Summary Writer: James Paterson
Editor: James Edwards
Interviewee: Rewa Keegan
James talks to Rewa Keegan, General Surgical Fellow and Surgical Superintendent at Royal Prince Alfred Hospital about the insertion of nasogastic tubes.
Dr Rewa Keegan completed her intern and resident years at Royal Prince Alfred Hospital and commenced general surgical training in 2010, successfully gaining her fellowship in 2014. Rewa loves clinical teaching from a medical student to registrar level, particularly in the areas of surgical simulation and working with aspiring surgeons on developing their career plans. She is very interested in surgical education and has undertaken a number of research projects looking at how registrars perceive their experience in surgical training. Rewa plans to undertake further training in oncoplastic breast surgery and she and her husband ultimately plan to settle in a regional coastal centre after completing fellowships overseas.
With Dr Rewa Keegan General Surgical Fellow and Surgical Superintendent at Royal Prince Alfred Hospital, New South Wales, Australia
Nasogastric tube insertion/placement can be a daunting task for the inexperienced junior doctor.
Dr Rewa Keegan talks about some tips and tricks for nasogastric tube (NGT) placement and answers common questions that junior doctors may have.
Case 1 – You are covering the wards after hours and one of the inexperienced nursing staff asks you to place a nasogastric tube for a patient with a small bowel obstruction.
You then take a history and examine the patient, discuss the case with the surgical registrar and decide it’s safe to go ahead.
You are now asked to put the tube on suction for a patient with a small bowel obstruction. How do you do that and what level of suction is required?
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