Bedside naso-jejunal placement is more difficult, but successful in patients with COVID-19 in critical care: A retrospective service evaluation of a dietitian-led service.

IF 2.1 Q3 CRITICAL CARE MEDICINE

Journal of the Intensive Care Society Pub Date : 2023-11-01 Epub Date: 2023-02-11 DOI:10.1177/17511437231153045

Mary E Phillips, Jessica Zekavica, Rajesh Kumar, Rajiv Lahiri, Justin Kirk-Bayley, Amish Patel, Adam E Frampton

引用次数: 0

Abstract

The COVID-19 pandemic presented clinical and logistical challenges in the delivery of adequate nutrition in the critical care setting. The use of neuromuscular-blocking drugs, presence of maxilla-facial oedema, strict infection control procedures, and patients placed in a prone position complicated feeding tube placement. We audited the outcomes of dietitian-led naso-jejunal tube (NJT) insertions using the IRIS^® (Kangaroo, USA) device, before and during the COVID-19 pandemic. NJT placement was successful in 78% of all cases (n = 50), and 87% of COVID-19 cases. Anaesthetic support was only required in COVID-19 patients (53%). NJT placement using IRIS was more difficult but achievable in patients with COVID-19.

查看原文本刊更多论文

在重症监护中，新冠肺炎患者的床边鼻拭子放置更困难，但成功：一项由营养师主导的服务的回顾性服务评估。

新冠肺炎大流行在重症监护环境中提供足够营养方面带来了临床和后勤挑战。神经肌肉阻滞药物的使用，上颌骨面部水肿的存在，严格的感染控制程序，以及患者俯卧位，使喂食管的放置变得复杂。我们审计了在新冠肺炎大流行之前和期间，使用IRIS®（美国袋鼠）设备插入营养学家引导的鼻咽管（NJT）的结果。NJT置入成功率为78%（n = 50）和87%的新冠肺炎病例。仅新冠肺炎患者需要麻醉支持（53%）。在新冠肺炎患者中，使用IRIS的NJT放置更困难，但可以实现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of the Intensive Care Society Nursing-Critical Care Nursing

CiteScore

4.40

自引率

0.00%

发文量

期刊介绍： The Journal of the Intensive Care Society (JICS) is an international, peer-reviewed journal that strives to disseminate clinically and scientifically relevant peer-reviewed research, evaluation, experience and opinion to all staff working in the field of intensive care medicine. Our aim is to inform clinicians on the provision of best practice and provide direction for innovative scientific research in what is one of the broadest and most multi-disciplinary healthcare specialties. While original articles and systematic reviews lie at the heart of the Journal, we also value and recognise the need for opinion articles, case reports and correspondence to guide clinically and scientifically important areas in which conclusive evidence is lacking. The style of the Journal is based on its founding mission statement to ‘instruct, inform and entertain by encompassing the best aspects of both tabloid and broadsheet''.