Trauma and Acute Care surgeon, Critical Care MD @umanitoba in Winnipeg. Assistant Program Director for General Surgery residency program.
Mar 4, 2023 • 21 tweets • 5 min read
What is the purpose of an NG tube in bowel obstruction?
I'm sorry to say, but if you answered A, C, or D, you are wrong. And if you don't know the purpose of the tube, how you can possibly know if it is needed?
NG tubes are intended to remove air from the stomach.
You assess a patient with a stab wound to the left chest in respiratory distress. Chest XR shows a large hemopneumothorax, and you insert a large-bore chest tube. Do you give antibiotics?
Most surgeons are taught that there is no role for antibiotics in chest tube insertion. Few people can cite the evidence for this topic. Most of us are taught about chest tubes as residents and never actually review the primary literature - frankly, they are not a sexy topic.