Piton G, Parel R, Delabrousse E, Capellier G
Department of Medical Intensive Care, Besançon University Hospital, Boulevard Fleming, Besançon, France.
Department of Visceral Radiology, Besançon University Hospital, Boulevard Fleming, Besançon, France.
Eur J Clin Nutr. 2017 May;71(5):669-670. doi: 10.1038/ejcn.2016.276. Epub 2017 Feb 8.
To report the interest of abdominal ultrasonography for confirming the appropriate location of nasogastric tube (NGT) in the stomach using a new dynamic test, and to illustrate the aspect of this test at ultrasonography. Clinical observation of a patient, images of abdominal ultrasonography and video of the stomach visualized by ultrasonography. We describe the video of a critically ill patient in whom, immediately after NGT insertion, aspiration of gastric liquid and instillation within the NGT was associated with ultrasonographic evidence of turbulences in the stomach. In addition to the direct visualization of the NGT in the stomach, ultrasonographic visualization of turbulences after aspiration and instillation of gastric liquid may allow to assess the appropriate positioning of the NGT.
报告腹部超声检查利用一种新的动态试验来确认鼻胃管(NGT)在胃内合适位置的作用,并阐述该试验在超声检查中的表现。对一名患者进行临床观察、腹部超声图像以及超声检查显示的胃的视频。我们描述了一名危重症患者的视频,在插入NGT后,立即进行胃液抽吸和向NGT内滴注,同时超声检查显示胃内有湍流迹象。除了直接在胃内可视化NGT外,抽吸和滴注胃液后超声显示的湍流情况可能有助于评估NGT的合适位置。