Zarbee's products are more than 96% honey, which is one of the best natural remedies for a sore throat as it helps suppress coughing. Expect to feel mild resistance as the tube passes through the posterior nasopharynx. It may take up to 20 minutes for the anesthetic to fully take effect, so you may need to wait a little while between taking the lidocaine or sedative and having the tube put in. Theyre often used for short-term tube feeding and to deliver oral medications to hospitalized people. Which narcotic is better: oxycodone or hydrocodone? UpToDate. wikiHow is where trusted research and expert knowledge come together. 2019;38(1):332-340. doi:10.1016/j.clnu.2018.01.007. This medicine is available without a prescription; however, your doctor may have special instructions on the proper use and dose for your medical problem. When used to deliver liquid nutrition, the procedure is often referred to as "tube feeding.". This video has been medically reviewed by Anju Goel, MD, MPH. Why do they tie it off so tight? I only wish they had included people with normal blood pressure. Here we present a case of an elderly woman with NGT syndrome and highlight its significance in ICUs. RESULTS: In the 67 patients completing the ED study phase, the mean baseline pain score was 7.7 in the oxycodone group and 7.1 in the hydrocodone group. . EM Board Bombs with Blake Briggs, MD, and Iltifat Husain, MD, The Physician Grind @ EMN with Zahir Basrai, MD, Current Procalcitonin Utilization and Publications, Procalcitonin: Risk Assessment in COVID-19 Bacterial Co-Infection. Lubricate the end of the nasogastric tube. 2023 Dotdash Media, Inc. All rights reserved. The tube becoming entangled or dislodged. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. We are reporting a case of nasogastric tube misplacement resulting in the first reported penetration of the deep neck/parapharyngeal space and subsequent deep neck infection. By using our site, you agree to our. When I had an NG tube to the gave me a spray that dulled the discomfort. While there are instances when the doctor may need to put you to sleep to place the tube, most people are awake during the procedure. Long-term feeding tubes can help if your swallowing problem is caused by damage to your nerves or muscles. Measure out in advance the correct length of tube that they will need to insert and mark it. Sometimes this is a fine tube down the throat (a nasogastric or 'NG' tube), or sometimes through the skin of the . This time last year I was also running 10K at weekends and evening, I was relatively well (although I now realise I was already into decline) and was able to eat solid food. A primary use for an NG tube is to provide enteral nutrition, which is also known as gastric feeding. RESULTS: The mean age of the study cohort was 51 years, 54 percent were female and 78 percent were African-American. doi:10.1093/bjsopen/zrab111, Sanaie S, Mahmoodpoor A, Najafi M. Nasogastric tube insertion in anaesthetized patients: a comprehensive review. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/d\/d8\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-1-Version-2.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-1-Version-2.jpg","bigUrl":"\/images\/thumb\/d\/d8\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-1-Version-2.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-1-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":" \u00a9 2023 wikiHow, Inc. All rights reserved. Put on medical gloves. During insertion, there is the risk of injury to the esophagus, throat, sinuses, or stomach. X So far except for dealing with insurance everything has been going well. may email you for journal alerts and information, but is committed
It is more likely to be strep throat if the child is older than 3 years and if they have swollen glands in the neck, swollen, red . The following is a list of some possible side effects. The placement of an NG tube, called nasogastric intubation, can be uncomfortable but is usually not painful. A nasogastric tube (NG tube) is a type of medical catheter thats inserted through your nose into your stomach. The use of enteral route has been facilitated by the development of highly flexible nasogastric tubes. My newest concern has to do with giving probiotics via a stomach g-tube. METHODS: The authors from Beth Israel Deaconess Medical Center in Boston analyzed videotapes of 159 patients 18 to 92 (mean age, 57) undergoing interventional radiology procedures who had participated in a prior study on the effects of self-hypnotic relaxation techniques to determine the effects of negative warnings or sympathy statements on patient-reported pain and anxiety assessed on a scale of 010. Then, left to their own devices, the nurses use their own special tricks to accomplish the task. The insertion of nasogastric tubes has been described as being easy, requiring little training and usually uneventful [ 1 ]. In some instances, an NG tube may also be used to remove substances from the stomach. The nasogastric tube, otherwise known as a "NG tube" is placed in your stomach after surgery. In fact, of the 36 references listed in the following study, only a few suggest prior comparisons (and even then it is unclear because specific drugs are not mentioned in the title). I know I can handle it if not for this small area Any suggestions on how to get rid or calm the severe throat pain? Most patients agree that an NG tube is a difficult thing to deal with and can be uncomfortable, especially when it's being placed. Gently clean and use topical skin treatments where the tube touches your skin. ASK FOR A SMALLER ONE if medically allowable in your situation. Discuss your circumstance with your doctor. Place you in an upright sitting position, if possible. 17 Advance the tube as far as the marked insertion point. Amber J. Tresca is a freelance writer and speaker who covers digestive conditions, including IBD. [10] The authors conclude that our conventional understanding of compassionate behavior may be based more on beliefs than scientific evidence, and suggest further controlled studies to determine more accurately the effect of specific word-sets on patients' perceptions. Sign up for wikiHow's weekly email newsletter. Mix half a teaspoon or a couple of grams of salt into 8 ounces of warm water. BACKGROUND: Nasogastric tube insertion is believed to be the most painful of routinely performed procedures in the ED, but measures to minimize this pain are reportedly underused. 2010;54(6):588-590. doi:10.4103/0019-5049.72666, Pahsini K, Marinschek S, Khan Z, Dunitz-Scheer M, Scheer PJ. What is nasogastric intubation procedure? When a person is unable to tolerate solid foods by mouth, an NG tube might be used to give nutrients via liquid nutrition. Try a nasal decongestant. With that said my Mom has a Gtube for 3 months now. A levin tube is a single lumen nasogastric tube while a Salem sump tube is the double lumen nasogastric tube with an air vent. For more information, please refer to our Privacy Policy. Its a question many of us are asking here on Inspire, sometimes very intensely, depending on the nature of the disease. This product is available in the following dosage forms: Spray Suspension Before Using If youre having a lot of trouble with the insertion, consider asking the doctor for a smaller tube, such as a pediatric NG tube or a nasointestinal tube. Since the tube can sometimes shift position after its inserted, your medical team may need to re-check it occasionally. Stop and withdraw the tube if you gasp, cough or show distress. He received his Doctorate in Osteopathic Medicine (D.O.) Hang in there. Any signs of infection, such as redness, swelling or fever. However, that information will still be included in details such as numbers of replies. I've used this for oral sores due to systemic lupusand it worked ok for the sores. Part 1 explored the indications, patient preparation, insertion technique and methods of verifying . Caring for tube-fed children: a review of management, tube weaning, and emotional considerations, Impact of routine nasogastric decompression versus no nasogastric decompression after pancreaticoduodenectomy on perioperative outcomes: meta-analysis, Nasogastric tube insertion in anaesthetized patients: a comprehensive review, The effect of a natural food based tube feeding in minimizing diarrhea in critically ill neurological patients, Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings, Nasogastric tube feeding in older patients: a review of current practice and challenges faced, Inpatient placement and managemeent of nasogastric and nasoentric tubes in adults, Hoarseness of voice: An alarming sign to recheck the position of naso-gastric tube, Unintended adverse effects of enteral nutrition support: parental perspective, Role of nasogastric tube in children undergoing elective distal bowel surgery, The Clinical Importance of 21-Day Combined Parenteral and Enteral Nutrition in Active Inflammatory Bowel Disease Patients, Protecting the bowel after surgery or during bowel rest, Injury to the esophagus, throat, sinuses, or stomach. However, research shows that an NG tube is not always needed. Are you sure you want to block this member? Sonal Kumar, MD, MPH, is a board-certified gastroenterologist and hepatologist at Weill Cornell Medicine/New York Presbyterian Hospital, where she is an Assistant Professor of Medicine and the Director of Clinical Hepatology. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. This will help pull the tube down through your esophagus. Lack of Relationship between Hypertension-Associated Symptoms and Blood Pressure in Hypertensive ED Patients, Karras DJ, et al, Am J Emerg Med, 2005;23(2):106. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings. How should we be thinking about our genetic information when it comes to disease? One study of 154 people found that a sage and echinacea spray worked well to soothe sore throats. Although there were variable beliefs among respondents about the relative value of these and other methods employed, only 24 percent of respondents said they use those methods they believe are most effective in reducing pain. First, your nasal area might be numbed with either lidocaine or an anesthetic spray. Side Effects of Surgery Hoarseness of the voice. My dr has suggested an over the, Excuse my stupid questions but im new to all this. 2017;49(1):57-65. doi:10.5603/AIT.a2017.0001, Schmidt SB, Kulig W, Winter R, Vasold AS, Knoll AE, Rollnik JD. Unfortunately, there is a paucity of robust clinical . The warm water is soothing . Gene testing, precision medicine, and shared information, Home IV feeding (HPN, parenteral nutrition), Home tube feeding (HEN, enteral nutrition). The risk of this is especially great in older adults with cognitive problems, who may disrupt the tube because they don't understand what the tube is or why they have it. A nasogastric tube (NG tube) is a thin, flexible plastic tube thats used for temporary medical purposes. Baylor University Medical Center Proceedings. Explain the procedure and ask for your signed consent. Dont be afraid to reach out to your doctor or nurse if you have any questions or concerns! He has been able to ingest liquified food but this is now becoming extremely difficult. If they allow you ice chips (doubtful) they can help with the pain, too. Is this a long term thing or just until your issue is resolved? CONCLUSIONS: These findings suggest that clinicians should be cautious in ascribing characteristic symptoms to BP elevation and hypertensive emergency. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Mayo suggested Hurricane Spray. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. Leave the skin on the potatoes while mashing for a rich source of magnesium, vitamin C, and antioxidants, which all support a strong immune system. Raw Honey Raw honey has anti-inflammatory and antimicrobial properties that can help to treat respiratory conditions like sore throat. I too had Mayo tell me the same thing, use chloroseptic spray and lozenges. The use of NG tubes to decompress the stomach in small bowel obstruction seems to have originated with Dr. Owen Wangensteen. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. NGT syndrome is characterized by throat pain and bilateral vocal cord paralysis, which can cause upper airway obstruction. Even once it's properly placed, it's possible that an NG tube could get blocked or torn. There are many types of herbal teas available, such as peppermint, clove, echinacea, ginger, licorice, oregano, sage, thyme and barberry root. What does that mean, you might be thinking? Enteral feeding has gained acceptance in the nutritional support of various groups of patients. Feeding Tube Awareness Foundation. Also she has problems with her throat hence why she has tube for medicine and feeding. Thank you, {{form.email}}, for signing up. After consultations with a local hospital Dietician, my GI doc, I had an NJ tube fitted on 23/11. Good Luck! The 45 days I spent in the hospital this last time were the absolute worst. A tube used to deliver liquid nutrition and more. Sympathy statements, although not increasing pain, did substantially increase anxiety. I take no nutrition or liquids by mouth. Nasogastric tube (NGT) intubations occur frequently in clinical practice and can be . Larger NG tubes are used to remove air or fluid from your stomach. All of the patients were managed with patient-controlled analgesia during the procedures. It is used to deliver food or medicine to the stomach for people who have difficulty eating or swallowing. You may also see redness, white patches, or pus on the back of your throat or tonsils. This time THIS year, I can't even run up the stairs an, Thank you to anyone who can chime in with any advice. The highest priority nursing diagnosis is Ineffective airway clearance related to excess mucus production This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. The tube is designed to pass through your nasal cavity into your throat and down through your esophagus into your stomach. Some tubes may need to be replaced every three days, while long-term nasogastric tubes can be left in place for four to six weeks. % of people told us that this article helped them. Antibiotics don't work on viruses. Gargle the solution for a while, then spit it out. This article was medically reviewed by Erik Kramer, DO, MPH and by wikiHow staff writer, Megaera Lorenz, PhD. The main difference between them is that the Dobhoff tube has a weight on the end. RESULTS: The mean dysmenorrhea pain score at baseline on a scale of 010 was 6 in both groups. If you need long-term tube feedings, your doctor will likely recommend a . from the Touro University Nevada College of Osteopathic Medicine and completed his residency at Central Maine Medical Center. Essential Oils for Sore Throats. They can help you secure it back in place. The procedure is uncomfortable, but it shouldn't be painful. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. 2016;62(1):169-173. doi:10.1097/MPG.0000000000000919, Khan NA, Roy choudhury S, Yadav PS, Prakash R, Patel JN. NG tube feeding can cause unpleasant side effects like reflux, nausea, and vomiting in some people. The mean age of treatment and control groups was 59.6 and 55 years, respectively. The NG tube can deliver special nutrition, as well as medication, directly to your stomach. Dr. Allan says steam loosens mucus and can moisturize and soothe a sore throat. This community is sponsored by the Oley Foundation, an Inspire trusted partner. Advice from our doctors is sometimes not the same as the information we learn from the experiences of our peers, and there are often other sources of information available as well. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Read our, What You Should Know About Pain After Abdominal Surgery. Given that it has been demonstrated unequivocally in other studies that inhalation of nebulized lidocaine and other similar techniques are more humane than placing a glob of lidocaine gel on the tube, why do we not incorporate these techniques into our practice? The double-lumen NG tube is specially designed for suctioning, but it can also be used for other purposes. Doctors generally recommend dissolving half a . Please try after some time. The following paper, not paid for by any drug company, suggests that oxycodone would be a better choice than hydrocodone. This image may not be used by other entities without the express written consent of wikiHow, Inc. \u00a9 2023 wikiHow, Inc. All rights reserved. My throat is getting worse rather than better! If youre in the hospital, let your doctor or nurse know if you think the tube is slipping or if the tape and clips are coming loose. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. also you may ask for some lidocaine gargle . of warm water. When it gets really steamy, breathe in the throat-clearing magic. a sore throat that develops suddenly pain when swallowing a fever white patches on the throat red or swollen tonsils red spots on the roof of the mouth swollen or tender lymph nodes in the neck. However, it comes with some significant drawbacks, such as discomfort, potential injury, and additional medical problems. Its normal for your nose to run and for saliva or other fluids to come out of your mouth. Is there a difference? [17] This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Yes. 4. 16 If obstruction is felt, pull out the tube and try the other nostril. For example, they might recommend slightly repositioning the tube once every 24 hours, or removing the tube and switching it to the other nostril every few days. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Br J Community Nurs. If the tube is installed correctly, complications and side effects are relatively minor. This helps prevent the tube from adhering to your stomach lining while suctioning. The most commonly used measures included lubricant gel (78%), topical anesthetic spray (65%), lidocaine gel (54%), and distraction (17%). Get useful, helpful and relevant health + wellness information. Pop a pain reliever. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Wolters Kluwer Health
The Levin and the Dobhoff are the two main models in use. You may be trying to access this site from a secured browser on the server. Im in horrendous pain in one area of my throat from an NG nasal feeding tube being inserted yesterday. Since she resides in Florida and we have our own pool is it safe to go in? 9. Many clinicians now recommend prophylactic feeding tube placement, or feeding tube placement prior to the onset of cancer treatment or the onset of swallowing difficulties, in the hopes of preventing malnutrition especially among head and neck cancer patients with curative goals of care (5). NG tube insertion is a common procedure in the clinical setting for all ages of patients. Nasogastric intubation is a procedure to insert a nasogastric (NG) tube into your nose down into your stomach. White patches of pus on the side or back of the throat. Hot . This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Please enable scripts and reload this page. The top 12 natural sore throat remedies are: 1. For example, you might raise your hand or tap on the armrest of your bed or chair. They can also suction out stomach contents to relieve pressure or remove poisons. Mean scores were 3 vs. 5 at two months, and 0.5 vs. 6 at four months. The Oley Foundation Support Community connects patients, families, friends and caregivers for support and inspiration. If they allow you ice chips (doubtful) they can help with the pain, too. Speaking of pain relief, here's a study that has everyday applicability to the ED. CONCLUSIONS: At a daily dose of 400 IU, vitamin E reduced the severity and duration of pain associated with primary dysmenorrhea as well as the amount of menstrual blood loss. Secure the tube well with tape so that it doesnt move and cause friction.
\n<\/p>
\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/f\/f5\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-7.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-7.jpg","bigUrl":"\/images\/thumb\/f\/f5\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-7.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-7.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"
\n<\/p>
\n<\/p><\/div>"}, How to Make a Nasogastric (NG) Tube More Comfortable, https://patient.info/doctor/nasogastric-ryles-tubes, https://www.acepnow.com/article/making-ng-tube-placement-less-horrendous/?singlepage=1&theme=print-friendly, https://onlinelibrary.wiley.com/doi/pdf/10.1111/j.1553-2712.1999.tb00149.x, https://geekymedics.com/nasogastric-ng-tube-insertion/, https://opentextbc.ca/clinicalskills/chapter/10-2-nasogastric-tubes/, https://www.nursingcenter.com/journalarticle?Article_ID=3619681&Journal_ID=417221&Issue_ID=3619577, https://www.schn.health.nsw.gov.au/fact-sheets/tube-feeding-caring-for-your-childs-nasogastric-tube, https://www.enttoday.org/article/improved-oral-hygiene-tube-fed-patients-reduces-pneumonia-fever-antibiotics/, https://www.feedingtubeawareness.org/nasal-tubes/, https://journals.lww.com/nursing/fulltext/2005/08000/how_do_i_verify_ng_tube_placement_.15.aspx, https://www.childrensomaha.org/department/gastroenterology-hepatology-and-nutrition/pediatric-gastroenterology-patient-education/nasogastric-ng-tube-the-road-to-home/, https://www.nursingtimes.net/clinical-archive/gastroenterology/nasogastric-tubes-2-risks-and-guidance-on-avoiding-and-dealing-with-complications-29-04-2009/, For example, you might say, I know I have some nasal polyps in my right nostril, so can we try using the left instead?. Stage 1 hypertension (140159 mmHg /9099 mmHg) was present in 57 percent, stage 2 (160179 mmHg /100109 mmHg) in 24 percent, and stage 3 (at least 180/110 mmHg) in 19 percent. The TUBE Travels thru Nares, nasal mucosa, pharynx, esophagus, cardiac sphincter, to stomach the anatomy and physiology of the digestive system associated with the placement, maintenance and removal of a nasogastric tube Tube, tape, Curved basin, H2O, Toomey syringe, Chux pad, rubber band, safety pin, Stetho., Straw, Tissues, H2O Lube. In fact, when I visited medical schools trying to convince them that I would be a decent selection, I was told at one, Jefferson Medical College in Philadelphia, that students routinely performed procedures on each other (including passing NG tubes). How many times has a patient said, Doc, would you check my pressure? All rights reserved. You might ask the nurse or doctor if they have a spray like Chloroseptic. I see that some of you are giving probiotics that way, and I would be so appreciative to hear about your experiences. Ibuprofen (Advil or Motrin) and naproxen (Aleve) are known as nonsteroidal anti-inflammatory drugs (NSAIDs). wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Williams T. Nasogastric tube feeding: A safe option for patients? The syndrome results from post-cricoid ulceration, which affects the posterior cricoarytenoid muscles, thus causing vocal cord abduction paralysis and upper airway obstruction. Studies say maybe not. Thank you. 2. This image may not be used by other entities without the express written consent of wikiHow, Inc.
\n<\/p>
\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/d\/d2\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-2.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-2.jpg","bigUrl":"\/images\/thumb\/d\/d2\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-2.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"
\n<\/p>
\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6d\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-11.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-11.jpg","bigUrl":"\/images\/thumb\/6\/6d\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-11.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-11.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"
\n<\/p>
\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/6d\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-13-Version-2.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-13-Version-2.jpg","bigUrl":"\/images\/thumb\/6\/6d\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-13-Version-2.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-13-Version-2.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"
\n<\/p>
\n<\/p><\/div>"}, {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/7\/70\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-5.jpg\/v4-460px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-5.jpg","bigUrl":"\/images\/thumb\/7\/70\/Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-5.jpg\/aid11923202-v4-728px-Make-a-Nasogastric-%28NG%29-Tube-More-Comfortable-Step-5.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"
Lopatich Funeral Home Obituaries,
James Broderick Cause Of Death,
Articles N