{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:34:28Z","timestamp":1787070868212,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Cancers of the head and neck, like the carcinoma base of tongue (BOT), can pose challenges to the insertion of a Ryle\u2019s tube, thereby posing barriers in patient\u2019s nutrition and health. An innovative approach using a fiberoptic bronchoscope for Ryle\u2019s tube insertion in a patient with significant oropharyngeal obstruction due to carcinoma at the base of the tongue. This case report details procedural adaptations and the use of a fiberoptic bronchoscope to facilitate nasogastric tube insertion in a complex clinical scenario. Successful nasogastric tube placement was achieved, enabling improved nutritional support and subsequent oncological treatment. This case underscores the potential of advanced airway management techniques to address enteral feeding challenges in patients with severe anatomical obstructions.<\/jats:p>","DOI":"10.4103\/sja.sja_484_24","type":"journal-article","created":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T01:54:42Z","timestamp":1735696482000},"page":"134-136","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Unconventional use of fiberoptic bronchoscope for Ryle\u2019s tube insertion in a patient with advanced carcinoma of the base of the tongue"],"prefix":"10.4103","volume":"19","author":[{"given":"Abhishek","family":"Bharadwaj","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Pain, and Critical Care, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananya","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain, and Critical Care, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arish","family":"Sadaf","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain, and Critical Care, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikas","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Pain, and Critical Care, Raipur Institute of Medical Sciences, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1,1]]},"reference":[{"key":"R1-20260423","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1177\/1049909117711997","article-title":"Strategies to improve quality of life at the end of life: Interdisciplinary team perspectives","volume":"35","author":"Zadeh","year":"2018","journal-title":"Am J Hosp Palliat Care"},{"key":"R2-20260423","doi-asserted-by":"crossref","first-page":"110","DOI":"10.11622\/smedj.2018081","article-title":"Fibreoptic intubation in airway management: a review article","volume":"60","author":"Wong","year":"2019","journal-title":"Singapore Med J"},{"key":"R3-20260423","doi-asserted-by":"crossref","first-page":"8505","DOI":"10.3748\/wjg.v20.i26.8505","article-title":"Gastroenteric tube feeding techniques, problems, and solutions","volume":"20","author":"Blumenstein","year":"2014","journal-title":"World J Gastroenterol"},{"issue":"Suppl 1","key":"R4-20260423","doi-asserted-by":"crossref","first-page":"P204","DOI":"10.1186\/cc14284","article-title":"Using a laryngoscope and endotracheal tube succeeds in a difficult case of nasogastric tube insertion","volume":"19","author":"Park","year":"2015","journal-title":"Crit Care"},{"key":"R5-20260423","doi-asserted-by":"crossref","first-page":"93.","DOI":"10.1186\/s12904-023-01221-5","article-title":"Interdisciplinary collaboration in serious illness conversations in patients with multiple myeloma and caregivers \u2013 a qualitative study","volume":"22","author":"Myrh\u00f8j","year":"2023","journal-title":"BMC Palliat Care"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_484_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:37:54Z","timestamp":1787067474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/sja.sja_484_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":5,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_484_24","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-08-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-05","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}