在危急患者中插入鼻肠探针的技术的有效性:随机临床试验
Cintia Galvão Queiroz1, Joyce Karolayne Dos Santos Dantas2, Sara Cristina Matias de Araújo2
1Nursing Graduate Program, Federal University of Rio Grande do Norte, Natal, Brazil.
Medicine
|June 19, 2023
概括
这项研究评估了鼻腔放置小肠养管插入的方法,用于直管患者. 头部定位和喉镜辅助可以提高成功率,减少这一关键过程中的并发症.
科学领域:
- 医疗程序 医疗程序
- 密集护理医学 密集护理医学
- 胃肠病学 胃肠病学
背景情况:
- 鼻腔放置的小肠食管插入是常见的,但存在风险,包括不良事件和路径错误.
- 头部处于中立位置的"盲目"插入技术在直管或昏迷患者中可能是困难的,创伤性的和复杂的.
- 目前的方法可能无法优化脆弱患者群体的安全性和有效性.
研究的目的:
- 为了比较不同鼻腔放置的小肠食管插入技术在直管和昏迷患者的有效性.
- 评估传统与改性插入方法的成功率和并发症概况.
主要方法:
- 一项前性,随机化和受控的临床试验,涉及39名在重症监护室 (ICU) 的直管和昏迷患者.
- 患者被随机分为三个组:传统的中性头部位置,右侧头部位置或中性头部位置,用喉镜辅助.
- 主要终点包括第一次,第二次和总尝试成功率,以及成功插入的时间. 对并发症和生命体征进行了监测.
主要成果:
- 该研究旨在确定每个技术的成功率和时间效率.
- 记录了诸如管曲,结结,粘膜出血和气管插入等并发症.
- 在整个手术过程中,患者的生命体征被持续监测.
结论:
- 这些发现将阐明鼻腔放置小肠养管插入的最佳技术,在危急病患,输管患者.
- 这项研究旨在通过确定卓越的插入方法来提高患者安全性和程序效率.
- 该研究将为密集护理机构的临床实践提供基于证据的建议.
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