Effect of nasogastric tubes on the nose and maxillary sinus

Nasoenteric Tube Complications

“…In one study, use of N-G tubes was significantly associated with nasal and maxillary sinus inflammation (78). Radiographic evidence of sinus inflammation was much more prevalent than clinical signs/symptoms of sinusitis (78). Reducing the duration of NET use and utilizing traditional symptomatic therapies (i.e., nasal sprays, head of bed elevation) are usually effective when clinical manifestations are limited to congestive symptoms.…”

Rocuronium vs Vecuronium: A comparison of Intubating condition, hemodynamic parameters and post-operative outcome in patients of coronary artery bypass graft surgery.

“…We found better Intubating condition with Rocuronium in comparison with Vecuronium. 9 Rate of gastric inflation due to partial ventilation till the effect of the NMB achieved were significantly higher in Group VV because Vecuronium takes longer time to establish full neuromuscular blocking effect. We needed to insert Nasogastric tube in 20% of patient in group VV.…”

Mechanical Complications of Nasoenteric Tubes

“…As it continues to be advanced and coils, the tip then turns again, going through the previously formed loop and completing the knot. As the tube is withdrawn, the knot tightens, making untangling impossible and resisting withdrawal into the esophagus (previously unpublished, no prior copyright) population with nasoenteric tubes, with radiographic prevalence of sinus inflammation being much higher than actual clinical signs and symptoms of sinusitis (Desmond et al 1991).…”

“…Modern CT scans readily detect sinus inflammation, but a distinction has to be made between overt sinusitis and mere "radiographic" changes (Desmond et al 1991). After the diagnosis is made, the patient should be placed on broadspectrum antibiotics, including adequate gramnegative and gram-positive coverage (depending on patient factors and severity of the infection) (Anon et al 2004).…”