Comparação de diferentes métodos de inserção de sonda nasogástrica em pacientes anestesiados e intubados

Kavakli, Ali Sait; Öztürk, Nilgün; Karaveli, Arzu; Onuk, Asuman Arslan; Ozyurek, Lutfi; İnanoğlu, Kerem

doi:10.1016/j.bjan.2017.04.020

Cited by 6 publications

(2 citation statements)

References 21 publications

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“…The occurrence of hemorrhagic events in the airways presented a lower rate compared to a study performed with anesthetized patients, 15.7% and 20.0%, respectively (17) . Among the numerous types of airway bleeding, only the presence of epistaxis and hemoptysis were identified.…”

Section: Discussioncontrasting

confidence: 59%

“…It was evident that all patients with airway bleeding had nasoenteric catheter and that the use of this device, associated with the use of continuous infusion of heparin increases by 1.3 times the risk of airway bleeding. According to the literature, epistaxis is usually an infrequent complication associated with feeding catheters; however, it may become highly significant in patients with hemorrhagic disorders (17)(18) .…”

Section: Discussionmentioning

confidence: 99%

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Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients

Camerini¹,

Silva²,

Henrique³

et al. 2017

Rev Rene

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Objective: to verify the occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients. Methods: retrospective cohort study, with analysis of medical records. A total of 867 medical records were investigated, from which a sample of 79 patients who received continuous infusion of sodium heparin was selected. The types of hemorrhagic events and the different invasive devices were submitted to non-parametric statistical treatments and to the association tests. Results: the most common types of hemorrhagic events occurred in the skin (47.4%); puncture site (15.8%); airways (15.8%); genitourinary system (15.8%) and gastrointestinal system (10.5%). Patients with nasoenteral catheters had a 15.8-fold higher risk of gastrointestinal bleeding (p=0.032). Conclusion: the rate of bleeding events (21.5%) was high, and more frequent in the skin. Patients with nasoenteral catheters have a higher risk of gastrointestinal bleeding and patients with indwelling bladder catheters have a seven-fold increased risk of hematuria. Descriptors: Nursing Care; Hemorrhage; Anticoagulants. Objetivo: verificar a ocorrência de eventos hemorrágicos relacionados aos dispositivos invasivos manipulados pela enfermagem em pacientes anticoagulados. Métodos: estudo de coorte retrospectivo, com análise em prontuário. Foram investigados 867 prontuários, encontrando-se uma amostra de 79 pacientes que fizeram uso de heparina sódica em infusão contínua. Os tipos de eventos hemorrágicos e os diferentes dispositivos invasivos foram submetidos aos tratamentos estatísticos não paramétricos e às medidas de associação. Resultados: os tipos de eventos hemorrágicos mais comuns foram na pele (47,4%); sítio de punção (15,8%); nas vias aéreas (15,8%); no sistema geniturinário (15,8%) e no sistema gastrointestinal (10,5%). Pacientes com cateter nasoenteral têm 15,8 vezes mais risco de sangramento do trato gastrointestinal (p=0,032) Conclusão: a taxa de eventos hemorrágicos (21,5%) foi elevada e mais frequente na pele. Pacientes com cateter nasoenteral têm maior risco de sangramento gastrointestinal e com cateter vesical de demora têm sete vezes mais risco de hematúria. Descritores: Cuidados de Enfermagem; Hemorragia; Anticoagulantes. *Excerpt of the thesis "Segurança do paciente na utilização de heparina intravenosa: cuidados de enfermagem baseados na análise dos fatores de risco para eventos hemorrágicos",

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients

Camerini¹,

Silva²,

Henrique³

et al. 2017

Rev Rene

View full text Add to dashboard Cite

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Efficacy of a gastric tube insertion guide for insertion of a nasogastric tube: a prospective, randomized controlled clinical study

et al. 2022

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Effectiveness of techniques for insertion of nasoenteral probe in critical patients: Randomized clinical trial

Queiroz¹,

Dantas²,

Araújo³

et al. 2023

Medicine

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Introduction: despite being a common procedure, nasally placed small-bowel feeding tube insertion is not risk-free and can compromise patient safety. Due to the fact that nasally placed small-bowel feeding tube is commonly inserted '"blindly," with the patient head in the neutral position, sometimes the process becomes difficult and traumatic, and may present higher level of complexity in physiological or induced coma and intubated patients. Therefore, adverse events (AEs) route errors can occur during this procedure. This study aimed to determine the effectiveness of different nasally placed small-bowel feeding tube insertion techniques in coma and intubated patients, in comparison with conventional method.Methods: A prospective, randomized and controlled clinical trial will be carried out with coma and intubated patients admitted to the Intensive Care Unit (ICU). Thirty-nine patients will be randomly divided into 3 groups: group who will have the tube inserted in a conventional manner with the head in the neutral position, group with the head positioned laterally to the right, and, finally, with the head in the neutral position, with assistance of a laryngoscope. The primary endpoint will be: first, second and total attempt success rate; and time required for the first successful attempt and the sum of all attempts. Complications during insertion included tube bending, twisting, knotting, mucosal bleeding, and insertion into the trachea. Patient vital signs will be measured.

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Comparação de diferentes métodos de inserção de sonda nasogástrica em pacientes anestesiados e intubados

Cited by 6 publications

References 21 publications

Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients

Occurrence of hemorrhagic events related to invasive devices manipulated by nursing in anticoagulated patients

Efficacy of a gastric tube insertion guide for insertion of a nasogastric tube: a prospective, randomized controlled clinical study

Effectiveness of techniques for insertion of nasoenteral probe in critical patients: Randomized clinical trial

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