دورية أكاديمية

Utrasound as a method for confirming the positioning of enteral catheters in critically ill patients.

التفاصيل البيبلوغرافية
العنوان: Utrasound as a method for confirming the positioning of enteral catheters in critically ill patients.
المؤلفون: De Souza R; Intensive Care Unit, Hospital das Clínicas of the Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil. ronansolza@yahoo.com.br., Ravetti CG; Intensive Care Unit, Hospital das Clínicas of the Universidade Federal de Minas Gerais, Bed Management Team, Hospital das Clínicas of the Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil., Silva E Castro R; Internal Medicine Department, School of Medicine, Universidade Federal de Minas Gerais, Brazil., Frossard EF; Internal Medicine Department, School of Medicine, Universidade Federal de Minas Gerais, Brazil., Dos Anjos IS; Bed Management Team, Hospital das Clínicas of the Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil., Dos Reis Gomes AG; Internal Medicine Department, School of Medicine, Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil., Vassallo PF; Intensive Care Unit, Hospital das Clínicas of the Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil., Nobre V; Intensive Care Unit, Hospital das Clínicas of the Universidade Federal de Minas Gerais, Internal Medicine Department, School of Medicine, Universidade Federal de Minas Gerais, NIIMI (Núcleo Interdisciplinar de Investigação em Medicina Intensiva), Belo Horizonte, Minas Gerais, Brazil.
المصدر: Medical ultrasonography [Med Ultrason] 2024 Sep 16; Vol. 26 (3), pp. 242-247. Date of Electronic Publication: 2024 Jun 18.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: Iuliu Haţieganu" Medical Pub. House Country of Publication: Romania NLM ID: 101522985 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2066-8643 (Electronic) Linking ISSN: 18444172 NLM ISO Abbreviation: Med Ultrason Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Cluj, Romania : "Iuliu Haţieganu" Medical Pub. House
مواضيع طبية MeSH: Critical Illness*, Humans ; Cross-Sectional Studies ; Female ; Male ; Middle Aged ; Aged ; Ultrasonography/methods ; Enteral Nutrition/instrumentation ; Enteral Nutrition/methods ; Reproducibility of Results ; Adult ; Intensive Care Units ; Point-of-Care Systems ; Intubation, Gastrointestinal/methods ; Intubation, Gastrointestinal/instrumentation
مستخلص: Aim: To evaluate the agreement between the bedside ultrasound in a single epigastric window and the plain X-ray to confirm the positioning of the enteral catheter in critically ill patients.
Material and Methods: This was an observational, cross-sectional study conducted in two Intensive Care Units of a university hospital. The ultrasound exams were carried out immediately after the introduction of the enteral catheter, using only the epigastric window, with an injection of 5 ml of air associated with 5 ml of saline solution. In all cases, the plain radiography was taken to confirm the positioning of the enteral catheter and to define the beginning of nutritional therapy.
Results: This study included 83 patients, the positioning of the enteral catheter was confirmed by plain radiography in all cases and by ultrasound in 81 (97.6%) patients. The median duration of the ultrasound exam was 2 (2-3) minutes, while the time spent between the request for the X-ray and the release of the exam for a doctor's appointment was 225 (120-330) minutes.
Conclusion: Bedside ultrasound proved to be an effective, quick, and safe method to confirm the position of the enteral catheter in critically ill patients.
تواريخ الأحداث: Date Created: 20240623 Date Completed: 20240916 Latest Revision: 20240916
رمز التحديث: 20240916
DOI: 10.11152/mu-4392
PMID: 38909376
قاعدة البيانات: MEDLINE