Bedside ultrasound-guided nasointestinal feeding tube placement in critically ill elderly patients
10.3760/cma.j.issn.0254-9026.2017.10.011
- VernacularTitle:床边超声引导鼻小肠管置入术在老年危重患者中的临床应用
- Author:
Jiming CAI
1
;
Li SUN
;
Weihong NI
;
Qun ZHAO
;
Zhenhua FU
;
Yu ZHU
;
Yufang YANG
Author Information
1. 314000,嘉兴学院附属第二医院嘉兴市第二医院ICU
- Keywords:
Ultrasonography;
Enteral nutrition
- From:
Chinese Journal of Geriatrics
2017;36(10):1103-1106
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility of inserting and detaining nasointestinal feeding tube in small bowl guided by bedside ultrasound(US)in critically ill elderly patients.Methods This was a retrospective study.Sixty four aged patients(≥ 60 years)in general ICU,the Second Affiliated Hospital of Jiaxing College,received the US-guided nasointestinal feeding tubes inserting and detaining.Feeding tubes passed through nasal and went into the stomach by manual blind method.Under US-guiding condition,the tube passed through the pyloric sphincter and further into the duodenum or jejunum.Finally the correct position of the tube head was assessed by bedside X-ray examination.Results The US-guided nasointestinal feeding tube-detaining technique was successfully operated in 57 patients(89.1％).The feeding tube heads were in the duodenum in thirty four cases(53.1 ％),and in proximal jejunum in twenty-three cases(35.9％).The untoward reaction included the bleeding of nasal cavity in 1 case,and hypotension in another case.Conclusions Bedside US-guided nasointestinal feeding tube placement is safe and feasible in aged critical patients.
