PDF(Pubmed)
Abstract：
BACKGROUND: Enteral nutrition is essential to improve outcomes in patients who are critically ill. Patients in the prone position, including those diagnosed with coronavirus disease 2019 (COVID-19) present additional challenges for enteral nutrition initiation.
METHODS: A novel technique for placing feeding tubes while in the prone position was developed using an electromagnetic placement device and specialty trained clinical nurse specialists. Data were assessed retrospectively to determine effectiveness of this new practice.
RESULTS: Sixty-eight patients had feeding tubes placed while in the prone position; 75% were able to be placed through the postpyloric route, 22% were placed through the gastric route, and 3% unable to be placed. Use of this technique facilitated earlier initiation of feedings by 2 days from time of admission and almost half a day from intubation to feeding. There was no additional radiation exposure from using this technique.
CONCLUSIONS: Ability to place feeding tubes early while patients were prone reduced delays for starting enteral nutrition. Patients with COVID-19 in the prone position were able to receive effective nutrition support earlier with no additional complications.
METHODS: A novel technique for placing feeding tubes while in the prone position was developed using an electromagnetic placement device and specialty trained clinical nurse specialists. Data were assessed retrospectively to determine effectiveness of this new practice.
RESULTS: Sixty-eight patients had feeding tubes placed while in the prone position; 75% were able to be placed through the postpyloric route, 22% were placed through the gastric route, and 3% unable to be placed. Use of this technique facilitated earlier initiation of feedings by 2 days from time of admission and almost half a day from intubation to feeding. There was no additional radiation exposure from using this technique.
CONCLUSIONS: Ability to place feeding tubes early while patients were prone reduced delays for starting enteral nutrition. Patients with COVID-19 in the prone position were able to receive effective nutrition support earlier with no additional complications.
摘要：
背景：肠内营养对于改善危重病患者的预后至关重要。俯卧位的病人，包括2019年被诊断患有冠状病毒病(COVID-19)的患者，对肠内营养启动提出了额外的挑战。
方法：使用电磁放置装置和受过专业培训的临床护士专家开发了一种在俯卧位放置饲管的新技术。对数据进行回顾性评估，以确定这种新做法的有效性。
结果：68例患者在俯卧位时放置了喂食管；75％的患者能够通过幽门后途径放置，22%通过胃途径放置，3％的人无法安置。使用此技术可促进从入院后2天以及从插管到喂食近半天的早期开始喂食。使用这种技术没有额外的辐射暴露。
结论：能够在患者开始肠内营养的延迟减少时早期放置饲管。俯卧位的COVID-19患者能够更早地接受有效的营养支持，没有其他并发症。
方法：使用电磁放置装置和受过专业培训的临床护士专家开发了一种在俯卧位放置饲管的新技术。对数据进行回顾性评估，以确定这种新做法的有效性。
结果：68例患者在俯卧位时放置了喂食管；75％的患者能够通过幽门后途径放置，22%通过胃途径放置，3％的人无法安置。使用此技术可促进从入院后2天以及从插管到喂食近半天的早期开始喂食。使用这种技术没有额外的辐射暴露。
结论：能够在患者开始肠内营养的延迟减少时早期放置饲管。俯卧位的COVID-19患者能够更早地接受有效的营养支持，没有其他并发症。
