A prospective randomized study of abdominal aortic surgery without postoperative nasogastric decompression

S. G. Friedman, S. A. Sowerby, C. A. Del Pin, Larry A. Scher, A. J. Tortolani

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Nasogastric decompression following abdominal aortic aneurysmectomy or bypass, for 3-4 days, is a routine part of postoperative care in many centers. A prospective randomized study of 80 patients undergoing abdominal aortic surgery was performed in order to determine the necessity of prolonged nasogastric decompression. Patients were divided evenly between removal of the nasogastric tube upon tracheal extubation and retention of the tube until the passage of flatus. Preoperative risk factors, aortic cross-clamp time, estimated blood loss, length of procedure, length of intensive care unit stay, numbers of days with nasogastric tube, number of days until clear liquid and regular diets commenced, and the length of hospital stay were recorded for all patients. There were no significant differences in any of the measured variables between the two groups. The length of hospital stay was similar in both groups and three patients in each group required a nasogastric tube or reinsertion of one. In conclusion, the routine postoperative use of nasogastric tubes for abdominal aortic procedures is unnecessary.

Original languageEnglish (US)
Pages (from-to)492-494
Number of pages3
JournalCardiovascular Surgery
Volume4
Issue number4
DOIs
StatePublished - Aug 1996

Fingerprint

Decompression
Length of Stay
Prospective Studies
Airway Extubation
Lower Body Negative Pressure
Flatulence
Unnecessary Procedures
Postoperative Care
Intensive Care Units
Diet

Keywords

  • Aneurysm
  • Aortic
  • Bypass
  • Nasogastric
  • Tube

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

Cite this

A prospective randomized study of abdominal aortic surgery without postoperative nasogastric decompression. / Friedman, S. G.; Sowerby, S. A.; Del Pin, C. A.; Scher, Larry A.; Tortolani, A. J.

In: Cardiovascular Surgery, Vol. 4, No. 4, 08.1996, p. 492-494.

Research output: Contribution to journalArticle

Friedman, S. G. ; Sowerby, S. A. ; Del Pin, C. A. ; Scher, Larry A. ; Tortolani, A. J. / A prospective randomized study of abdominal aortic surgery without postoperative nasogastric decompression. In: Cardiovascular Surgery. 1996 ; Vol. 4, No. 4. pp. 492-494.
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