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Korean J Crit Care Med > Volume 28(4); 2013 > Article
Korean Journal of Critical Care Medicine 2013;28(4): 287-292. doi: https://doi.org/10.4266/kjccm.2013.28.4.287
기관 내 삽관을 시행한 환자를 대상으로 한 유도철사 보조 비위관 삽입의 유용성
고 진⋅김현종*⋅김승환†⋅유제성†⋅김민정†⋅정현수†⋅정성필†⋅이한식†
연세대학교 의과대학 세브란스병원 응급의학과, *인제대학교 의과대학 일산백병원 응급의학과, †연세대학교 의과대학 응급의학교실
Guidewire-Assisted Nasogastric Tube Insertion in Intubated Patients in an Emergency Center
Jin Go, Hyunjong Kim, Seunghwan Kim, Je Sung You, Min Joung Kim, Hyun Soo Chung, Sung Phil Chung, Hahn Shick Lee
1Department of Emergency Medicine, Yonsei University Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
2Department of Emergency Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Ilsan, Korea. drkim@paik.ac.kr
3Department of Emergency Medicine, Yonsei University College of Medicine, Seoul, Korea.
BACKGROUND: The purpose of this study is to identify the usefulness of guidewire-assisted nasogastric tube insertion in intubated patients with cervical spine immobilization or unstable vital signs in an emergency center. METHODS: Thirty-four intubated patients in an emergency center were enrolled in the study. Patients were randomly allocated to the control group or the guidewire group. All patient necks were kept in neutral position during the procedure. In the control group, the nasogastric tube was inserted with the conventional method. A guidewire-supporting nasogastric tube was used in the guidewire group. The success rates of the first attempts and overall were recorded along with complications. RESULTS: The first attempt success rate was 88.2% in the guidewire group compared with 35.2% in the control group (p < 0.001). The overall success rate was 94.2% in the guidewire group and 52.9% in the control group (p = 0.017). Five cases of self-limiting nasal bleeding were reported in the guidewire group, and two cases occurred in the control group. No statistical differences were identified between groups. CONCLUSIONS: Guidewire-assisted nasogastric tube insertion is a simple and useful method in intubated patients with cervical spine immobilization or unstable vital signs.
Key Words: guidewire; intubation; nasogastric tube
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