A novel method of post-pyloric feeding tube placement at bedside

作者:Kohata Hisakazu; Okuda Nao; Nakataki Emiko; Itagaki Taiga; Onodera Mutsuo; Imanaka Hideaki; Nishimura Masaji*
来源:Journal of Critical Care, 2013, 28(6): 1039-1041.
DOI:10.1016/j.jcrc.2013.06.018

摘要

Purpose: Post-pyloric feeding tube placement is often difficult, and special equipment or peristalsis agents are used to aid insertion. Although several reports have described blind techniques for post-pyloric feeding-tube placement, no general consensus about method preference has been achieved. %26lt;br%26gt;Materials and Methods: The technique is performed as follows: via the nostril, a stylet-tipped feeding tube is advanced about 70 cm; to confirm tip location to the right of the epigastric area, towards the right hypochondriac region, 5 mL shots of air are injected to enable touch detection of bubbling; finally, the tube is advanced to a length of 100 cm, during which the strength of bubbling seems to diminish under palpation. %26lt;br%26gt;Results: We prospectively enrolled consecutive patients whose oral intake was expected to be difficult for 48 hours in the intensive care unit. Forty-one patients were enrolled and the rate of successful placement at first attempt was 95.1%. Mean duration for successful placement was 15 minutes. %26lt;br%26gt;Conclusions: With a novel technique, from the bedside, without special tools or drugs, we successfully placed post-pyloric feeding tubes. Essential points when inserting the tube are confirmation of the location of the tube tip by palpation of injected air, and to avoid deflection and looping.

  • 出版日期2013-12