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一种为昏迷插管患者插入鼻胃管的新技术。

A new technique to insert nasogastric tube in an unconscious intubated patient.

作者信息

Ghatak Tanmoy, Samanta Sukhen, Baronia Arvind Kumar

机构信息

Department of Critical Care Medicine, SGPGIMS, Rai Bareilly Road, Lucknow, Uttar Pradesh, India.

出版信息

N Am J Med Sci. 2013 Jan;5(1):68-70. doi: 10.4103/1947-2714.106215.

Abstract

BACKGROUND

Insertion of a nasogastric tube in an unconscious intubated patient may be difficult as they cannot follow the swallowing instructions, and therefore has a high first attempt failure rate.

AIM AND METHODS

We describe here a new technique to insert nasogastric tube in an unconscious intubated patient by neck flexion and using angiography catheter as a stylet and manipulating the cricoid ring of trachea for easy passage of nasogastric tube.

RESULTS AND CONCLUSIONS

The technique is easy and helpful for nasogastric insertion in unconscious intubated patients. Additionally, it neither alters vital responses nor increases intracranial pressure like with laryngoscopy.

摘要

背景

给昏迷且已插管的患者插入鼻胃管可能会很困难,因为他们无法遵循吞咽指令,因此首次尝试失败率很高。

目的和方法

我们在此描述一种给昏迷且已插管的患者插入鼻胃管的新技术,即通过颈部屈曲,使用血管造影导管作为管芯,并操作气管的环状软骨以便鼻胃管顺利通过。

结果和结论

该技术操作简便,有助于给昏迷且已插管的患者插入鼻胃管。此外,与喉镜检查不同,它既不会改变生命体征,也不会增加颅内压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11b7/3560144/07d3ba47f366/NAJMS-5-68-g001.jpg

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