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Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method

Year 1970, Volume: 23 Issue: 2, 443 - 451, 30.06.1970

Refik Paykoç

Abstract

Nasogastric intubation in surgical practice is typically performed while the patient is conscious, which can provoke gag reflex and discomfort. Additionally, the tube can interfere with proper fitting of the anesthesia mask, compromising oxygenation. This article presents a practical method for nasogastric tube placement after general anesthesia induction. The technique uses a lubricated gastric tube inserted into a tracheal tube, which is gently guided into the esophagus. The gastric tube is then advanced into the stomach and redirected from oral to nasal exit using a second guiding tube. The method was successfully implemented in over a thousand cases without major complications and is presented as superior to previously reported approaches.

Keywords

Nasogastric intubation General anesthesia Tracheal tube guidance Esophageal access Tube placement method

References

  • 1 - BERGER, H. and BERNER, L. : Correspondence to the editor. Anesthesiology. 18: 343, 1957.
  • 2 - COHEN, D. D., FOX, R. M. : Nasogastric intubation in the anesthetized patient. Anest. Analg. 42: 578, 1963.
  • 3 - CONROY, W. A. : Insertion of gastric tubes in the unconscious patient. Anesthesiology. 4: 81, 1943.
  • 4 - FRANCIS, L. : Current comment and case reports. Anesthesiology. 13: 229, 1952.
  • 5 - LEVIN, A. L. : A new gastroduodenal catheter. JAMA, 76: 1007, 1921.
  • 6 - LUNDY, J. S. : Clinical Anesthesia. W. B. Saunders Company, Philadelphia, p. 386, 1942.
  • 7 - STEEN, T. R. : A method of passing Ryle's tubes in anesthetized patients. Brit. J. Anesth. 23: 234, 1951.

Genel Anestezi Altındaki ve Şuursuz Hastalarda Nazo-Gastrik Sonda Tatbikatı (Bir Metod)

Year 1970, Volume: 23 Issue: 2, 443 - 451, 30.06.1970

Refik Paykoç

Abstract

Genel cerrahide sık kullanılan nazo-gastrik sonda genellikle hastalar uyanıkken yerleştirilir. Ancak bu durum hastada kusma refleksi ve rahatsızlık oluşturur; ayrıca sonda varlığı anestezi maskesinin yüze tam oturmasını engelleyerek oksijenlenmeyi bozabilir. Bu çalışmada genel anestezi altında sonda yerleştirmek üzere geliştirilen pratik bir metod sunulmuştur. Yağlanmış mide sondası trakeal tüp içine yerleştirilir, tüp ösefagusa yönlendirilir ve sonda mideye doğru ilerletilir. Daha sonra ikinci bir yardımcı tüp yardımıyla sonda ağızdan buruna aktarılır. Metod 1965’ten beri binin üzerinde vakada uygulanmış ve ciddi komplikasyon bildirilmemiştir. Önceden tanımlanmış metodlara kıyasla daha başarılı ve travma riski daha düşüktür.

Keywords

Nazo-gastrik intübasyon Genel anestezi Trakeal tüp yönlendirmesi

References

  • 1 - BERGER, H. and BERNER, L. : Correspondence to the editor. Anesthesiology. 18: 343, 1957.
  • 2 - COHEN, D. D., FOX, R. M. : Nasogastric intubation in the anesthetized patient. Anest. Analg. 42: 578, 1963.
  • 3 - CONROY, W. A. : Insertion of gastric tubes in the unconscious patient. Anesthesiology. 4: 81, 1943.
  • 4 - FRANCIS, L. : Current comment and case reports. Anesthesiology. 13: 229, 1952.
  • 5 - LEVIN, A. L. : A new gastroduodenal catheter. JAMA, 76: 1007, 1921.
  • 6 - LUNDY, J. S. : Clinical Anesthesia. W. B. Saunders Company, Philadelphia, p. 386, 1942.
  • 7 - STEEN, T. R. : A method of passing Ryle's tubes in anesthetized patients. Brit. J. Anesth. 23: 234, 1951.
There are 7 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Articles
Authors

Refik Paykoç This is me

Publication Date June 30, 1970
Published in Issue Year 1970 Volume: 23 Issue: 2

Cite

APA Paykoç, R. (1970). Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 23(2), 443-451.
AMA Paykoç R. Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method. Ankara Üniversitesi Tıp Fakültesi Mecmuası. June 1970;23(2):443-451.
Chicago Paykoç, Refik. “Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 23, no. 2 (June 1970): 443-51.
EndNote Paykoç R (June 1, 1970) Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method. Ankara Üniversitesi Tıp Fakültesi Mecmuası 23 2 443–451.
IEEE R. Paykoç, “Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 23, no. 2, pp. 443–451, 1970.
ISNAD Paykoç, Refik. “Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 23/2 (June1970), 443-451.
JAMA Paykoç R. Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1970;23:443–451.
MLA Paykoç, Refik. “Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 23, no. 2, 1970, pp. 443-51.
Vancouver Paykoç R. Nasogastric Tube Application in Unconscious and Patients Under General Anesthesia: A Method. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 1970;23(2):443-51.