Procedure and teaching verse of placement of spiral nasoenteral tube into jejunum by gravity-guiding
10.3969/j.issn.1008-9691.2024.01.020
- VernacularTitle:重力引导螺旋型鼻肠管空肠置管操作流程及教学歌诀
- Author:
Pingqing GUO
1
;
Wenqing LIN
;
Xiaofeng HUANG
;
Congpei LI
;
Yanfang DONG
;
Lanhua CHEN
;
Zhihua CHEN
;
Chuanqi CAI
;
Xide CHEN
;
Qiaoyi WU
;
Zhihong LIN
;
Shaodan FENG
Author Information
1. 福建医科大学附属第一医院急诊医学中心,福建福州 350005
- Keywords:
Nasointestinal tube;
Spiral nasointestinal tube;
Jejunum catheterization;
Enteral nutrition;
Verse
- From:
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
2024;31(1):92-94
- CountryChina
- Language:Chinese
-
Abstract:
To improve the effectiveness of bedside localization of nasointestinal tube(NIT)and facilitate the placement of nasointestinal tube into jejunum,we established a procedure and composed a teaching verse for bedside placement of nasointestinal tube based on relevant classical literature and our own practices.Verse content:enteral nutrition means a successful strategy to improve the outcome in critically ill patient management,never hesitate to place nasointestinal tubes when necessary.There are several methods to deal with it,but popularizing it remains a long way off.Half-sitting and swallowing into the esophagus,freely withdrawing signifies the stomach cavity.Passing through the pylorus using light tension on the tube in the right lateral decubitus position.Arriving at the jejunum with low resistance in the left lateral decubitus position.What are the signs of intragastric coiling?Tube return out of nose is the initial observation,Failure of air insufflation indicates tube coiling.Dyeing location surpasses imaging.Vacuum test is the most sensitive,Sequential change from acid to base is specific.Methylene blue test is dramatical for localization.Combining three methods is enough to navigate.Abdominal plain film is the goldan standard and can still be used in ultrasonic era.3-D image establishes overall view.CT reveals the tube route exactly.The teaching verse has become a powerful tool for clinical teaching of manual nasointestinal tube placement in a concise and easy-to-remember form.
