Keywords :
Intensive care unit, percutaneous endoscopic gastrostomy (PEG), safety
Citation Information :
Date S, Pillai L, Vaidya V, Vaidya N, Hussainy S. Feasibility, safety and efficacy of percutaneus endoscopic gastrostomy on ventilated patients in ICU. Indian J Crit Care Med 2007; 11 (3):109-111.
An audit of 27 ventilated patients who underwent percutaneous endoscopic gastrostomy (PEG) in ICU revealed that this procedure could be safely performed in the ICU under local anesthesia. None of the patients had any hemodynamic or respiratory complications. All of them could be started on enteral feeds on the following day. PEG done in the ICU avoids the complications of transportation to the operation theater and general anesthesia.
Ventilator-associated pneumonia. Am J Respir Care Med 2002;165:867-903.
Long-term respiratory support and risk of pneumonia in critically ill patients. Intensive care unit group of infection control. Am Rev Respir Dis 1989;140:302-5.
Incidence of and risk factors for ventilator-associated pneumonia in critically ill patients. Ann Intern Med 1998;129:433-40.
Nasogastric tube feeding is a cause of aspiration pneumonia in ventilated patients. Eur Respir J 2006;27:436-8.
The effect of nasogastric intubation on gastroesophageal reflux: A comparison of different tube sizes. Am J Gastroenterol 1995;90:1804-7.
Physiology of the aerodigestive system and aberrations in that system resulting in aspiration. JPEN J Parenter Enteral Nutr 2002;26:S9-17.
Gastrostomy without laparotomy: A percutaneous endoscopic technique. J Pediatr Surg 1980;15:872-5.
Percutaneous endoscopic gastrostomy: A nonoperative technique for feeding gastrostomy. Gastrointest Endosc 1981;27:9-11.
Patient transport from from intensive care units increases the of developing ventiltor-associated pneumonia. Chest 1997;112:765-73.
Early gastrostomy reduces the rate of ventilator -associated pneumonia in stroke or head injured patients. Eur Resir J 2005;26:106-11.
Early versus late enteral feeding of mechanically ventilated patients: results of a clinical trial. JPEN J Parenter Enteral Nutr 2002;26:174-81.
Audit of outcome of longterm enteral nutrition by percutaneous endoscopic gastrostomy. Lancet 1993;341:869-72.
Guidelines for enteral feeding in adult hospital patients. Gut 2003;52:vii1-12.