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Critical Care
Published in: Critical Care 1/2020

01-12-2020 | COVID-19 | Letter

Practice of novel method of bedside postpyloric tube placement in patients with coronavirus disease 2019

Authors: Shou-Tao Yuan, Wen-Hao Zhang, Lei Zou, Jia-Kui Sun, Ying Liu, Qian-Kun Shi

Published in: Critical Care | Issue 1/2020

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Excerpt

During our clinical work against the epidemic of coronavirus disease 2019 (COVID-19) in Wuhan [1], we observed a high incidence of malnutrition in critically ill patients (data unpublished). Therefore, nutritional therapy was very important. In patients with dysphagia and a very high aspiration risk, postpyloric enteral nutrition (EN) was required [2]. However, how to place the postpyloric tube was a challenge in COVID-19 patients. Patients with masks removed (to expose the nasal cavity) were seriously infectious to doctors. Besides, it was difficult to perform the tube placement bedside for doctors with heavy medical protective clothes, goggles, and face shield. Here, we shared our practice of novel placing method in Wuhan. …
Literature
1.
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, Zhao X, Huang B, Shi W, Lu R, et al. China Novel Coronavirus Investigating and Research Team. A novel coronavirus from patients with pneumonia in China, 2019. N Engl J Med. 2020;382(8):727–33.CrossRef
2.
Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, Hiesmayr M, Mayer K, Montejo JC, Pichard C. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr. 2019;38(1):48–79.CrossRef
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Sun JK, Wang X, Yuan ST. A novel method of blind bedside placement of postpyloric tubes. Crit Care. 2018;22(1):62.CrossRef
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Sun J, Zhang W, Wang X, Yuan S, Shi Q, Liu Y, Mu X. Application of blind bedside non-spiral nasointestinal tubes in critically ill patients. Chinese J Clin Nutr. 2019;27(1):42–6.
Metadata
Title
Practice of novel method of bedside postpyloric tube placement in patients with coronavirus disease 2019
Authors
Shou-Tao Yuan
Wen-Hao Zhang
Lei Zou
Jia-Kui Sun
Ying Liu
Qian-Kun Shi
Publication date
01-12-2020
Publisher
BioMed Central
Keyword
COVID-19
Published in
Critical Care / Issue 1/2020
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-020-02863-0

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