Ultrasound-Guided Nasojejunal Tube Placement: A Simplified Approach for Improved Clinical Efficiency.

PURPOSE: To investigate the clinical effects of ultrasound-guided precise nasojejunal catheterization in critically ill patients receiving enteral nutrition.

MATERIALS AND

METHODS

A total of 120 patients were randomly divided into control and experimental groups in a 1:1 ratio. The control group underwent blind transnasal jejunal catheterization, and the experimental group underwent ultrasound-guided transnasal jejunal catheterization. Indices related to catheterization, complications of catheterization, and nutritional status before and after catheterization were used as observation indices.

RESULTS

The average catheterization time of the experimental group was shorter (21.28 ± 8.96 min), the success rate of one-time catheterization was significantly greater than that in the control group (93.3% vs. 80.0%), and the probability of catheter displacement/detachment was significantly lower in the experimental group than in the control group (p < 0.05). Prealbumin level, total serum protein level, and absolute number of lymphocytes were significantly greater than those in the control group and before catheterization (p < 0.05).

CONCLUSIONS

In enteral nutrition intervention for critical patients, accurate ultrasound-guided nasojejunal tube placement has the advantages of short operation time, high success rate, safety, and good nutritional support and is expected to be an ideal method for successful nasojejunal tube placement.