Technique for Percutaneous Fluoroscopically Guided G-Tube Placement in a High-BMI Patient. (23rd January 2012)

• Record Type: Journal Article
• Authors: Best, Irwin M.
• Other Names: Kluger Y. Academic Editor.; Molnar Z. Academic Editor.
• Is Part Of: Case reports in critical care. Volume 2012(2012)
• Publication Date: 2012-01-23
• Subjects: Critical care medicine -- Periodicals; Emergency medicine -- Periodicals; Medical emergencies -- Periodicals; 616.02805
• DOI: 10.1155/2012/807161
• Languages: English
• ISSNs: 2090-6420

Abstract

Abstract : Enteral feeding is still the preferred method of nutritional support even in patients with excessive body mass index. Often, this mass poses a hindrance in performing routine procedures. We present a case describing the technique used to safely place a fluoroscopically guided G-tube in a patient with a significant nutritional deficit after repair of a ruptured thoracic aneurysm. Her admission weight was in excess of 180 Kg. However, protracted respiratory insufficiency and mechanical ventilation prolonged her hospital course. The G-tube was successfully placed using a fluoroscopically guided technique. The advantages of such an approach are discussed.