Application of dual lumen gastrointestinal tube with air insufflation technique in mechanical ventilation patients with intra-abdominal hypertension
10.3760/cma.j.issn.1671-0282.2014.06.014
- VernacularTitle:注气法置胃肠双腔管在腹腔高压机械通气患者中的应用
- Author:
Ying WANG
;
Yongqiang WANG
;
Yanan JIAO
;
Jie MA
;
Yan YANG
- Publication Type:Journal Article
- Keywords:
Dual lumen gastrointestinal tube;
Nasal intestine catheter;
Air insufflation;
Intra-abdominal hypertension;
Enteralnutrition;
Mechanical ventilation;
Regurgitation and aspiration;
Path of nutrition
- From:
Chinese Journal of Emergency Medicine
2014;(6):663-666
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effect of nasal gastrointestinal double lumen catheter tube placement with air insufflation in mechanically ventilated patients with intra-abdominal hypertension.Methods A total of 20 patients with intra-abdominal hypertension were randomly divided into control group and observation group (n=10 in each group).Patients in control group received indwelling nasogastric tube for decompression and indwelling nasal intestine tube by air insufflation for enteral nutrition support .Patients in observation group received the dual lumen gastrointestinal tube for decompression and enteral nutrition support.The time required for catheterization,changes in intra-abdominal pressure before and after air insufflation,catheter success rate at one attempt,pain scores of patients to catheter operation, duration of decompression,enteral nutrition start time and the duration of mechanical ventilation were compared between two groups.Results The time required for catheterization,catheter air insufflation volume in observation group were significantly lower than those in control group (P <0.01);pain scores of patients to catheter operation were significantly lower in observation group than those in control group (P <0.01);There was no significantly difference in once catheter success rate,changes in intra-abdominal pressure before and after catheterization,abdominal high pressure relief time ,enteral feeding start time, and duration of mechanical ventilation between the two groups (P >0.05 ).Conclusions The technique of air insufflation has higher success rate for Indwelling nasal intestine tube in mechanically ventilated patients with intra-abdominal hypertension,and this method is safe and reliable,dual lumen gastrointestinal tube can improve patients'comfort,shorter catheterization time and reduce catheter air insufflation volume.
