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Aug 15 2011, 8:46 AM EDT
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Change: This patient was referred for chest radiography for NGT position assessment. The NGT position appears marginal with a possible kink in the tube distally. The NGT was replaced/repositioned and the patient was re-referred for NGT position assessment.The NGT tip position appears improved. The
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Sep 17 2010, 6:08 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Sep 17 2010, 5:48 AM EDT
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Change: position shown above. The NGT has entered the RMB then deflected backwards with the tip positioned in the LMB.Case 6 This NGT has taken a path down the right main bronchus then made its own path through lung parenchyma into the pleural space.This NGT was
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Feb 8 2010, 7:28 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 7:28 AM EST
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Jan 22 2010, 11:27 PM EST
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Aug 7 2009, 1:35 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Aug 3 2009, 7:07 AM EDT
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Change: duodenum or jejunum. This tip position bypasses the regulatory function of the pylorus and delivers nutrition/therapeutic agents directly into the jejunum. Even if a nasoenteric tube
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Jul 20 2009, 5:31 PM EDT
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Change: Inverting a digital image (black on white) can help to visualise a NGT. Case 4 The NGT appears to be following the trachea and the left main bronchus. It is likely that the
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Jul 19 2009, 11:34 PM EDT
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Change: confirmation is most commonly erect or supine, AP or PA chest radiography. The technique is modified to take into account that a successfully positioned NGT will
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Jul 19 2009, 5:32 PM EDT
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Change: pylorispylorus into the deuodenum or jejunum. This tip position bypasses the regulatory function of the pylorispylorus and delivers nutrition/therapeutic agents directly into the jejunum. Even if a nasoenteric tube has its tip
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Jun 26 2009, 6:18 AM EDT
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Change: There were only format changes (bold, italics, etc.) in this version. See this version for details.
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Jun 26 2009, 6:18 AM EDT
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Change: Note also that when an NGT appears to make a sharp turn (arrowed) it is possible that the appearance is due to the NGT being
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Jun 17 2009, 9:35 PM EDT
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Change: videos are displayed at lower resolution when 'hot-linked'. Click on the botttom rigth corner of the video and it will open at full resolution.) (Note: Youtube videos are displayed at lower resolution when 'hot-linked'. Click on the botttom rigth corner of the video and it will open at full resolution.)
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Jun 17 2009, 9:33 PM EDT
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Change: Click on the video and it will open at full relolution.) The Marginal Position The tip of the NGT can sometimes appear to be just within the fundus of the stomach. It
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Jun 17 2009, 9:31 PM EDT
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Change: Patients can be referred for NGT insertion under fluoroscopic control. These are commonly patients who have had multiple 'blind' attempts at NGT insertion in the
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Jun 14 2009, 5:39 AM EDT
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Change: practicedpractised in some centres- the position of the tip of the NGT is assessed by drawing back gastric contents and testing with ph paper.Insertion Technique There are no shortage of videos on Youtube covering the subject of NGT insertion. Here's a few of them Select a tube size
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Jun 2 2009, 7:57 AM EDT
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Change: Note centre point arguably too low.Dicussion One of the hidden dangers with NGT-check images is that they are commonplace and the dangers are underestimated. The radiographer should report immediately when a NGT is supected to be positioned in the lung, or anywhere else that it shouldn't be.Further Reading
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Jun 2 2009, 6:46 AM EDT
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Change: The radiographer noted that the NGT was visible proximally (arrowed) but was very difficult to follow distally. It was thought that a abdominal technique should clearly demonstrate if the NGT had passed below the diaphragm. Te patient was transfered onto the X-ray table
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Jun 2 2009, 6:31 AM EDT
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Change: with the patient about the insertion technique used. This case demonstrates the quandary between including the patient's neck and upper abdomen on the one image. I would suggest that
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Mar 10 2009, 11:22 PM EDT
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Change: Note the difference in image quality when a bucky technique is employed. For reasons of radiation dose reduction and convenience a non-grid technique is more commonly employed.This case demonstrates that a clinical approach to radiography can make a
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