Home About us Articles Multimedia Search Instructions Login 
IF 2017: 1.596 (® Clarivate Analytics)
Total Cites: 7606
Q2 in Medicine, General & Internal
Follow Us
Follow Us
  • Users Online: 4799
  • Home
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2018  |  Volume : 131  |  Issue : 14  |  Page : 1680-1685

Placement of a Jejunal Feeding Tube via an Ultrasound-Guided Antral Progressive Water Injection Method


Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730, China

Correspondence Address:
Prof. Da-Wei Liu
Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730
China
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0366-6999.235874

Rights and Permissions

Background: Jejunal feeding tube allows the nutrition of critical care patients more easy and safe. However, its placement remains a challenge. This study aimed to introduce a jejunal feeding tube through an ultrasound-guided antral progressive water injection method and subsequently to examine its efficacy. Methods: Between April 2016 and April 2017, 54 patients hospitalized in the Department of Critical Care Medicine, Peking Union Medical College Hospital, China who needed nutritional support through a jejunal feeding tube were recruited for this study. Patients who applied ultrasound-guided antral progressive water injection method were classified into the experimental group. Patients who applied conventional method were registered as control group. Results: No significant differences were found in age, body mass index, and Acute Physiology and Chronic Health Evaluation score, but a significant difference in operation time was found between the experimental group and the control group. Of the 24 individuals in the control group, 17 displayed clear catheter sound shadows once the tube entered the esophagus. In comparison, of the 30 individuals in the experimental group, all harbored catheter sound shadows through the esophageal gas injection method. Subsequent observation revealed that in the control group (via ultrasonographic observation), 15 individuals underwent successful antral tube entry, for a success rate of 63%. In the experimental group (via antral progressive water injection), 27 individuals underwent successful antral tube entry, for a success rate of 90%. There was a significant difference between the success rates of the two groups (χ2 = 5.834, P = 0.022). Conclusion: The antral progressive water injection method for the placement of a jejunal feeding tube is more effective than the traditional ultrasonic placement method.

 

 Abstract in Chinese

超声引导胃窦渐进式注水法放置空肠营养管研究

摘要

背景:空肠营养管使得重症患者营养支持更安全和更容易,但是放置空肠管有一定难度。本文介绍超声引导胃窦渐进式注水法放置空肠营养管并证明其有效性

方法:纳入2016年4月~2017年4月入住北京协和医院重症医学科54名需要放置空肠营养管的患者,患者分两组进行空肠营养管放置。

结果:两组患者年龄、体重指数、急性生理及慢性病评分没有差别,但是操作时间上有差别,对照组(24例):导管进入食道后,能够通过超声确切判断导管声影的患者有17例;而实验组(30例)采用食道注气法判断导管在食道内的患者有30例。对照组通过观察导管进入胃窦成功15例,失败9例,成功率63%;实验组:通过胃窦渐进注水法成功27例,失败3例,成功率90%。两组成功例数存在差异(χ2=5.834, P =0.022)。

结论:采用超声引导渐进式注水法放置空肠营养管比传统的超声方法更有效。



[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed151    
    Printed0    
    Emailed0    
    PDF Downloaded42    
    Comments [Add]    

Recommend this journal

 

京ICP备05052599号