University of North Dakota, Fargo, ND, USA.
Scand J Surg. 2012;101(3):147-55. doi: 10.1177/145749691210100302.
The use of nasoenteric tubes (NETs) is ubiquitous, and clinicians often take their placement, function, and maintenance for granted. NETs are used for gastrointestinal decompression, enteral feeding, medication administration, naso-biliary drainage, and specialized indications such as upper gastrointestinal bleeding. Morbidity associated with NETs is common, but frequently subtle, mandating high index of suspicion, clinical vigilance, and patient safety protocols. Common complications include sinusitis, sore throat and epistaxis. More serious complications include luminal perforation, pulmonary injury, aspiration, and intracranial placement. Frequent monitoring and continual re-review of the indications for continued use of any NET is prudent, including consideration of changing goals of care. This manuscript reviews NET-related complications and associated topics.
经鼻肠管(NETs)的使用非常普遍,临床医生通常认为其放置、功能和维护是理所当然的。NETs 用于胃肠减压、肠内喂养、药物给药、鼻胆管引流以及上消化道出血等特殊适应症。与 NETs 相关的发病率很常见,但通常很微妙,需要高度怀疑、临床警惕和患者安全协议。常见并发症包括鼻窦炎、咽痛和鼻出血。更严重的并发症包括管腔穿孔、肺损伤、吸入和颅内放置。NET 继续使用的任何适应证都需要频繁监测和持续重新评估,包括考虑改变治疗目标。本文回顾了与 NET 相关的并发症及相关主题。