Bedside nasointestinal tube insertion without visual guiding in critically ill patients
10.3760/cma.j.issn.1674-635X.2015.06.009
- VernacularTitle:床边盲视法放置鼻肠营养管在危重症患者中的应用
- Author:
Zhonghua LU
;
Yun SUN
;
Xiaoping GENG
;
Min YANG
;
Lijun CAO
;
Lu YIN
- Publication Type:Journal Article
- Keywords:
Enteral nutrition;
Nasointestinal nutritional tube;
Bedside blinding intubation;
Critical illness
- From:
Chinese Journal of Clinical Nutrition
2015;23(6):373-377
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and effectiveness of bedside nasointestinal nutritional tube insertion with specific guiding techniques in critically ill patients.Methods Critically ill patients who could not take oral or gastric feeding were collected from September 1st, 2013 to September 10th, 2015 in Intensive Care Unit of The Second Hospital of Anhui Medical University.In these patients, bedside nasointestinal tube insertion was performed according to the relevant standard operating procedure in our department, and guiding technique was chosen based on patients' clinical characteristics.Operation time, position of tube tip and complications associated with the bedside operations were recorded for retrospective analysis.Results A total of 21 patients were collected in this study, in whom 23 bedside insertions were preformed.In 21 insertions (91.3％), the tip of the tube was successfully inserted across the transpyloric plane;and in 20 insertions (87.0％), 10 cm distal to the ligament of Treitz.The average operation time was (14.10 ± 1.80) min.The average cost was (297.01 ± 35.26) yuan.No severe complications were occurred.Conclusions The bedside nasointestinal feeding tube insertion without visual guiding is simple, safe, low-cost, and of high success rate.It may be a good choice for establishing enteral nutrition channel in order to implement early enteral nutrition in patients unable to take oral or gastric feeding.
