S3100 A Rare Case of Gastric Outlet Obstruction With Severe Reflux Esophagitis Due to Gastrostomy Tube Balloon Tip Displacement

Obeidat, Adham E; Mahfouz, Ratib; Darweesh, Mohammad; Lim, Herbert

doi:10.14309/01.ajg.0000785932.55287.0b

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Severe reflux and aspiration may occur in patients receiving prone position ventilation therapy with a nasogastric tube for enteral nutrition therapy. 7,8 Therefore, nasoenteric tubes are recommended for feeding patients who are intolerant to enteral nutrition or have a high risk of reflux and aspiration. 9,10 Although prolonged prone position ventilation therapy can improve patients’ oxygenation and prognosis, 11,12 traditional bedside blind insertion of nasoenteric tubes poses challenges for patients who require or are receiving prone position ventilation therapy.…”

Section: Introductionmentioning

confidence: 99%

Real-Time Camera Image-Guided Nasoenteric Tube Placement in Prone COVID-19 ICU Patients: A Single-Center Study

Chen,

Wu,

et al. 2023

J Intensive Care Med

View full text Add to dashboard Cite

Background & Aims: This study aims to assess the application value of the real-time camera image-guided nasoenteric tube placement in critically ill COVID-19 patients undergoing endotracheal intubation and prone position ventilation therapy. Methods: We enrolled 116 COVID-19 patients receiving endotracheal intubation and prone position ventilation therapy in the intensive care unit (ICU). Patients were randomly divided into the real-time camera image-guided nasoenteric tube placement (n = 58) and bedside blind insertion (n = 58) groups. The success rate, placement time, complications, cost, heart rate, respiratory rate, Glasgow Coma Scale (GCS), and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores were compared between the 2 groups. Results: For ICU patients with COVID-19 undergoing prone position ventilation therapy, the success rate and cost were significantly higher in the real-time camera image-guided group compared to the bedside blind group ( P < .05). The placement time and complication incidence were significantly lower in the real-time camera image-guided group ( P < .05). The differences in heart rate, respiratory rate, GCS scores, and APACHE-II scores were insignificant ( P > .05). Conclusions: The real-time camera image-guided nasoenteric tube placement system had advantages for ICU COVID-19 patients undergoing prone position ventilation therapy, including a high success rate, short placement time, and no impact on patient position during tube placement. Real-time camera image-guided nasoenteric tube placement can be performed in any position, and demonstrates high efficiency, safety, and accuracy.

show abstract