Intraoperative Gastric Tube Intubation: A Summary of Case Studies and Review of the Literature

Open Journal of Anesthesiology
Michael LongLuis Tollinche

Abstract

Establish complications and risk factors that are associated with blind tube insertion, evaluate the validity of correct placement verification methods, establish the rationales supporting its employment by anesthesia providers, and describe various deployment facilitators described in current literature. An exhaustive literature review of the databases Medline, CINAHL, Cochrane Collaboration, Scopus, and Google Scholar was performed applying the search terms "gastric tube", "complications", "decompression", "blind insertion", "perioperative", "intraoperative" in various order sequences. A five-year limit was applied to limit the number and timeliness of articles selected. Patients are exposed to potentially serious morbidity and mortality from blindly inserted gastric tubes. Risk factors associated with malposition include blind insertion, the presence of endotracheal tubes, altered sensorium, and previous tube misplacements. Pulmonary aspiration risk prevention remains the only indication for anesthesia-related intraoperative use. There are no singularly effective tools that predict or verify the proper placement of blindly inserted gastric tubes. Current placement facilitation techniques are perpetuated through anecdotal exp...Continue Reading

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Citations

Jan 12, 2019·Anesthesiology·Loren E SmithMatthias L Riess
Dec 15, 2018·Journal of Evaluation in Clinical Practice·Ashley Szabo Eltorai
May 28, 2019·Minerva anestesiologica·Luis E TollincheCindy B Yeoh
Feb 22, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Hiroyuki OhbeHideo Yasunaga
Jun 30, 2021·Anesthesia Progress·Yunosuke OkadaMakoto Terumitsu
Jul 10, 2021·Journal of Clinical Monitoring and Computing·Bikram Kishore Behera, Satyajeet Misra

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