Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.
JPEN J Parenter Enteral Nutr. 2011 Jan;35(1):61-6. doi: 10.1177/0148607110370976. Epub 2010 Oct 26.
Nasoenteral intubation is among the most common procedures performed by clinicians across all medical specialties. The most common technique for nasoenteral intubation is blind passage, as it does not require the use of sophisticated or expensive medical equipment. Unfortunately, blind placement too frequently results in trauma and is a source of significant morbidity and mortality. It is apparent that altered mental status, a preexisting endotracheal tube, and critical illness put a patient in a higher risk group for malposition and complications. Nasoenteral intubation should be attempted only with an understanding of the possibility for difficult placement and the potential complications that can arise from trauma or malposition.
经鼻肠管插管是所有医学专业的临床医生最常进行的操作之一。经鼻肠管插管最常用的技术是盲目插入,因为它不需要使用复杂或昂贵的医疗设备。不幸的是,盲目放置过于频繁地导致创伤,是发病率和死亡率的重要来源。显然,改变精神状态、预先存在的气管内管和危重病使患者处于更高的位置错位和并发症风险组。只有在了解可能存在困难的情况下,才能尝试进行经鼻肠管插管,以及可能因创伤或错位而产生的潜在并发症。