...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Intensive care medicine >Evaluation of a technique for blind placement of post-pyloric feeding tubes in intensive care: application in patients with gastric ileus.
【24h】

Evaluation of a technique for blind placement of post-pyloric feeding tubes in intensive care: application in patients with gastric ileus.

机译：重症监护中幽门后喂养管盲区放置技术的评价：在胃性肠梗阻患者中的应用。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To evaluate a blind 'active' technique for the bedside placement of post-pyloric enteral feeding tubes in a critically ill population with proven gastric ileus. DESIGN AND SETTING: An open study to evaluate the success rate and duration of the technique in cardiothoracic and general intensive care units of a tertiary referral hospital. PATIENTS: 20 consecutive, ventilated patients requiring enteral nutrition, where feeding had failed via the gastric route. INTERVENTIONS: Previously described insertion technique-the Corpak 10-10-10 protocol-for post-pyloric enteral feeding tube placement, modified after 20[Symbol: see text]min if placement had not been achieved, by insufflation of air into the stomach to promote pyloric opening. MEASUREMENTS AND RESULTS: A standard protocol and a set method to identify final tube position were used in each case. In 90% (18/20) of cases tubes were placed on the first attempt, with an additional tube being successfully placed on the second attempt. The median time for tube placement was 18[Symbol: see text]min (range 3-55[Symbol: see text]min). In 20% (4/20) insufflation of air was required to aid trans-pyloric passage. CONCLUSIONS: The previously described technique, modified by insufflation of air into the stomach in prolonged attempts to achieve trans-pyloric passage, proved to be an effective and cost efficient method to place post-pyloric enteral feeding tubes. This technique, even in the presence of gastric ileus, could be incorporated by all critical care facilities, without the need for any additional equipment or costs. This approach avoids the costs of additional equipment, time-delays and necessity to transfer the patient from the ICU for the more traditional techniques of endoscopy and radiographic screening.
机译：目的：评估在确诊为胃肠梗阻的危重人群中幽门后肠内饲管在床旁放置的盲“主动”技术。设计与设置：一项公开研究，以评估该技术在三级转诊医院心胸和普通重症监护病房中的成功率和持续时间。患者：连续20例需要肠内营养的通气患者，通过胃途径进食失败。干预措施：先前介绍的插入技术-Corpak 10-10-10协议-用于幽门后肠饲管的放置，在20分钟后进行了修改[符号：参见文本]，如果未实现放置，则通过将空气吹入胃中进行。促进幽门开放。测量和结果：在每种情况下均使用标准方案和确定最终试管位置的固定方法。在90％（18/20）的情况下，第一次尝试放置了试管，而第二次尝试成功放置了另外的试管。放置管的中位时间为18分钟（符号：请参见文本）（范围为3-55分钟（符号：请参见文本）min）。在20％（4/20）的空气中需要吹入空气以帮助经幽门途径。结论：先前描述的技术，通过长期向胃内吹入空气进行改良，以实现经幽门的通过，被证明是一种放置幽门后肠内饲管的有效且具有成本效益的方法。即使在存在胃肠梗阻的情况下，该技术也可以被所有重症监护机构所采用，而无需任何其他设备或费用。这种方法避免了额外设备的成本，时间的延迟以及内窥镜和放射线照相筛查等更传统技术将患者从ICU转移的必要性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号