Safety and efficacy of under bedside ultrasound guidance for critical patients enteral nutrition support / 中国实用护理杂志

ABSTRACT

Objective:To evaluate the efficacy and safety of under bedside ultrasound guidance for critical patients enteral nutrition support.Methods:A total of 56 critical patients underwent the long-term enteral nutrition therapy form July 2018 to June 2019 in Wuxi People′s Hospital were selected. According to the random number table method, they were divided into observation group(29 cases) and control group (27 cases). The observation group was extending the depth of nasogastric tube under the guidance of ultrasoundreated, while control group was treated with depth of gastric tube insertion (45-55 cm). The complications, time of mechanical ventilation and the length of ICU stay between the two groups were compared.Results:The depth of nasogastric tube, gastric residual volume and the incidence of aspiration were (68.07 ± 2.81) cm, (76.10 ± 37.02) ml, 6.89%(2/29) in the observation group and (53.92 ± 3.12) cm, (137.20 ± 58.40) ml, 29.63%(8/27) in the control group, and there were statistically significant difference ( t values were 17.669, 7.272, χ2 value was 4.926, P<0.01 or 0.05). There was no statistically significant difference in the incidence of abdominal distention between the two group ( P>0.05). Conclusions:It is safe and effective to extend the placement depth of nasogastric tube under the guidance of ultrasound for critical ill patients.