Individualized enteral nutrition support nursing for the patient with severe pneumonia who underwent extracorporeal membrane oxygenation with prone position ventilation: a case report
10.3760/cma.j.cn211501-20210627-01819
- VernacularTitle:行体外膜肺氧合治疗联合俯卧位通气重症肺炎患者的个体化肠内营养支持护理1例
- Author:
Hongjiao CHEN
1
;
Jun LI
;
Hui GAO
;
Jun YIN
;
Qing YANG
;
Lan CAO
Author Information
1. 广西壮族自治区人民医院重症医学科，南宁 530021
- Keywords:
Nursing care;
Severe pneumonia;
Extracorporeal membrane oxygenation;
Prone position ventilation;
Enteral nutrition
- From:
Chinese Journal of Practical Nursing
2022;38(16):1250-1255
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the nursing experience of enteral nutritionin a patient with severe pneumonia who received extracorporeal membrane oxygenation combined with prone ventilation.Methods:A patient with severe pneumonia who underwent extracorporeal membrane oxygenation combined with prone ventilation from Xiangya Hospital of Central South University on November 8, 2020 was given individualized nutrition support program. The patient′s condition was evaluated, individual nutrition support plan was formulated, early nutrition was implemented, appropriate feeding route was selected, tolerance was evaluated during the implementation process, and enteral nutrition-related complications were nursing.Results:After careful treatment and nursing, the patient′s condition was improved and was transferred out of ICU for continued treatment.Conclusions:For this kind of patients with severe pneumonia who underwent extracorporeal membrane oxygenation combined with prone ventilation to choose the pyloric feeding to reduce aspiration. Early nourishing nutrition to protect the intestinal mucosa; ultrasonic monitoring of antral motility index was used to guide the implementation of enteral nutrition. Regular evaluation of feeding tolerance during nutrition implementation, the strategy and implementation of enteral nutrition were adjusted according to the intra-abdominal pressure combined with feeding tolerance, and the prevention and nursing of enteral nutrition complications were carried out at the same time.
