超声导航鼻管安置:一种简化方法,提高临床效率
Shufei Jiang1, Mengyao Liu1, Yulong Yao2
1Department of Medical Ultrasonic, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Journal of clinical ultrasound : JCU
|April 28, 2025
概括
超声引导的鼻导管改善了重症患者的肠道营养. 这种方法提供了较短的手术时间,更高的成功率,和更好的营养状况与盲目放置相比.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 肠道营养对于重症患者至关重要.
- 精确的鼻管放置对于有效的肠道养至关重要.
- 盲导管技术可能与较低的成功率和并发症有关.
研究的目的:
- 为了评估超声导向鼻导管的临床疗效.
- 为了比较超声导向与盲导管在危急病患者.
- 评估对导管成功,并发症和营养状况的影响.
主要方法:
- 120名危急病患者被随机分为两个组:超声波引导和盲导管.
- 关键的结果指标包括导管时间,成功率,排位和营养标记.
- 营养状况通过前白蛋白,血清总蛋白和淋巴细胞计数来评估.
主要成果:
- 超声指导导导管检测显示,平均手术时间显著缩短.
- 一次性导管治疗的成功率更高 (93.3%vs. 80.0%) 与超声指导.
- 观察到导管位移率降低和营养标志物 (前白蛋白,总蛋白,淋巴细胞) 的改善.
结论:
- 超声指导的鼻管放置是危急病患者的安全有效方法.
- 这种技术在速度,准确性和改善营养支持方面具有优势.
- 在这种患者群体中,它被推为鼻管安置的理想方法.
相关概念视频
Enteral Nutrition I: Orogastric and Nasogartic Feeding
79
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
79
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
44
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
44
Endotracheal Intubation I: Procedure
310
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
310
Tracheostomy: Procedure and Tubes
208
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
208
Suctioning the Nasopharyngeal Airway
198
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
198
Administering Oxygen by Nasal Cannula
210
Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
Nasal Cannulas
A nasal cannula is a lightweight tube split into two prongs placed in the nostrils,...
210


