Application of blind bedside non-spiral nasointestinal tubes in critically ill patients

Q4 Nursing

中华临床营养杂志 Pub Date : 2019-02-28 DOI:10.3760/CMA.J.ISSN.1674-635X.2019.01.007

Jiakui Sun, Wen-hao Zhang, Xiang Wang, Shou-tao Yuan, Qian-Kun Shi, Y. Liu

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引用次数: 1

Abstract

Objective To evaluate the effect of blind bedside non-spiral nasointestinal tubes in critically ill patients. Methods Patients requiring bedside nasointenstinal tubes in intensive care unit of Nanjing First Hospital from February 2017 to February 2018 were enrolled in this study. The placement of nasointenstinal tubes was conducted according to the reference procedure of our department, recording operation times, operation duration, position of the tube′s tip, expense and complications. Results A total of 53 patients received the bedside non-spiral nasointenstinal tubes which were conducted for 64 times. 51 patients(51/53, 94.4%) were successful in tube placement, 45 case-times(45/64, 70.3%) were successful at the first attempt, and 50 case-times(50/64, 78.1%) were successful at the second attempt in accumulation. The mean time of our procedure was (13.80±6.90) minutes, the mean insertion length was (99.55±8.35) cm, and the mean expense was (244.82±45.68) Yuan. No severe complications were observed. Conclusion Blind bedside placement of non-spiral nasointestinal tubes has high success rate and many advantages as short operation time, low expense and less complications, which is a good choice for early establishment of enteral feeding pathway and early supplement of enteral nutrition in critically ill patients. Key words: Nasointestinal tube; Blind bedside placement; Enteral nutrition; Critical illness

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盲式床边非螺旋鼻肠管在危重病人中的应用

目的探讨盲式床边非螺旋鼻肠管在危重病人中的应用效果。方法选取2017年2月至2018年2月南京市第一医院重症监护病房需要床边鼻肠管的患者为研究对象。按照我科参考程序进行鼻肠管置入，记录手术次数、手术时间、管尖位置、费用及并发症。结果53例患者行床边非螺旋鼻肠管，共64次。51例(51/53,94.4%)患者置管成功，45例(45/64,70.3%)患者首次置管成功，50例(50/64,78.1%)患者第二次置管成功。手术平均时间为(13.80±6.90)分钟，平均插入长度为(99.55±8.35)cm，平均费用为(244.82±45.68)元。无严重并发症。结论床边盲置非螺旋鼻肠管具有成功率高、手术时间短、费用低、并发症少等优点，是危重患者早期建立肠内喂养通路、早期补充肠内营养的良好选择。关键词:鼻肠管;床边盲放置;肠内营养;重要疾病

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来源期刊

中华临床营养杂志 Nursing-Nutrition and Dietetics

CiteScore

0.20

自引率

0.00%

发文量

2282

期刊介绍： The Chinese Journal of Clinical Nutrition was founded in 1993. It is the first professional academic journal (bimonthly) in my country co-sponsored by the Chinese Medical Association and the Chinese Academy of Medical Sciences to disseminate information on clinical nutrition support, nutrient metabolism, the impact of nutrition support on outcomes and "cost-effectiveness", as well as translational medicine and nutrition research. It is also a professional journal of the Chinese Medical Association's Parenteral and Enteral Nutrition Branch. The purpose of the Chinese Journal of Clinical Nutrition is to promote the rapid dissemination of knowledge on nutrient metabolism and the rational application of parenteral and enteral nutrition, focusing on the combination of multidisciplinary and multi-regional field investigations and clinical research. It mainly reports on nutritional risk screening related to the indications of parenteral and enteral nutrition support, "cost-effectiveness" research on nutritional drugs, consensus on clinical nutrition, guidelines, expert reviews, randomized controlled studies, cohort studies, glycoprotein and other nutrient metabolism research, systematic evaluation of clinical research, evidence-based case reports, special reviews, case reports and clinical experience exchanges, etc., and has a special column on new technologies related to the field of clinical nutrition and their clinical applications.