PUG for CC/EM

Percutaneous Ultrasound Gastrostomy: An Alternative to PEG or PRG

PUG is a point-of-care (as opposed to operating room) procedure for inserting gastrostomy tubes which can be efficiently performed by non-surgical providers.  It employs readily available medical devices such as ultrasound, feeding tubes, guidewires and dilators. 

Depending on your institution, consults for PEG procedures can lead to delays in care, along with additional time spent on care coordination. PUG enables prompt feeding tube placement, at the bedside. PUG eliminates the inefficiencies in clinical practice, and puts the power into the hands of the critical care physician.  PUG is not the first time procedures have been moved from an operating suite to the bedside - e.g., percutaneous tracheostomy. PUG utilizes your existing training and skill on point-of-care ultrasound.