Comparison of Glucose Concentration of Tracheal Secretions by Measuring Times and Feeding Methods in Enterally Fed Patients / 성인간호학회지
Journal of Korean Academy of Adult Nursing
;
: 718-726, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-144059
ABSTRACT
PURPOSE:
The purpose of this study was to investigate differences between a pulmonary aspiration group and a non-pulmonary aspiration group in glucose concentration of tracheal secretions by measuring time and feeding methods.METHOD:
The subjects were 36 ICU patients who were receiving formula via nasogastric tubes and had endotracheal tubes or tracheostomy tubes. Tracheal secretions were collected by connecting suction traps to a suction catheter in three different times(within 1 hour after feeding, between 1 to 2 hours after feeding, and between 2 to 3 hours after feeding) for 2 days, overall six times. Glucose concentration of tracheal secretions was measured with the glucometer(Accucheck II).RESULTS:
Glucose concentration of tracheal secretions increased in progression after feeding. The mean of specimens collected last(between two to three hours after feeding) was shown to be the highest value(M= 61.61 mg/dl) in the pulmonary aspiration group. Significantly(p=.000) more subjects(94.44%) in the pulmonary aspiration group received formula via a 50cc syringe than those in the non-pulmonary aspiration group(22.22%).CONCLUSION:
Critically ill patients may need more time for head-elevation after tube feeding to prevent pulmonary aspiration. In practice, enteral formula should not be given the patients via a 50cc syringe anymore, instead a feeding bag or infusion pump should be used to prevent pulmonary aspiration.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Aspiration (technique)
/
Seringues
/
Pompes à perfusion
/
Trachéostomie
/
Enquêtes et questionnaires
/
Maladie grave
/
Nutrition entérale
/
Méthodes d'alimentation
/
Cathéters
/
Glucose
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Journal of Korean Academy of Adult Nursing
Année:
2006
Type:
Article
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