Wang Xinying, Zhang Li, Wu Chao, Li Ning, Li Jieshou
Research Institute of General Surgery, Jinling Hospital, Medical School, Nanjing University , Nanjing, 210002 Jiangsu Province , People's Republic of China.
J Invest Surg. 2014 Feb;27(1):21-6. doi: 10.3109/08941939.2013.826310. Epub 2013 Oct 2.
Critically ill patients who demonstrate impaired gastric emptying benefit from post-pyloric enteral nutrition. However, correct placement of post-pyloric tube is challenging.
In a retrospective, single center study, 142 critically ill patients were enrolled using electromagnetic technology. Our specialized team placed all post-pyloric tubes. Metoclopramide (10 mg) was infused 15 min prior to tube placement, and the tube tip location was confirmed by X-ray. Success rate for post-pyloric placement, implant time, time until EN initiation, and placement-related complications were measured.
135 tubes in 142 patients were successfully placed during the first attempt, including 101 jejunal and 34 duodenal tubes. The average placement time was 20.12 min. The time from the physician order to the first tube placement attempt and EN administration was 3.6 and 7.5 hr, respectively. No placement-related complications were observed.
Electromagnetic technology facilitates safe and effective post-pyloric feeding tube placement at the bedside in critically ill patients with impaired gastric emptying.
胃排空受损的重症患者可从幽门后肠内营养中获益。然而，幽门后管的正确放置具有挑战性。
在一项回顾性单中心研究中，使用电磁技术纳入了142例重症患者。我们的专业团队放置所有幽门后管。在放置管子前15分钟输注胃复安（10毫克），并通过X射线确认管尖位置。测量幽门后放置成功率、植入时间、开始肠内营养的时间以及与放置相关的并发症。
142例患者中的135根管子在首次尝试时成功放置，包括101根空肠管和34根十二指肠管。平均放置时间为20.12分钟。从医生下达医嘱到首次尝试放置管子和开始肠内营养的时间分别为3.6小时和7.5小时。未观察到与放置相关的并发症。
电磁技术有助于在床边为胃排空受损的重症患者安全有效地放置幽门后喂养管。
