PEG is a surgical procedure where a feeding tube is placed through the abdomen into the stomach using an endoscope, avoiding open abdominal surgery. It is used for patients unable to eat for a prolonged period. A gastrostomy is created through the skin and stomach using the endoscope to guide placement of the feeding tube. PEG is performed to provide nutrition to patients who cannot swallow food and is done by physicians like surgeons, ENT specialists, radiologists or gastroenterologists, often in outpatient settings. It has advantages over surgical gastrostomy in taking less time, carrying less risk and costing less.
This presentation will give an overview of what NG tube is, types of NG tube, indications and contraindications, how to insert NG tube and potential complications of NG tube
detailed information about tracheostomy for the medical students , includes difinition, causes, indications, care provided, management, medical and nursing management of opening , complete care of the patient , patient teaching, family teaching and contained other detailled explanation of tracheostomy
STITCH OUT PROTOCOL
SUTURE REMOVAL
Sutures are used for wound stabilization All sutures, being foreign bodies, cause irritation to the tissues & hence have the potential to cause scarring.
PRINCIPLE OF SUTURE REMOVAL
Suture area is first clean with normal saline. The suture is then pulled towards the incision line to prevent dehiscence. If suture entrapped in a scab, application of Hydrogen peroxide/normal saline is necessary
If pieces of suture left are left out infection may occur. RECOMMENDED
DURATION
FAILURE OF WOUND CLOSURE
AFTER SUTURING
• Breakage
Extruded suture
Cuts out
Resorbs too rapidly
Knot slips
Removed too early
POSSIBLE COMPLICATIONS
HYPERTROPHIC SCAR
KELOID
INFECTION
THANK YOU
Total Knee Replacement surgery is the best treatment for arthritis when all conservative treatments have failed. The procedure has very gratifying results & completely relieves the patient of pain & discomfort. Physiotherapy & post operative exercises play a crucial role in the success of the surgery & are extremely important for the best results.
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
This presentation will give an overview of what NG tube is, types of NG tube, indications and contraindications, how to insert NG tube and potential complications of NG tube
detailed information about tracheostomy for the medical students , includes difinition, causes, indications, care provided, management, medical and nursing management of opening , complete care of the patient , patient teaching, family teaching and contained other detailled explanation of tracheostomy
STITCH OUT PROTOCOL
SUTURE REMOVAL
Sutures are used for wound stabilization All sutures, being foreign bodies, cause irritation to the tissues & hence have the potential to cause scarring.
PRINCIPLE OF SUTURE REMOVAL
Suture area is first clean with normal saline. The suture is then pulled towards the incision line to prevent dehiscence. If suture entrapped in a scab, application of Hydrogen peroxide/normal saline is necessary
If pieces of suture left are left out infection may occur. RECOMMENDED
DURATION
FAILURE OF WOUND CLOSURE
AFTER SUTURING
• Breakage
Extruded suture
Cuts out
Resorbs too rapidly
Knot slips
Removed too early
POSSIBLE COMPLICATIONS
HYPERTROPHIC SCAR
KELOID
INFECTION
THANK YOU
Total Knee Replacement surgery is the best treatment for arthritis when all conservative treatments have failed. The procedure has very gratifying results & completely relieves the patient of pain & discomfort. Physiotherapy & post operative exercises play a crucial role in the success of the surgery & are extremely important for the best results.
Guide to Gastrostomy Tubes, developed by a pediatric NICU nurse as an educational and take-home tool for patient families. (c) Rady Children\'s Hospital-San Diego, 2012
How to shift materials safely
Understand what is meant by the term “manual tasks” and how they cause injury
How to identify, assess and control manual task risks in a systematic manner.
How Injuries Occur
An upper GI endoscopy or EGD (esophagogastroduodenoscopy) is a procedure to diagnose and treat problems in your upper gastrointestinal tract( esophagus, stomach and first half of duodenum).. A patient may be fully conscious or sedated during the procedure.This procedure is done using a long, flexible tube called an endoscope.
The tube has a LED light and video camera on one end. The tube is put into your mouth and throat. Then it is slowly pushed through your esophagus and stomach, and into your duodenum. Video images from the tube are seen on a monitor.
Indications of UGI Endoscopy
Upper abdomen pain
Dyspepsia
Reflux Disease
Bleeding from mouth
Difficulty in swallowing food
Chronic diarrhea
Biopsy of upper GI tract
Therapeutic procedures can be done during UGI Endoscopy :
Esophageal variceal banding
Endoclipping and injection of bleeding lesion
Polyp removal
Foreign body removal
Dilatation of strictures
Stenting of esophagus and duodenum
Ryles tube placement
PEG( Percutaneous endoscopic gastrostomy) tube placement
endoscopy
Other Services
Colonoscopy
ERCP
Sigmoidoscopy
Pancreatic Disease
Liver Cirrhosis
Endoscopy in Chandigarh
Other Services
Liver Cirrhosis Treatment in Chandigarh
Endoscopy in Chandigarh
Colonoscopy in Chandigarh
ERCP in Chandigarh
Sigmoidoscopy in Chandigarh
Pancreatic Disease in Chandigarh
Dr. Pal’s Chandigarh Clinic- Get Directions
Gastro, liver and endoscopy center
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Peroral Endoscopic Myotomy (POEM) | Treatment For Achalasia of Esophagus and ...YashodaHospitals
POEM is a minimally invasive procedure that uses a high definition endoscope (a flexible tube with a mounted camera at end) to help treat certain swallowing disorders and stands for Peroral Endoscopic Myotomy.
Who cannot undergo this procedure?
Although POEM is a safe and effective procedure, it may not be a suitable option in certain cases. People with any of the following conditions are generally not recommended to undergo POEM for achalasia:
1. Disorders of coagulation
2. History of any kind of therapy that is likely to compromise the integrity of the mucosa of the esophagus or lead to fibrosis of the submucosa for e.g. radiation for cancer treatment, endoscopic mucosal resection, or radiofrequency ablation
3. Liver cirrhosis with portal hypertension
4. Severe erosive esophagitis
When should it be done?
POEM is generally indicated for treating the following disease:
1. Achalasia: It is a medical condition that affects the muscles of the esophagus. The lower esophageal sphincter (LES), a muscular valve present between the esophagus and the stomach fails to relax during swallowing in this condition.
2. Diffuse esophageal spasm: Esophageal disorders of muscle spasm that are unresponsive to medical therapies
3. Nutcracker esophagus also known as hypertensive peristalsis is a muscle spasm disorder which needs surgical correction.
PEG tubes are becoming increasingly in demand for alternative enteral feeding options. Thus, BBS is a common complication that one should be aware of and how to manage it. Hope this helps..
Check our website@www.gvhcol.com
A colonoscopy and upper endoscopy are two procedures performed frequently by gastroenterologists to view and examine various portions of your digestive tract. Colonoscopies inspect the large intestine (colon and rectum) while upper endoscopies observe the esophagus, stomach and the first part of the small intestine.
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Guidelines for the nursing management of peg pejMario Antonini
Enteral nutrition (EN) is the introduction of nutrients into the gastrointestinal tract through a tube placed in a natural or artifi cial stoma. Tubes may be passed into the stomach (gastrostomy) or the jejunum (jejunostomy) in patients who cannot obtain adequate nourishing via oral feeding. Following placement, nurses are typically responsible for management of gastrostomy or other enteral tube devices in both the acute and home care settings.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. What is PEG
Percutaneous endoscopic gastrostomy (PEG) is a surgical
procedure for placing a tube for feeding without having to
perform an open operation on the abdomen (laparotomy). It
is used in patients who will be unable to take in food by
mouth for a prolonged period of time. A gastrostomy, or
surgical opening into the stomach, is made through the skin
using an a flexible, lighted instrument (endoscope) passed
orally into the stomach to assist with the placement of the
tube and secure it in place.
3. The purpose of PEG
The purpose of a percutaneous endoscopic gastronomy is to
feed those patients who cannot swallow food. Irrespective of
the age of the patient or their medical condition, the
purpose of percutaneous endoscopic gastronomy is to
provide fluids and nutrition directly into the stomach.
4. The purpose of PEG
Percutaneous endoscopic gastronomy is done by a physician.
The physician may be a general surgeon, an otolaryngologist
(ENT specialist), radiologist, or a gastroenterologist
(gastrointestinal specialist).
5. The purpose of PEG
PEG is performed in a hospital or outpatient surgical facility.
It is not necessary to perform a percutaneous endoscopic
gastronomy in an operating room.
6. Advantages
Percutaneous endoscopic gastronomy takes less time, carries
less risk and costs less than a surgical gastrostomy which
requires opening the abdomen. Percutaneous endoscopic
gastronomy is a commonly-performed so there are many
physicians with experience in performing the procedure.
When feasible, percutaneous endoscopic gastronomy is
preferable to a surgical gastrostomy.
