Systematic nasogastric tube in aortic surgery: is it necessary?

Annals of Vascular Surgery
Manuela M Hernández MateoFrancisco J Serrano Hernando

Abstract

Routine nasogastric tube (NGT) decompression has been traditionally used to prevent nausea and vomiting after abdominal surgery. Besides, many studies having demonstrated no benefits derived from this practice after an elective laparotomy, little evidence has been published regarding its use in aortic surgery. In this study, we analyze the effects of the selective use of the NGT in patients undergoing infrarenal aortic surgery in our center. Prospective cohort study including patients who underwent elective infrarenal aortic surgery between January 2011 and December 2012. Patients were prospectively included in group A (systematic NGT placement) and group B (nonsystematic NGT). The main end point was the occurrence of postoperative nausea and vomiting (PONV). Secondary end points were postoperative complications, time to first oral intake, and hospital stay. One hundred patients were finally included in the study, 50 patients per group. Preoperative and intraoperative data were similar between both groups. Higher incidence of PONV (48% vs. 10%; relative risk, 2.4; 95% confidence interval [CI], 1.3-4.5; P = 0.003) was observed in group A. Selective NGT behaved as a protective factor regarding earlier first oral intake in first p...Continue Reading

References

Aug 1, 1996·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·S G FriedmanA J Tortolani
Jul 4, 2002·Journal of Vascular Surgery·Brent W MiedemaDonald Silver
Jun 24, 2003·Anesthesia and Analgesia·Tong J GanUNKNOWN Department of Anesthesiology, Duke University Medical Center
Oct 26, 2005·Journal of Vascular Surgery·Yann GouëfficYvonnick Blanloeil
Oct 14, 2009·Journal of Vascular Surgery·Elliot L ChaikofUNKNOWN Society for Vascular Surgery
Aug 1, 2013·Current Gastroenterology Reports·Gyanprakash A KetwarooAnthony Lembo

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

© 2022 Meta ULC. All rights reserved