Feasibility of Home-Based Electromagnetic Navigation-Guided Nasojejunal Tube Placement in a High-Risk Bedridden Elderly: A Case Report.

OBJECTIVE

To evaluate the feasibility and clinical outcomes of a nurse‑performed, home‑based electromagnetic navigation‑guided nasojejunal tube placement in a high‑risk bedridden elderly patient who was unable to be transported to hospital.

METHODS

We present a case of an 89-year-old male with long-term bedridden status and high aspiration risk. A qualified nurse performed electromagnetic navigation-guided nasojejunal tube insertion in the patient's home environment. The procedure steps, nursing interventions, and short-term outcomes were documented.

RESULTS

The tube was successfully placed in the upper jejunum under real-time electromagnetic guidance within 8 minutes. No complications such as tube displacement, blockage, or aspiration occurred during the 15-day follow-up. Family satisfaction was high.

CONCLUSION

This first reported case suggests that nurse-led, home-based electromagnetic navigation-guided nasojejunal tube placement may be a feasible and safe option for high-risk bedridden elderly patients who cannot be transported. Strict environmental assessment, operator expertise, and structured risk management are essential for success.