Critically ill patients enteral nutrition through nasal bowel care.docVIP

 PAGE \* MERGEFORMAT 11 Critically ill patients enteral nutrition through nasal bowel care [Keywords:] critical illness, enteral nutrition, care Critically ill patients are usually in stress, prone to metabolic disorders, how to conduct nutritional support, and promote early resumption of nitrogen balance in patients, reducing complications, particularly important in the care process. ICU of our hospital from January 2007 to 2008 9 25 patients not on oral feeding in critically ill patients with nasal jejunal tube for enteral nutrition (EN support treatment, satisfactory results are reported as follows. 1 Materials and Methods 1.1 General Information The group of 25 critically ill patients are used to support nasal jejunal tube EN treatment, 15 males and 10 females, aged 45 to 84 years old, average 57.3 years old. The primary disease is chronic obstructive pulmonary disease with respiratory failure in 3 cases, brain vascular accident in 5 cases, the body with multiple injuries in 4 cases, 2 cases of severe acute pancreatitis, 4 patients after cardiopulmonary resuscitation, spinal cord injury in 2 cases, 2 cases of organophosphate poisoning, 2 cases of esophageal cancer surgery, chronic renal insufficiency, uremia 1 case. are part of the gastrointestinal dysfunction can not eat by mouth, catheter time of 15 to 50 days (an average of 29 days. 1.2 Methods 1.2.1 Selection of nasal jejunal tube By Nutricia Pharmaceutical (Wuxi Co, made from polyurethane materials nasal complex Cary spiral intestine, length 145cm (diameter 3.25mm, inner diameter 2.43mm, head 4 side holes, nasal cannula Department of outsourcing some special materials to guide wire is activated by water, so that the head tube is more flexible, easy to damage the mucosa. pipeline front-end section of about 23cm in diameter about 3cm of the rings, around the 2.5 circle, with memory function. In the normal gastric motility , the nose into the stomach intestine after themselves with