| 英文摘要 |
Purpose: In clinical practice, it is not uncommon patients with difficulties undergoing nasogastric tube insertion, especially those in a comatose state, having problems submitting to swallow, or receiving endotracheal intubation. This study accordingly proposed a modified method to render the procedure less difficultly and more successfully. Methods: As the gastric tube reached a patients oropharynx, the physician protruded his or her right middle and index fingers into the patients mouth, directly guiding and pushing the tube into the esophageal orifice. A bite block should be used to prevent the physician from being bitten by the patient. Results: From August 2012 to September 2014, the modified method was applied to 22 patients (12 men and 10 women) aged 67.1±16.0 (average±SD). Failure occurred in only one person for whom an otorhinolaryngologist was consulted to help complete the insertion with the aid of a fiberooptic nasopharyngoscope. Conclusion: This study introduces an alternative manipulation for nasogastric tube insertion, especially for those with functional dysphagia who could not submit to a standard method. The manipulation, modified from the known standard method, does not require the patient’s swallowing action. |
