先给 ICU 患者“胃内”喂养，如果失败再尝试胃后置管。
Feed the ICU patient 'gastric' first, and go post-pyloric only in case of failure.
出版信息
Crit Care. 2010;14(1):123. doi: 10.1186/cc8862. Epub 2010 Feb 19.
Abstract
In a randomised trial comparing early enteral feeding by gastric and post-pyloric routes, White and colleagues have shown that gastric feeding is possible and efficient in the vast majority of critically ill patients. But the authors' conclusion that gastric is equivalent to post-pyloric is true in only the least severe patients. Given the extra workload and costs, post-pyloric is now clearly indicated in case of gastric feeding failure.
摘要
在一项比较经胃和幽门后途径早期肠内喂养的随机试验中，White 及其同事表明，胃内喂养在绝大多数危重病患者中是可行且有效的。但作者关于胃内喂养等同于幽门后喂养的结论仅适用于病情最轻的患者。鉴于额外的工作量和费用，在胃内喂养失败的情况下，幽门后喂养显然是更优选择。
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