Short-term clinical outcomes in extremely/very low birth weight infants with individual nutritional support
10.16151/j.1007-810x.2018.03.012
- VernacularTitle:超声辅助四步法鼻空肠管置入在ICU中的应用
- Author:
Lan CAO
1
;
Xiang-Hong YE
;
Li-Na ZHANG
;
Jun LI
;
Qing ZHANG
;
Wen-Ying ZHANG
Author Information
1. 中南大学湘雅医院重症医学科
- Keywords:
Critically ill patients;
Nasojejunal feeding tube;
Ultrasound-assisted;
ICU
- From:
Parenteral & Enteral Nutrition
2018;25(3):176-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the application value of bedside nasojejunal feeding tube placement using four steps of ultrasonic-assisted method in critical ill patients. Method: Thirty-three critical ill patients receiving enteral nutrition were enrolled. We adopt four steps of ultrasonic guidance to conduct nasojejunal feeding tube placement. The details were as followed: nasojejunal feeding tube placement within the esophagus, within Gastric body, within After the pylorus, at last the location of nasojejunal feeding tube. Results: The placement of nasojejunal feeding tube was successful in 28 patients, failed in 2 patients. The failure reason include that the false appearance of pylorus through and the lost gastrointestinal motility led to the sticking of nasojejunal feeding tube on arcus major ventriculi and it couldn't enter into gastric antrum and pylorus. Conclusion: The application of nasojejunal feeding tube placement by four steps of ultrasonic-assisted is a novel feeding technique, and it's simple, effective, noninvasive and repeatability procedure with a high success rate and low complications.