Abstract | OBJECTIVE: DESIGN: RESULTS: There were no complications of the procedure. All patients gained weight subsequently. Mean postgastrostomy survival was 38.8 +/- 6.2 mos with 26 of the patients still alive. Eighteen of the 62 patients had no ventilator-free breathing ability before, during, or after the gastrostomy. Fifty-one patients eventually lost all ventilator-free breathing abilities without tracheostomy. CONCLUSIONS: Open gastrostomy can be performed safely without airway intubation or general anesthesia for patients with little or no autonomous breathing ability. It permitted continued survival without tracheostomy despite loss of all ventilator-free breathing abilities for 51 patients.
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Authors | John R Bach, Monica Gonzalez, Amit Sharma, Kenneth Swan, Anuradha Patel |
Journal | American journal of physical medicine & rehabilitation
(Am J Phys Med Rehabil)
Vol. 89
Issue 1
Pg. 1-6
(Jan 2010)
ISSN: 1537-7385 [Electronic] United States |
PMID | 20026942
(Publication Type: Journal Article)
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Topics |
- Adult
- Anesthesia, Local
- Deglutition Disorders
(etiology, surgery)
- Female
- Gastrostomy
(methods)
- Humans
- Intermittent Positive-Pressure Ventilation
- Male
- Middle Aged
- Neuromuscular Diseases
(complications)
- Young Adult
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