Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
False
Stroke
Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
Read and join discussion threads related to stroke medicine
A study was published in 2004 mentioned that 5.6% of the stroke patients who were on PEG feed have aspirated. I am still seeing patients on PEG develop aspiration pneumonia. What are your thoughts on
0
Cat:OpenClinicalForum:cdb59579-d995-4f9f-b0a7-85795a3c694e
Cat:OpenClinicalForum:cdb59579-d995-4f9f-b0a7-85795a3c694eDiscussion:b6ee5eb5-459b-487f-8757-5e55a642374c
Forums » Open clinical » Stroke » Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
Forums
»
Open clinical
»
Stroke
»
Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
|
Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
posted at 24/4/2012 12:11 AM BST
on bmj.com
|
Posts: 53
First: 19/7/2011 Last: 11/3/2013 |
A study was published in 2004 mentioned that 5.6% of the stroke patients who were on PEG feed have aspirated. I am still seeing patients on PEG develop aspiration pneumonia. What are your thoughts on this subject?. |
|
|
Re: Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
posted at 24/4/2012 7:55 AM BST
on bmj.com
|
Posts: 339
First: 17/12/2011 Last: 15/5/2013 |
As a GP I look after a number of post CVA patients who come home from hospital with peg tube in because they cant swallow. When dealing with a treatment I sometimes think how would I feel if I or one of my relatives of the appropriate age had that treatment. With patients who are not going to get better, then I think if I were the patient, I would not want the PEG. But it is difficult to say if you are not in the situation. Some of my elderly post CVA patients have lived for very many years in Nursing Homes with pegs in situ. Some of these patients have died of 'pneumonia' but I dont think it has been aspiration pneumonia, but they would not have had PMs so I cannot be sure. |
|
|
Re: Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
posted at 27/4/2012 3:02 PM BST
on bmj.com
|
|
Posts: 53
First: 19/7/2011 Last: 11/3/2013 |
This is an important subject which raise issues about the quality of the lives of the patients in addition to the subject of early detection of dysphagia and aspiration risk in stroke patients. From practical point of view the patients need speech and language therapist or (SALT) to test swallowing but SALT professionals might not be available and the junior doctors or the specialist nurse might take the responsibilty of bedside testing for dysphagia. I do not think that PEG feed is for every dysphagic stroke patients. I came last week across a sudy which concluded that " Clinicians should be cautious about PEG placement for stroke patients with severe dysphagia who were independent prior to the stroke, aged  80 years, and show NIHSS score 17 on day 10, because their swallowing dysfunction may improve in a few months". The debate about this issue in stroke medicine is useful. |
Forums » Open clinical » Stroke » Do you think that PEG feeding can prevent aspiration pneumonia in stroke patients?
