Abstract:

Nutritional support is an indispensable part of comprehensive treatment for critically ill patients. It is the clinical consensus that enteral nutrition is the first choice in critically ill patients. Numerous guidelines recommend that post-pyloric feeding should be initiated in critically ill patients who are high risk for aspiration or intolerant of intragastric feeding. The establishment of a post-pyloric feeding tube is the precondition for post-pyloric feeding. Post-pyloric feeding access to the duodenum or jejunum is usually attempted by the bedside placement of a nasoenteric tube in intensive care units. There are various methods for post-pyloric placement of nasoenteric tubes in critically ill patients, but there is no uniform standard. Therefore, our team has carried out a series of studies on post-pyloric placement, accumulated a large amount of experience on post-pyloric spiral nasoenteric tube placement, and made specific optimizations on the post-pyloric placement technology. We summarize our experience here to provide some suggestions.

Key words: Spiral nasointestinal tube, Optimized catheterization, Severe cases