Cateteres Nasoenterais Mal Posicionados: Relato De Casos

Duarte, Joana Márcia Martins; Rigotti, Ariane Ranzani; Pereira, Flávia Helena; Silva, Geovanna Ribeiro Machado; Gimenes, Fernanda Raphael Escobar

doi:10.5935/1415.2762.20210030

Cited by 1 publication

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“…[5,6] Among serious and fatal AEs, pneumothorax, aspiration pneumonia and pulmonary hemorrhage stand out. [7,8] There are different nasally placed small-bowel feeding tube insertion methods in critically ill and/or coma patients, which, although less common, have high procedural success rates, but none of them is perfect or universally accepted. [9,10] It is noteworthy that the choice of techniques for this study was based on high success rate, low cost, availability and the lack of need to remove the patient from the Intensive Care Unit (ICU).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of techniques for insertion of nasoenteral probe in critical patients: Randomized clinical trial

Queiroz¹,

Dantas²,

Araújo³

et al. 2023

Medicine

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Introduction: despite being a common procedure, nasally placed small-bowel feeding tube insertion is not risk-free and can compromise patient safety. Due to the fact that nasally placed small-bowel feeding tube is commonly inserted '"blindly," with the patient head in the neutral position, sometimes the process becomes difficult and traumatic, and may present higher level of complexity in physiological or induced coma and intubated patients. Therefore, adverse events (AEs) route errors can occur during this procedure. This study aimed to determine the effectiveness of different nasally placed small-bowel feeding tube insertion techniques in coma and intubated patients, in comparison with conventional method.Methods: A prospective, randomized and controlled clinical trial will be carried out with coma and intubated patients admitted to the Intensive Care Unit (ICU). Thirty-nine patients will be randomly divided into 3 groups: group who will have the tube inserted in a conventional manner with the head in the neutral position, group with the head positioned laterally to the right, and, finally, with the head in the neutral position, with assistance of a laryngoscope. The primary endpoint will be: first, second and total attempt success rate; and time required for the first successful attempt and the sum of all attempts. Complications during insertion included tube bending, twisting, knotting, mucosal bleeding, and insertion into the trachea. Patient vital signs will be measured.

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