Localization of pylorus under the guidance of bedside ultrasound and its clinical application in nasal-jejunum intubation for critical patients

XU Cheng HUANG Zhong-wei JIANG Hai-yan GU Yu-hui YUAN Ding-shan QI Lei*

doi:10.16098/j.issn.0529-1356.2017.04.012

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Acta Anatomica Sinica ›› 2017, Vol. 48 ›› Issue (4) : 440-444. DOI: 10.16098/j.issn.0529-1356.2017.04.012

Anatomy

Localization of pylorus under the guidance of bedside ultrasound and its clinical application in nasal-jejunum intubation for critical patients

XU Cheng¹ HUANG Zhong-wei² JIANG Hai-yan² GU Yu-hui² YUAN Ding-shan² QI Lei^2*

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Abstract

Objective To evaluate the clinical application of bedside ultrasound in pyloric localization and nasal-jejunum tube intubation in critical patients. Methods A total of 30 critical patients were randomly divided into bedside ultrasound group (n=15) and blind insertion group (n=15). The bedside ultrasound group underwent the intubation of nasal-jejunum tube by the guidance of bedside ultrasound, and the blind group underwent traditional blind insertion method. The localization of the pylorus was described by using bedside ultrasound. The time of tube intubation, tube related complications and medical expenses of the two groups were observed. Results There was no significant difference in the sex，age and the acute physiology and chronic health evaluation（APACHE II）score between the bedside ultrasound group and the blind group(P＞0.05). A significant difference was found in the time consumption of intubation between the two groups (P<0.01). There was no significant difference in tube related complications between the two groups.Significant difference (P<0.01) was found in medical expenses of the two groups. Conclusion The bedside ultrasound guidance method has definite advantages in pyloric localization and in intubation of nasal-jejunum tube for critical patients in comparison with the traditional blind insertion method.

Key words

Nasal-jejunum tube / Bedside ultrasound guidance / Pyloric localization / Human

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XU Cheng HUANG Zhong-wei JIANG Hai-yan GU Yu-hui YUAN Ding-shan QI Lei. Localization of pylorus under the guidance of bedside ultrasound and its clinical application in nasal-jejunum intubation for critical patients[J]. Acta Anatomica Sinica. 2017, 48(4): 440-444 https://doi.org/10.16098/j.issn.0529-1356.2017.04.012

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