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Re: hyperemesis case From: Gail Waldby (gwaldby@willinet.net) Mon Oct 30 18:00:22 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley: "Re: hyperemesis case" Previous message: Geffrey Klein, MD: "Re: Update on 2 cases" In reply to: Joanne Bulley: "Re: hyperemesis case" Next in thread: Joanne Bulley: "Re: hyperemesis case" Reply: Joanne Bulley: "Re: hyperemesis case" They still exist. They are small not large tubes which are passed at the bedside through the nose. Dobbhoff does sell a longer version to be placed nasojejunally at endoscopy. Gail Waldby, MD Huron SD 57350 At 06:54 PM 10/30/2000 -0600, you wrote: >As I recall - testing the neurons :) - it was put in like an NG tube - >Our senior resident Steve dubin was the one who decided to do this and I >think he passed the tube - might have to ask an older GI doc about how >those were usually passed. > >JB > >At Mon, 30 Oct 2000, ginny lee BSN, GNM wrote: > > > >>This goes WAY back for me - residency (83-84) - We once went to a > >>Dubhoff feeding tube after first using central hyperal in one hyperem > >>patient. Basically said the risk of central hyperal when the gi tract > >>worked was too high > > > >I know, if the gut works use it...:) Had that drilled into my head in > >nursing school. How did you pass the tube, did she require sedation? We > >used a large bore tube (mistakenly, albeit) on one patient who promptly > >became combative and removed the tube herself; this was also a > >hyperemesis patient. Unfortunately, she did not keep food down and > >required TPN. Interestingly enough, she returned to her physician for > >an ETOP. This patient doesn't seem to have any social issues and has > >good family support, very much a desired pregnancy. She continues to > >vomit at this writing. I'm hoping the OB will consider the tube feeds, > >it is at least worth a try. The CRNA already attempted a PICC line > >without success. Also interested to see her TFTs...Thanks so much for > >all your input, and I loved your pumpkin pics! > >ginny > > > >-- >Joanne Bulley, MD, FACOG >Keene, NH, USA > >Take time to smell the roses. Next message: Joanne Bulley: "Re: hyperemesis case" Previous message: Geffrey Klein, MD: "Re: Update on 2 cases" In reply to: Joanne Bulley: "Re: hyperemesis case" Next in thread: Joanne Bulley: "Re: hyperemesis case" Reply: Joanne Bulley: "Re: hyperemesis case"

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