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Register a new userAssessment of Pulmonary Aspiration among Intensive Care Patients Having Enteral Feeding by Using Nasogastric Tube
تقييم حدوث الاستنشاق الرئوي لدى مرضى العناية الحرجة الموضوع لهم التغذية المعوية بالانبوب الأنفي المعدي
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Added by
Tishreen University ورقة بحثية
Publication date
2023
fields
Medicine
and research's language is
العربية
Authors
سماهر ليلى( باحث )
Created by
Shamra Editor
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تعد التغذية في وحدات العناية الحرجة من الإجراءات الهامة التي تقلل مدة البقاء و لكن لأ تخلو من مضاعفات مثل الاستنشاق الرئوي،لذا كان من الاهمية بمكان تقييم حدوثه لدى مرضى العناية الحرجة.تم إجراء البحث على عينة متاحة من 15 مريض و تم تقييم علامات حدوث الاستنشاق على مدى ثلاثة أيام و توصل البحث إلى ظهور معظم هذه العلامات بعد تلقيه التغذية عبر الأنبوب الأنفي المعدي
Enteral feeding is preferred route of nutrition support in critically ill adults when GIT function is good. Enteral nutrition is recommended method to be used when oral feeding fails, so the nutrition is delivered through a tube inserted into the stomach. Enteral nutrition has some complications; Mechanical complications are represented by pulmonary aspiration. Pulmonary aspiration is defined as inhalation of the contents of the mouth, pharynx or stomach into the respiratory tract. So it's important to evaluate pulmonary aspiration occurrence, this may help in prevention care. This study aimed to evaluate pulmonary aspiration among critically ill patients who have Enteral feeding by using nasogastric tube. Descriptive study was performed using convenience sample of (n=15) patients at intensive care unit in tishreen university hospital in lattakia, Syria. Data were collected during the period of 16/2 to 16/5 2022. A structured questionnaire used in the study was developed by researcher, this tool was tested for reliability and validity, a pilot study was done for 3 nurses to test the tool applicability. This study results show the presence blue colure (which added to feeding meal) in the aspirated secretion in the first day at the third suction trial. This study recommended applying an evidenced based practice written protocol about enteral feeding in ICU, to decrease the incidence of pulmonary aspiration.
Artificial intelligence review:
Research summary
تعتبر التغذية المعوية باستخدام الأنبوب الأنفي المعدي الطريقة المفضلة لتغذية المرضى في وحدات العناية المركزة عندما تكون وظيفة الجهاز الهضمي سليمة. تهدف هذه الدراسة إلى تقييم حدوث الاستنشاق الرئوي بين المرضى الذين يتلقون التغذية المعوية باستخدام الأنبوب الأنفي المعدي في وحدة العناية المركزة بمستشفى تشرين الجامعي في اللاذقية، سوريا. تم إجراء الدراسة على عينة مكونة من 15 مريضًا باستخدام استبيان مطور من قبل الباحث. أظهرت النتائج وجود علامات الاستنشاق الرئوي في اليوم الأول من التقييم، وأوصت الدراسة بتطبيق بروتوكول مكتوب يعتمد على الأدلة العلمية لتقليل حدوث الاستنشاق الرئوي وتقييم المرضى بشكل دوري للكشف المبكر عن علامات الاستنشاق.
Critical review
تعتبر هذه الدراسة خطوة مهمة في تقييم حدوث الاستنشاق الرئوي بين المرضى في وحدات العناية المركزة، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، حجم العينة صغير جدًا (15 مريضًا فقط)، مما قد يحد من تعميم النتائج على مجموعات أكبر. ثانياً، لم يتم توضيح كيفية اختيار العينة بشكل كافٍ، مما قد يؤثر على تمثيلية العينة. ثالثاً، كان من الممكن استخدام تقنيات أكثر تقدمًا لقياس حدوث الاستنشاق الرئوي بدلاً من الاعتماد فقط على ملاحظة اللون الأزرق في المفرزات. وأخيرًا، كان من الأفضل تضمين توصيات محددة حول كيفية تدريب الكادر التمريضي على تطبيق البروتوكول المقترح.
Questions related to the research
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ما هو الهدف الرئيسي من هذه الدراسة؟
الهدف الرئيسي من هذه الدراسة هو تقييم حدوث الاستنشاق الرئوي بين المرضى الذين يتلقون التغذية المعوية باستخدام الأنبوب الأنفي المعدي في وحدة العناية المركزة.
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ما هي الأداة المستخدمة لجمع البيانات في هذه الدراسة؟
تم استخدام استبيان مطور من قبل الباحث لجمع البيانات في هذه الدراسة.
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ما هي التوصية الرئيسية التي خرجت بها الدراسة؟
أوصت الدراسة بتطبيق بروتوكول مكتوب يعتمد على الأدلة العلمية لتقليل حدوث الاستنشاق الرئوي وتقييم المرضى بشكل دوري للكشف المبكر عن علامات الاستنشاق.
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ما هي بعض العوامل التي قد تؤدي إلى حدوث الاستنشاق الرئوي لدى المرضى؟
بعض العوامل التي قد تؤدي إلى حدوث الاستنشاق الرئوي تشمل انخفاض مستوى الوعي، تغير حركية الجهاز الهضمي، بطء إفراغ المعدة، ووجود الطرق التنفسية الاصطناعية.
References used
PAOLO G, TWOMLOW E, HANNA F, FARMER A, LANCASTER J, ROFFE C.. Continuous or Intermittent? Which Regimen of Enteral Nutrition is Better for Acute Stroke Patients in ICU? . On J Neur & Br Disord (2019); 7(7): 247-255.
COMPHER C, JOSEPH I, CAROL L, DRUYAN M. Clinical Guidelines for the Use ofParenteral and Enteral Nutrition in Adult and Pediatric Patients. Journal ofParenteral and Enteral Nutrition (2009) ;33(3): 255-259
LIN Y, SUN Z, WANG H, LIU M. The effects of gastrointestinal function on theincidence of ventilator-associated pneumonia in critically ill patients. Open Med; (2018). 13: 556-561
SELIMAN A, EL-SOUSSI A, SULTANM, OTHMAN S. Effect of Implementing Nursing Guidelines for Tube Feeding on the Occurrence of Aspiration among Critically Ill Patients. Nature and Science (2011); 9(11): 164-170.
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Introduction: oral infection is one of the most common disturbances in the intensive care units ICUs, especially with the critical intubated patients. Application of oral care policy works as a very important action in preventing the infection. ADHA
improved that using of Chlorhexidine Gloconate 0.12% and Povidone Iodine 1% solutions in oral care can contribute to preventing oral infection. Goal: The aim of the present study was to investigate the effect of applying oral care policy to the oral infection rate with intubated patients. Materials and Methods: The study was conducted at the intensive care units of AL-Basel Hospital (Tartous), a convent sample of 45 patients. Beck Oral Assessment Scale was used to assess the oral status and results after 72 hours of applying oral care policies for the two experimental groups and the control groups. Results: our results demonstrate the important of applying oral care policy, rate of infection decreased in the first control group (p= 0.000*) which received first oral care policy procedures (Chlorhexidine Gloconate 0.12%); it was (Povidone Iodine 1%) in the second control group (normal saline 0.9%) in the last control group. Conclusions and Recommendations: our present study results recommend applying oral care policy (Chlorhexidine Gloconate 0.12%, Povidone Iodine 1%) because of its affect in preventing oral infections for critical intubated patients.
Patients in the intensive care unit (ICU), especially ventilated patients, are
at considerable risk of developing ocular surface disease because the protective eye
mechanisms are damage, as decrease eyelid closure ,unable blinking, decreased produc
ing
tears, increased expose the eye to pathogen bacteria . These factors often result in incomplete
lid closure and expose and decay the eye, and this called the exposure keratopathy, which
appear that high rate with ventilated patients.
The eye care is a part of the providing care to every patient in critical care units.
Whereas the Unconscious and Sedation and paralysis patients are the most serious group and
the most need to the eye care for maintain the eye in a state of normal.objective:To determine
the effect kind of eye care policy on incidence rate of exposure keratopathyamong
mechanically ventilated patients.
The installation and care of urinary catheters is one of the tasks entrusted to nursing personnel, as the urinary tract is a passageway for the excretion of many hazardous wastes that are excreted with urine. Unfortunately, in some cases, the surviva
l of this duct may require the installation of a urinary catheter. This procedure usually weakens the defenses of the natural urethra, and in some cases this may cause dangerous infections that may reach the kidneys; Accordingly, the nursing staff must work to relieve the discomfort associated with the urinary catheter; By performing this procedure according to the approved steps and protocols, this study aimed to identify the level of knowledge and performance of the nursing staff about the nursing care of patients with urinary catheterization among 46 nurses, who were selected by the convenient sample method. The data were collected using a questionnaire developed by the researcher himself. Where the study showed that 93.5% of the participants had a good level of correct information, and that 6.5% of them had a moderate level of correct information. The performance of 95.7% of them was good before starting the catheter installation, and during the installation the performance of 82.6% of them was good, while after the completion of the installation 89.1% of them performed well. The study recommended the development of a written protocol related to urinary catheter insertion and its indications to be implemented and patient education about it, and regular and continuous updating of evidence-based guidelines for nursing procedures.
Recovery from cardiac surgery is associated with severe chest pain at the site of sternotomy and limb pain at the site of conduit harvesting. Patients routinely report mild to moderate pain even though they were administered sedative drugs. The integ
ration of massage therapy into the team approach in patient care constitutes a move forward that recognizes pain as the fifth vital sign after pulse, blood pressure, temperature, and respiratory rate.
This study was performed on patients who had open heart surgery and had the inclusion criteria for entering the study in ICU in Bassel Center for disease and heart surgery in Lattakia. A sample of 30 male and female patients was randomly divided into two groups: control group, experimental massage group. The experimental group received hand and foot massage after surgery.
Our findings demonstrate that the mean score of pain severity in both groups was not significantly different at the beginning of the study. This means that pain severity was similar in both groups at the beginning of the study before applying any intervention. Results showed that there was a significant difference between the mean score of pain severity of the intervention group and the control group, after applying hand and foot massage together. The study concludes that foot and hand massage is one of the available interventions in complementary medicine and treatment which provides an opportunity for nurses to care for their patients.
Fever is a common problem in intensive care unit (ICU) patients, A large proportion
of patients admitted to the ICU are likely to develop fever of unknown origin at some point
of their stay there. Objective: This study aimed to compare between the
effects of the
application of iced gastric lavage with the application of ice packs to reduce the
temperature among critically ill patients. Material and methods: the study was conducted
of (40) critically ill patients at ICU department at Al Assad University Hospital and Al
Wattani Hospital in Latakia city whose were intubated and there temperature degree
ranged from 39 °C to 40 °C lasting for more than 30 minutes ago. The sample was
randomly divided into two experimental groups. Two tools were used to collect data.
Results: This study showed that iced gastric lavage is more effective than using iced
packs to reduce the temperature among critically ill patients.
Recommendations: this study recommended to Apply iced gastric lavage alone or
with other methods to reduce the temperature degree among critically ill patients.
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