tailieunhanh - Báo cáo y học: "A prospective study of tracheopulmonary complications associated with the placement of narrow-bore enteral feeding tubes"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: A prospective study of tracheopulmonary complications associated with the placement of narrow-bore enteral feeding tubes. | Available online http content 2 1 25 Research A prospective study of tracheopulmonary complications associated with the placement of narrow-bore enteral feeding tubes Athos J Rassias1 Perry A Ball2 and Howard L Corwin3 4 Critical Care Medicine Department of Anesthesiology Dartmouth-Hitchcock Medical Center One Medical Drive Lebanon NH 03756 USA. 2Department of Anesthesiology Dartmouth-Hitchcock Medical Center One Medical Drive Lebanon NH 03756 USA. 3Department of Surgery Dartmouth-Hitchcock Medical Center One Medical Drive Lebanon NH 03756 USA. 4Department of Medicine Dartmouth-Hitchcock Medical Center One Medical Drive Lebanon NH 03756 USA. Received 20 June 1 997 Revisions requested 25 September 1997 Revisions received 8 December 1997 Accepted 30 January 1998 Published 12 March 1998 1998 Current Science Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Crit Care 1998 2 25 Abstract Background In order to determine the type and incidence of pulmonary complications associated with the placement of narrow-bore enteral feeding tubes we conducted a prospective descriptive study in the multidisciplinary intensive care unit ICU of a university hospital. All patients that had narrow-bore enteral feeding tubes inserted over a 2-year period 1993-1995 were included. The study required no clinical interventions. Results Seven hundred and forty feeding tubes were inserted during the study period. In 14 cases 2 the feeding tube was inserted into the tracheopulmonary system. Five patients suffered a major complication including two who died from complications directly related to the feeding tube placement. All patients had altered consciousness and 13 of the 14 had endotracheal tubes in place. Malposition of the feeding tube was not predictable from clinical signs and auscultation but was detectable by chest roentgenogram. Conclusions Inadvertent insertion of enteral feeding tubes into the tracheopulmonary system during placement is associated with significant .