Feasibility of Percutaneous Gastrostomy Tube Placement Using Only Local Anesthetic in Patients With Neuromuscular...

Area of Science:

• Medical procedures
• Gastroenterology
• Neurology

Background:

• Patients with neuromuscular disorders often require gastrostomy tubes for nutritional support.
• Sedation is frequently contraindicated in these patients due to poor airway control and the risk of ventilator dependence.

Purpose of the Study:

• To evaluate the feasibility and safety of percutaneous gastrostomy tube placement using only local anesthesia in patients with neuromuscular dysfunction.

Main Methods:

• A retrospective chart review was conducted for patients who underwent percutaneous gastrostomy tube placement under local anesthesia only between 2013 and 2019.
• Data included demographics, medical history, procedural details, and complications.

Main Results:

• 12 patients with neuromuscular disorders underwent the procedure under local anesthesia.
• 100% technical success was achieved with no major complications reported.

Conclusions:

• Percutaneous gastrostomy tube placement with local anesthesia is a safe and effective alternative for patients with neuromuscular disorders who have contraindications to sedation.
• This approach mitigates risks associated with airway management and mechanical ventilation.