Nasogastric and gastrostomy tube feeding in children was highlighted by the Scottish Community Children's Nursing Network as an area in which there were shared concerns over inconsistencies in practice. This led to the development of a best practice statement.

Background: The RightSpotpHTM indicator is a new device designed to facilitate pH-based confirmation of nasogastric tube placement while minimizing exposure of the operator to nasogastric contents. Study objectives: In vivo and in vitro validation of the RightSpotpHTM indicator. Findings: Patients (23) undergoing general anesthesia had placement of a nasogastric tube and gastric pH electrode ca...

Dysphagia, or difficulty swallowing, is a common occurrence after stroke, occurring in ≥65% of stroke patients. About half of the patients with dysphagia improve within 2 weeks and 15% continue to have persistent dysphagia after 1 month. Prior studies evaluating early percutaneous endoscopic gastrostomy (PEG) feeding compared with nasogastric feeding and delayed PEG< if needed, have shown that ...

OBJECTIVE Current guidelines recommend enteral nutrition in critically ill adults; however, poor gastric motility often prevents nutritional targets being met. We hypothesized that early nasojejunal nutrition would improve the delivery of enteral nutrition. DESIGN Prospective, randomized, controlled trial. SETTING Seventeen multidisciplinary, closed, medical/surgical, intensive care units i...

BACKGROUND The RightSpotpH™ indicator is a new device designed to facilitate pH-based confirmation of nasogastric tube placement while minimizing exposure of the operator to nasogastric contents. STUDY OBJECTIVES In vivo and in vitro validation of the RightSpotpH™ indicator. FINDINGS Patients (23) undergoing general anesthesia had placement of a nasogastric tube and gastric pH electrode cat...

OBJECTIVES Insertion of a nasogastric tube, though a common clinical procedure, can produce unexpected complications. We sought to analyse the procedure, and explore means to improve its safety. METHODS We present a case with a thoracic complication. We review the English literature for the range of complications, and collate all available clinical tests used to confirm enteric placement. R...

Esophageal pneumatosis is a rare condition with diverse potential etiologies including traumatic, mechanical, ischemic, obstructive respiratory, autoimmune, immunodeficient, and infectious causes. Here, we present a case of esophageal pneumatosis in the setting of upper gastrointestinal and small bowel ileus, diagnosed on computed tomography (CT), with acute resolution after nasogastric tube de...

Clostridium difficile-associated diarrhea and colitis have emerged as major complications associated with use of systemic antimicrobials. In this study, the medical records for 18 subjects who received donor stool by nasogastric tube for recurrent C. difficile infection during a 9-year period at a single institution were retrospectively reviewed. During the period between the initial diagnosis ...