• If resistance is met, rotate tube slowly with downward advancement toward closes ear. Do not force. Withdraw tube immediately if changes occur in patient‘s respiratory status, if tube coils in mouth, if the patient begins to cough or turns pretty colours.
• 气管插管或气管切开患者胃管置入法
将患者保持头、颈、躯干水平位,当胃管置入16~18cm感阻力增加时,由助手拔出气管套管 0.5~1cm,操作者将胃管顺势插下,待胃管通过气管切开部位后再将气管套管返回原位, 然后将胃管继续插至胃内。
• 浅昏迷患者胃管置入法
将胃管插入15cm后,从口角将压舌板放到舌体上半分钟,刺激后患者唾液会分泌增多, 反射引起吞咽动作,在患者喉头上提时快速送入胃管10cm,然后再缓慢插至预定深度。
留置胃管技术
Nasogastric Tube Insertion
一、目的 二、适应症 三、禁忌症 四、准备 五、用物 六、操作程序 七、注意事项 八、并发症
主要内容
经鼻胃管置入技术 Introduction
是指经一侧鼻腔插入胃内,用于胃 肠减压或灌注(食物、水、药物等) 以达到治疗目的。
By inserting a nasogastric tube, you are gaining access to the stomach and its contents. This enables you to drain gastric contents, decompress the stomach, obtain a specimen of the gastric contents, or introduce a passage into the GI tract. This will allow you to treat gastric immobility, and bowel obstruction. It will also allow for drainage and/or lavage in drug overdosage or poisoning. In trauma settings, NG tubes can be used to aid in the prevention of vomiting and aspiration, as well as for assessment of GI bleeding. NG tubes can also be used for enteral feeding initially.