New variant of nasogastric tube placement: focus on safety

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Abstract

The article discusses the preliminary results of using a new variant of nasogastric tube placement in patients with impaired consciousness and swallowing disorders (11 such placements have been performed). The proposed variant of insertion is designed to increase the safety of this procedure in the group of somatically and neurologically severe patients. Endoscopic control of overcoming the spasmed upper esophageal sphincter (UES) by nasogastric tube is included as one of the installation stages. This allows not only to make sure that the esophageal intubation was successful, but also to remove the metal guide from the internal space of the probe immediately after the probe overcomes the UPI. Preliminary results have shown that the method is justified in the considered clinical situations, when clinical signs of esophageal intubation (or unplanned tracheal intubation) are not obvious.

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About the authors

M. L. Shteiner

Samara City Hospital Four

Author for correspondence.
Email: iishte@yandex.ru
ORCID iD: 0000-0001-5848-6718
SPIN-code: 7109-2739

MD

Russian Federation, Samara

Yu. I. Biktagirov

Samara State Medical University, Ministry of Health of Russia

Email: iishte@yandex.ru
ORCID iD: 0000-0002-3949-2714

Candidate of Medical Sciences

Russian Federation, Samara

E. A. Korymasov

Samara State Medical University, Ministry of Health of Russia

Email: iishte@yandex.ru
ORCID iD: 0000-0001-9732-5212
SPIN-code: 9928-6343

Professor, MD

Russian Federation, Samara

E. P. Krivoshchekov

Samara State Medical University, Ministry of Health of Russia

Email: iishte@yandex.ru
ORCID iD: 0000-0001-9780-7748
SPIN-code: 6114-5014

Professor, MD

Russian Federation, Samara

M. Yu. Khoroshilov

Samara State Medical University, Ministry of Health of Russia

Email: iishte@yandex.ru
ORCID iD: 0000-0002-9659-8881
SPIN-code: 6048-6009

Candidate of Medical Sciences

Russian Federation, Samara

B. M. Rakhimov

Samara State Medical University, Ministry of Health of Russia; Tolyatti City Clinical Hospital Five

Email: iishte@yandex.ru
ORCID iD: 0000-0001-5816-6589
SPIN-code: 9726-2163

MD

Russian Federation, Samara; Tolyatti

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