NG tube and MAC anesthesia

[criticalelement]

Patient presenting for colonoscopy and has an NG tube for an ileus.


How many would sedate this patient with propofol with the ng tube on suction or place an ET tube?

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[partydoc]

Tube. I don't trust the ileus or the ng

 

[aneftp]

Tube. I don't trust the ileus or the ng

Agree anyone with an Ileus is high risk for aspiration. Sure you can get away with mac. But you can ever be faulted for intubation to protect the airway.

 

[fakin' the funk]

Patient presenting for colonoscopy and has an NG tube for an ileus.

How many would sedate this patient with propofol with the ng tube on suction or place an ET tube?

I would offer no sedation or GETA.

There's a reason the GI doc isn't doing this him/herself with midaz+fentanyl.

 

[Planktonmd]

GETA or Nothing

 

[PainDrain]

I read a lawsuit from several years back. Anesthesiologist and CRNA were taking care of a morbidly obese woman with ileus for upper and lower endoscopy. They chose MAC and the rest is ...well ...... paying for the lawyers beach house.

 

[pgg]

GETA no question. Not a tough call.

But if you're asking here, someone must've gone with a MAC and I'm guessing hilarity did not ensue?

 

[caligas]

It's it odd to do a colonoscopy for a bowel ileus patient? Not gonna see much.