Shanmugasundaram Srinidhi, Mikhail Nardine, Jazmati Tarek, Kumar Abhishek, Shukla Pratik A
Division of Vascular and Interventional Radiology, Department of Radiology, Rutgers - New Jersey Medical School, Newark, NJ, USA.
Neurohospitalist. 2024 Aug 22:19418744241274507. doi: 10.1177/19418744241274507.
Patients with neuromuscular disorders often require gastrostomy tube placement for feeding but routinely have contraindication to sedation due to poor airway control with intubation avoided at the risk of ventilator dependence.
To assess the feasibility of percutaneous gastrostomy tube (G-tube) placement using only local anesthesia in patients with neuromuscular dysfunction.
A retrospective chart review was performed from 2013 to 2019 for all patients who underwent percutaneous G-tube placement under local anesthesia only.
12 patients (6 females, 6 males; mean age = 52.3 ± 21.8) with neuromuscular disorders underwent G-tube placement with only local anesthesia.
Data collected included demographic data, medical history (source of neuromuscular dysfunction), procedural information, and complications.
Technical success was achieved in 100% of patients with no major complications.
Placement of a percutaneous gastrostomy tube using only local anesthesia is safe and feasible in patients who have a contraindication to sedation due to poor airway control and for whom intubation is avoided due to risk of ventilator dependence.
神经肌肉疾病患者常需放置胃造瘘管进行喂养，但由于气道控制差，常规存在镇静禁忌，插管会导致呼吸机依赖风险而避免。
评估仅使用局部麻醉对神经肌肉功能障碍患者进行经皮胃造瘘管（G管）置入的可行性。
对2013年至2019年期间所有仅在局部麻醉下接受经皮G管置入的患者进行回顾性病历审查。
12例（6例女性，6例男性；平均年龄 = 52.3 ± 21.8）神经肌肉疾病患者仅在局部麻醉下接受G管置入。
收集的数据包括人口统计学数据、病史（神经肌肉功能障碍的来源）、手术信息和并发症。
100%的患者技术成功，无重大并发症。
对于因气道控制差而存在镇静禁忌且因呼吸机依赖风险而避免插管的患者，仅使用局部麻醉进行经皮胃造瘘管置入是安全可行的。
