The monitoring movement index by ultrasound guided the implementation of enteral nutrition in patients with prone mechanical ventilation / 中国实用护理杂志

ABSTRACT

Objective:To evaluate the effect of monitoring movement index transverse section by bedside ultrasound in patients who undergoing mechanical ventilation in prone position.Methods:From June 2018 to June 2019, 78 patients with acute respiratory distress syndrome undergoing mechanical ventilation in prone position in ICU of Xiangya Hospital of Central South University were divided into observation group and control group according to random number table method with 39 cases each. The observation group was guided by movement index monitored by ultrasound to implement enteral nutrition, while the control group was guided by enteral nutrition plan according to doctor′s advice. The incidence of feeding interruption, reflux, aspiration, time to complete enteral nutrition, mechanical ventilation time and ICU length of stay were compared between the two groups.Results:The time of reaching full nutrition was (2.8 ± 0.8) d in the observation group, and (4.1 ± 1.1) d in the control group, there was significant difference between the two groups ( t value was -5.596, P < 0.01). There was no significant difference in the incidence of feeding interruption, reflux, aspiration, mechanical ventilation time and ICU length of stay between the two groups ( P > 0.05). Conclusions:The monitoring movement index transverse section by ultrasound can guide the implementation of enteral nutrition in patients with prone mechanical ventilation, and shorten the time to complete enteral nutrition.