The important role of positioning in nasogastric tube insertion in unconscious patients: A prospective, randomised, double-blind study
| Autor: | Zhaosheng Sun, Wangmiao Zhao, Chunyan Ge, Xiaowei Li, Wanzeng Zhang |
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| Rok vydání: | 2017 |
| Předmět: |
Male
China medicine.medical_specialty Time Factors Supine position medicine.medical_treatment Unconsciousness Patient Positioning 03 medical and health sciences 0302 clinical medicine Double-Blind Method Piriform sinus 030202 anesthesiology Tongue medicine Lateral Decubitus Position Humans Intubation Prospective Studies 030212 general & internal medicine Intubation Gastrointestinal General Nursing Aged Impaction business.industry Glossoptosis Arytenoid cartilage General Medicine Middle Aged Surgery medicine.anatomical_structure Anesthesia Female medicine.symptom business |
| Zdroj: | Journal of Clinical Nursing. 27:e162-e168 |
| ISSN: | 0962-1067 |
| Popis: | Aims and objectives To investigate whether positioning the body in a lateral decubitus position will facilitate nasogastric tube insertion in unconscious patients. Background Inserting a nasogastric tube into unconscious patients can be challenging because these patients cannot cooperate with the operator. The piriform sinus and arytenoid cartilage are the most commonly reported impaction sites. However, we found that the first impaction site was the backward displaced tongue when inserting a nasogastric tube in unconscious patients who often exhibited glossoptosis. Performing an intubation in the lateral decubitus position could make this procedure easy. Design This prospective, double-blind, parallel, randomised controlled trial was conducted in Hengshui City, Hebei Province, China. Methods A total of 110 cases of unconscious patients were enrolled. The patients were randomly assigned to a conventional group (group C) or a lateral decubitus position group (group L). In group C, the nasogastric tube was inserted while the patients were in a supine position using the conventional technique, and in group L, the tube was inserted in a lateral decubitus position or further tilting the body to a prone decubitus position 20–30°. We discussed reasonable intubation methods in unconscious patients by comparing the success rate on first insertion, the overall success rate, the intubation time and the complication rates between the two groups. Results Group L had a higher success rate on first insertion and overall success rate than group C (p |
| Databáze: | OpenAIRE |
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