As the title implies, this is a strange pearl. Imagine the following: You are in a can’t intubate/can’t ventilate scenario. The patient’s neck is large, and the landmarks are poor. You cut through a depth of redundant tissue to get to the cricothyroid membrane, make your incision, insert your finger, and place a bougie. The […]
Troubleshooting PEG tubes
Posted onA patient is sent from nursing home at 10pm for a non-functioning PEG tube. He has a prior history of stroke with L sided weakness and is now bedbound at baseline. He has stable vitals, no abdominal tenderness, and is otherwise well appearing. What do you do next? You could call GI to help, but […]