Serrano L, Palma F, Carrasco F, Guinda A
Departamento de Cirugía, Hospital Universitario Virgen del Rocío, Sevilla.
Nutr Hosp. 1994 Jul-Aug;9(4):257-61.
Enteral nutrition infusion systems block or suffer alterations to the infusion rate selected at the pump, creating significant problems in the clinic. The manufacturers insist on the important of not using fine-bore catheters when products are viscous, but they provide no specific data correlating bore with maximum advisable viscosity. Experimental work was carried out in order to relate these variable and fix a pattern for selection of nutrients according to their physical properties and a particular catheter bore. The results of our study indicate that none of the products currently of the market for enteral nutrition creates problems with the selected infusion rate, nor blocking of a probe of minimum bore (6 CH). Thus the complications attributed to catheter bore or the physical characteristics of a product are attributable to the poor preparation of the product or improper handling or care of catheters and infusion systems.
肠内营养输注系统会出现堵塞或所选定的泵入速率发生改变的情况,这在临床上造成了重大问题。制造商坚持认为,当产品黏稠时不使用细孔导管很重要,但他们并未提供将导管内径与最大建议黏度相关联的具体数据。开展了实验工作,以便将这些变量联系起来,并根据营养物质的物理特性和特定的导管内径确定营养物质的选择模式。我们的研究结果表明,目前市场上的肠内营养产品均不会出现所选定的输注速率问题,也不会堵塞最小内径(6 CH)的探头。因此,归因于导管内径或产品物理特性的并发症是由于产品制备不当、导管及输注系统处理或护理不当所致。