Endoscopic Management: Decompression and Feeding

Marks, Jeffrey M.; Campo, Luis A. Martin Del; Gupta, Shreya; Jackson, Terence; Kalil, J.; Wogsland, Aric

doi:10.1007/978-3-319-96122-4_71

Cited by 2 publications

(4 citation statements)

References 39 publications

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“…We want to add a suction device in future design, so that patients with insufficient stomach preparation and high gastrointestinal pressure. Decompression will be reached via the suction device ( 30 ).…”

Section: Discussionmentioning

confidence: 99%

“…Enteral nutrition was performed immediately after the tube placement, and a skilled gastroscope physician completed the tube placement within 10–20 min. However, for critically ill patients, due to the large diameter of the gastroscope, the balloon needs to be inflated for patients who need mechanical ventilation with endotracheal intubation ( 30 ). This operation will require positive end-expiratory pressure (PEEP) ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

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Application of visual placement of a nasojejunal indwelling feeding tube in intensive care unit patients receiving mechanical ventilation

et al. 2022

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BackgroundCompared with nasogastric nutrition, nasojejunal nutrition may prevent some complications of critically ill patients by maintaining better nutritional status, and blind placement of nasojejunal dwelling feeding tubes is widely used. However, the visual placement seems to be safer and more effective than the blind placement, and is still seldom reported.ObjectiveWe tried to develop visual placement of a nasojejunal feeding tube in intensive care unit patients.MethodsA total of 122 patients receiving mechanical ventilation were admitted to the Department of Critical Care Medicine of the Fifth Affiliated Hospital of Wenzhou Medical University and received the placement of nasojejunal feeding tubes. These patients were randomly and evenly assigned into two groups, one group receiving visual placement of nasojejunal dwelling feeding tubes and another group receiving blind placement. Actual tube placement was confirmed by X-ray. The primary outcome included the success rates of first placement of feeding tubes. The secondary outcome included the time of tube placement, complications, the total cost, heart rates and respiratory rates.ResultsThe primary outcome showed that the success rates of first placement were 96.70% (59 cases/61 cases) in the visual placement group, and two cases failed due to pyloric stenosis and gastroparesis. The success rates were 83.6% (51 cases/61 cases) in the blind placement group and 10 cases failed due to either wrong placement or retrograde tube migration. The success rates in the visual placement group were higher than that in the blind placement group (P = 0.015). The secondary outcome showed that the time of tube placement in the visual placement group was shorter than that in the blind placement group (P < 0.0001). The cost of tube placement in the visual placement group was higher than that in the blind placement group (P < 0.0001). The statistical differences in complications, heart and respiratory rates were insignificant between the two groups (P > 0.05).ConclusionCompared with the blind placement, the visual placement shortened the time of nasojejunal tube placement and increased success rates of first placement. The visual placement was more efficient, easy to operate, safe, and has potential clinical applications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Application of visual placement of a nasojejunal indwelling feeding tube in intensive care unit patients receiving mechanical ventilation

et al. 2022

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“…3g). 71 The access catheters used in complex surgical operations have different structures depending on the target organ. These types of catheters can be referred to as surgical catheters, which contain diagnostic catheters and therapeutic catheters.…”

Section: Clinical Catheter-based Surgical Instrumentsmentioning

confidence: 99%

“…Drug delivery catheters are commonly used for substance delivery during disease treatment, including parenteral nutrition delivery, intravenous drug delivery, etc. Examples include central venous catheters, Swan-Ganz catheters, nasogastric tubes, and feeding tubes (Figure g) . The access catheters used in complex surgical operations have different structures depending on the target organ.…”

Section: Clinical Catheter-based Surgical Instrumentsmentioning

confidence: 99%

Advances in Multifunctional Electronic Catheters for Precise and Intelligent Diagnosis and Therapy in Minimally Invasive Surgery

Huang,

Liu

et al. 2024

ACS Nano

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The advent of catheter-based minimally invasive surgical instruments has provided an effective means of diagnosing and treating human disease. However, conventional medical catheter devices are limited in functionalities, hindering their ability to gather tissue information or perform precise treatment during surgery. Recently, electronic catheters have integrated various sensing and therapeutic technologies through micro/ nanoelectronics, expanding their capabilities. As micro/nanoelectronic devices become more miniaturized, flexible, and stable, electronic surgical catheters are evolving from simple tools to multiplexed sensing and theranostics for surgical applications. The review on multifunctional electronic surgical catheters is lacking and thus is not conducive to the reader's comprehensive understanding of the development trend in this field. This review covers the advances in multifunctional electronic catheters for precise and intelligent diagnosis and therapy in minimally invasive surgery. It starts with the summary of clinical minimally invasive surgical instruments, followed by the background of current clinical catheter devices for sensing and therapeutic applications. Next, intelligent electronic catheters with integrated electronic components are reviewed in terms of electronic catheters for diagnosis, therapy, and multifunctional applications. It highlights the present status and development potential of catheter-based minimally invasive surgical devices, while also illustrating several significant challenges that remain to be overcome.

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Endoscopic Management: Decompression and Feeding

Cited by 2 publications

References 39 publications

Application of visual placement of a nasojejunal indwelling feeding tube in intensive care unit patients receiving mechanical ventilation

Application of visual placement of a nasojejunal indwelling feeding tube in intensive care unit patients receiving mechanical ventilation

Advances in Multifunctional Electronic Catheters for Precise and Intelligent Diagnosis and Therapy in Minimally Invasive Surgery

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