1
40
2
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1177/0148607111413898" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/0148607111413898</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
625-629
Issue
5
Volume
35
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Pulmonary Complications of 9931 Narrow-Bore Nasoenteric Tubes During Blind Placement: A Critical Review
Publisher
An entity responsible for making the resource available
Journal of Parenteral and Enteral Nutrition
Date
A point or period of time associated with an event in the lifecycle of the resource
2011
2011-09
Subject
The topic of the resource
enteral access; enteral nutrition; feeding tubes; GI access; insertion; nasogastric tube; nutrition; Nutrition & Dietetics; outcomes; patient safety; public policy; research/quality
Creator
An entity primarily responsible for making the resource
Sparks D A; Chase D M; Coughlin L M; Perry E
Description
An account of the resource
Introduction: A critical review of the pulmonary complications associated with blind placement of narrow-bore nasoenteric tubes (NETs) is discussed. Preventive measures and placement techniques are addressed to decrease patient morbidity and mortality. Methods: A thorough database review was conducted to identify all randomized controlled and retrospective trials specifically addressing pulmonary complications from narrow-bore NET placement. Five unique studies, comprising more than 9900 NET placements, were identified. On the basis of the literature reviewed, the authors identified 3 major complications associated with blind NET placement: patient mortality directly resulting from NET misplacement, incidence of tracheopulmonary malpositioning, and correlation between NET misplacement and mechanical ventilation. Results: Of the 9931 NET placements reviewed, there were 187 total improper tube placements in the tracheobronchial tree, which translates to a 1.9% mean overall malposition rate. Of these 187 misplacements, there were 35 (18.7%) reported pneumothoraces, at least 5 of which resulted in patient death. NET malpositioning was reported in 13%-32% of subsequent repositioning attempts. This increased risk exposes the patient population to a cumulative mortality from tracheobronchial malpositioning approaching > 20%. Unexpectedly, of the 187 total misplacements, 113 (60.4%) of the patients were mechanically ventilated. Conclusions: Practitioners need to be aware of the potential for pulmonary complications associated with blind NET placement. Changes in institutional protocol should be considered to minimize unnecessary risks. As with any procedure, experienced personnel should be primarily used for tube placement and responsible for assisting others with less familiarity to learn the proper methods. (JPEN J Parenter Enteral Nutr. 2011; 35: 625-629)
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1177/0148607111413898" target="_blank" rel="noreferrer noopener">10.1177/0148607111413898</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article
2011
Chase D M
Coughlin L M
enteral access
enteral nutrition
feeding tubes
GI access
insertion
Journal Article
Journal of Parenteral and Enteral Nutrition
nasogastric tube
nutrition
Nutrition & Dietetics
outcomes
Patient Safety
Perry E
Public Policy
research/quality
Sparks D A
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
URL Address
<a href="http://doi.org/10.1016/j.jemermed.2012.02.071" target="_blank" rel="noreferrer noopener">http://doi.org/10.1016/j.jemermed.2012.02.071</a>
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
E303-E306
Issue
3
Volume
44
Search for Full-text
Locate full-text within NEOMED Library's e-journal collections
<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
INCARCERATED SMALL BOWEL ASSOCIATED WITH ELECTIVE ABORTION UTERINE PERFORATION
Publisher
An entity responsible for making the resource available
Journal of Emergency Medicine
Date
A point or period of time associated with an event in the lifecycle of the resource
2013
2013-03
Subject
The topic of the resource
complications; injury; Emergency Medicine; management; small bowel obstruction; elective abortion; incarcerated bowel; surgical abortion; trimester; uterine perforation
Creator
An entity primarily responsible for making the resource
Coughlin L M; Sparks D A; Chase D M; Smith J
Description
An account of the resource
Background: Uterine perforation is a rare but recognized complication of abortion. Perforations may not be recognized at the time of the procedure, and patients may present days or weeks later with sequelae of the complication. Objectives: To raise awareness of this rare complication that can present days to weeks after the precipitating event. Case Report: A 21-year-old woman presented 3 weeks after an elective abortion with symptoms of bowel obstruction. Exploratory laparotomy revealed small bowel herniation into a perforated uterus, causing the obstruction. In retrospect, a pre-operative ultrasound and computed tomography (CT) scan suggested this finding, but it went unrecognized at that time. A small bowel resection was performed and the patient made an uneventful recovery. Conclusion: Intrauterine bowel after abortion has been described only a handful of times in the literature. Uterine perforation during abortion is usually asymptomatic and generally can be managed conservatively, but herniation of bowel through the uterine defect can result in obstruction and strangulation. Intrauterine bowel requires prompt laparotomy and possible resection of non-viable bowel. Although ultrasound and CT scans may aid in diagnosis of this rare complication, a clinical suspicion for uterine perforation should be maintained by health care providers when treating patients who have had an abortion. (C) 2013 Elsevier Inc.
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.jemermed.2012.02.071" target="_blank" rel="noreferrer noopener">10.1016/j.jemermed.2012.02.071</a>
Format
The file format, physical medium, or dimensions of the resource
Journal Article or Conference Abstract Publication
2013
Chase D M
complications
Coughlin L M
elective abortion
Emergency Medicine
incarcerated bowel
Injury
Journal Article or Conference Abstract Publication
Journal of Emergency Medicine
Management
small bowel obstruction
Smith J
Sparks D A
surgical abortion
trimester
uterine perforation