallow or maintain adequate nutrition. This study aimed to assess the perspectives of patients/caregivers in our society regarding the acceptability of percutaneous endoscopic gastrostomy tube placement and to evaluat...
متن کاملPercutaneous endoscopic gastrostomy in children
PURPOSE Percutaneous endoscopic gastrostomy (PEG) can improve nutritional status and reduce the amount of time needed to feed neurologically impaired children. We evaluated the characteristics, complications, and outcomes of neurologically impaired children treated with PEG. METHODS We retrospectively reviewed the records of 32 neurologically impaired children who underwent PEG between March ...
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ورودعنوان ژورنال:
- Narrative inquiry in bioethics
دوره 5 1 شماره
صفحات -
تاریخ انتشار 2015