医学重症监护病房中与鼻胃管置入肠内营养相关的死亡：临床及尸检结果
Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings.
作者信息
Smith Avery L, Santa Ana Carol A, Fordtran John S, Guileyardo Joseph M
机构信息
Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas.
Department of Pathology, Baylor University Medical Center, Dallas, Texas.
出版信息
Proc (Bayl Univ Med Cent). 2018 May 21;31(3):310-316. doi: 10.1080/08998280.2018.1459400. eCollection 2018 Jul.
Abstract
It is generally assumed that blind insertion of nasogastric tubes for enteral nutrition in patients admitted to medical intensive care units is safe; that is, does not result in life-threatening injury. If death occurs in temporal association with insertion of a nasogastric tube, caregivers typically attribute it to underlying diseases, with little or no consideration of iatrogenic death due to tube insertion. The clinical and autopsy results in three recent cases at Baylor University Medical Center challenge the validity of these notions.
摘要
一般认为，在入住医疗重症监护病房的患者中盲目插入鼻胃管进行肠内营养是安全的；也就是说，不会导致危及生命的损伤。如果在插入鼻胃管后不久发生死亡，护理人员通常将其归因于基础疾病，很少或根本不考虑因插管导致的医源性死亡。贝勒大学医学中心最近三例病例的临床和尸检结果对这些观念的正确性提出了质疑。
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Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings.医学重症监护病房中与鼻胃管置入肠内营养相关的死亡：临床及尸检结果
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