Improve the success rate of inserting and intubating the spiral nasojejunal tube with bare hands

[Objective] To improve the success rate of spiral nasojejunal tube insertion through training of blind insertion of spiral nasojejunal tube with bare hands. [Methods] A total of 49 patients (5 of them were secondary intubation) who were admitted to the emergency department of our hospital from April 2, 2019 to June 17, 2021 needed to undergo blind hand intubation treatment with a nasal jejunal tube. The nurses who were recruited to participate in Guangdong. The enteral nutrition intubation training class hosted by the Provincial Nursing Society Critical Care Committee has been divided into two groups: the experimental group after training (n=28) and the control group before training (n=21) at the aim of comparing the success rate of one-time catheterization of patients in the two groups. [Results] The success rate of nurses' bare-handed blind insertion of the nasal jejunal tube increased from 43% to 86% (p<0.01). [Conclusion] Carrying out the training of blind insertion of nasal jejunal tube with bare hands can improve the success rate of tube placement for nurses in emergency department.

Download Full-text

Effect of Humanized Nursing on Emergency Success Rate and Satisfaction in Emergency Nursing

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v1i1.92 ◽

1970 ◽

Vol 1 (1) ◽

Author(s):

Kang Yuehua

Keyword(s):

Emergency Department ◽

Success Rate ◽

Emergency Treatment ◽

Nursing Intervention ◽

Control Group ◽

Emergency Nursing ◽

Satisfaction Rate ◽

The Difference ◽

The Impact ◽

Experimental Group

Objective:Â To explore the impact of human nursing on emergency success rate and satisfaction in emergency departmentÂ nursing. Methods: 146 cases of emergency patients were collected from February 2015 to July 2016 in our hospital. TheÂ patients were randomly divided into control group and experimental group (73 cases). The patients in the control group wereÂ treated by routine nursing method. The patients in the experimental group nursing intervention was performed on the basisÂ of humanized care in the control group, and the success rateÂ and satisfaction of the two groups were observed. Results: TheÂ success rate of emergency treatment (93.2%) in the experimental group was significantly higher than that in the control groupÂ (79.5%), the difference was statistically significant (P < 0.05).After the nursing group, the satisfaction rate 91.8%) was significantly higher than that of the control group (65.8%), whichÂ was statistically significant (P < 0.05). Conclusion:Â HumanÂ care in emergency department nursing can effectively improveÂ the success rate of emergency and patient satisfaction.

Download Full-text

Application of "Green Channel Card" in Critical Patients in Emergency Department

Medical Research ◽

10.6913/mrhk.202106_3(2).0002 ◽

2021 ◽

Vol 3 (2) ◽

pp. 11-16

Author(s):

Baiyu Zhu ◽

Dongliang Li ◽

Bijuan Bijuan ◽

Zhifeng Mo

Keyword(s):

Emergency Department ◽

Patient Satisfaction ◽

Success Rate ◽

Critically Ill ◽

Waiting Time ◽

Critically Ill Patients ◽

Statistical Significance ◽

Control Group ◽

Green Channel ◽

Experimental Group

Objective To explore the effect of "green channel card" in critically ill patients in emergency department. Methods Seventy-five critically ill patients in the emergency department of our hospital from August 2019 to April 2021 were selected as the experimental group, and 63 critically ill patients from June 2018 to July 2019 were selected as the control group. The experimental group was admitted by using the "green channel card", and the control group was admitted by the green channel signed by the general administrative duty in the hospital. The success rate of emergency rescue, patient satisfaction, waiting time, effective complaints and other related conditions were compared between the two groups. Results The success rate of rescue in the experimental group increased, but there was no statistical significance; while the waiting time in the experimental group was significantly higher than that in the control group (P < 0.05), the patient satisfaction was also higher than that in the control group (P < 0.05); the complaint rate was lower than that in the control group (P < 0.05). Conclusion The use of "green channel card" in emergency critically ill patients can significantly shorten the waiting time for rescue, improve patient satisfaction, reduce the complaints of patients and their families, and make the green channel more efficient, usual and rapid. It is worthy of being widely popularized in the clinical application.

Download Full-text

Success rate of naso-jejunal tube placement influenced by CRRT: possible removal of metoclopramide

Critical Care ◽

10.1186/s13054-021-03652-z ◽

2021 ◽

Vol 25 (1) ◽

Author(s):

Patrick M. Honore ◽

Sebastien Redant ◽

Thierry Preseau ◽

Sofie Moorthamers ◽

Keitiane Kaefer ◽

...

Keyword(s):

Success Rate ◽

Tube Placement ◽

Jejunal Tube

Download Full-text

A prospective study of selective pleural blood patching for pneumothorax due to computed tomography-guided percutaneous lung biopsy

10.21203/rs.3.rs-27711/v1 ◽

2020 ◽

Author(s):

Hironori Uruga ◽

Hisashi Takaya ◽

Shuhei Moriguchi ◽

Yui Takahashi ◽

Kazumasa Ogawa ◽

...

Keyword(s):

Chest Tube ◽

Lung Biopsy ◽

Tube Placement ◽

Control Group ◽

Study Group ◽

Tube Insertion ◽

Chest Tube Placement ◽

Percutaneous Lung Biopsy ◽

A Prospective Study ◽

And Control

Abstract Background: We conducted a prospective study to investigate the efficacy of pleural blood patching to reduce the need for chest tube placement in pneumothorax of CT-guided percutaneous lung biopsy. Methods: We enrolled each 77 patients in study and control groups. If the patient of study group developed pneumothorax ≥1 cm on post-biopsy CT, we drew 15 mL blood, then performed simple aspiration followed by pleural blood patching. In control group, we performed only simple aspiration or no interventions. Results: Of the 77 patients of study group, 41 developed pneumothorax, 9 of which were ≥ 1 cm, and 8 patients underwent pleural blood patching. None of these 8 patients (0%) required chest tube placement. In comparison between study group and control group, pleural blood patching reduced the chest tube insertion rate from 23.1% to 11.1% in patients pneumothorax ≥ 1 cm, but not statistically significant (p=0.26) Conclusion: Selective pleural blood patching reduced chest tube insertion rate in patients pneumothorax ≥ 1 cm, large-scale studies are warranted to confirm the result. Trial registration: This study was registered in the UMIN Clinical Trials Registry (trial number: 000007586).

Download Full-text

Erythromycin for Promoting the Postpyloric Placement of Feeding Tubes: A Systematic Review and Meta-Analysis

Gastroenterology Research and Practice ◽

10.1155/2018/1671483 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8

Author(s):

Qing-Jun Jiang ◽

Cai-Feng Jiang ◽

Qi-Tong Chen ◽

Jian Shi ◽

Bin Shi

Keyword(s):

Systematic Review ◽

Adverse Effects ◽

Success Rate ◽

Meta Analysis ◽

Feeding Tube ◽

Tube Placement ◽

Intravenous Route ◽

Tube Insertion ◽

Feeding Tubes ◽

Feeding Tube Placement

Background. Critically ill patients can benefit from enteral nutrition with postpyloric feeding tubes, but the low success rate limits its wide use. Erythromycin could elevate the success rate of tube insertion, but its clinical efficiency still remains controversial. Methods. Included studies must be RCTs which assessed the success rate of postpyloric feeding tube insertion using erythromycin. Results. 284 patients were enrolled in six studies. Meta-analysis showed that erythromycin significantly increases the rate of successful postpyloric feeding tube placement (RR 1.45, 95% CI (1.12, 1.86)) and did not increase the risk of adverse effects (RR 2.15, 95% CI (0.20, 22.82)). Subgroup analysis showed that unweighted feeding tubes (RR 1.47, 95% CI (1.03, 2.11)) could significantly increase the success rate. Country of study, intravenous route of erythromycin, and year of participant enrollment did not influence these results. Conclusions. Erythromycin significantly increases the success rate of postpyloric feeding tube placement. This suggests that erythromycin can be used as an auxiliary method to improve the success rate of bedside insertion.

Download Full-text

The GlideScope with modified Magill forceps facilitates nasogastric tube insertion in anesthetized patients: A randomized clinical study

Journal of International Medical Research ◽

10.1177/0300060518772719 ◽

2018 ◽

Vol 46 (8) ◽

pp. 3124-3130 ◽

Cited By ~ 3

Author(s):

Han Joon Kim ◽

Su In Park ◽

Sang Yun Cho ◽

Min Jae Cho

Keyword(s):

General Anesthesia ◽

Success Rate ◽

Nasogastric Tube ◽

Insertion Time ◽

Control Group ◽

Magill Forceps ◽

Randomized Clinical Study ◽

Experimental Group ◽

Control Group Group

Objective Insertion of a nasogastric tube (NGT) in patients who have been intubated with an endotracheal tube while under general anesthesia can cause difficulties and lead to complications, including hemorrhage. A visualization-aided modality was recently used to facilitate NGT insertion. Some studies have focused on the role of modified Magill forceps, which have angles similar to those of the GlideScope blade (Verathon, Bothell, WA, USA). Methods Seventy patients were divided into a control group (Group C) and an experimental group (GlideScope and modified Magill forceps, Group M). Results The total NGT insertion time was significantly shorter in Group M than C (71.3 ± 22.6 vs. 96.7 ± 57.5 s; mean difference, –25.3 s; 95% confidence interval [CI], 20.8–71.5). There were also significantly fewer mean insertion attempts in Group M than C (1.0 ± 0.0 vs. 2.11 ± 0.93). The success rate for the first attempt in Group C was 37.1%, while that in Group M was 100% (relative risk, 2.7; 95% CI, 1.7–4.1). Conclusion The use of the GlideScope with modified Magill forceps for insertion of an NGT in patients who are already intubated and under general anesthesia will shorten the insertion time and improve the success rate.

Download Full-text

The Application and Practice of Humanistic Care in the Emergency Department

Journal of Nursing ◽

10.18686/jn.v4i3.9 ◽

2015 ◽

Vol 4 (3) ◽

pp. 25

Author(s):

Yuehuan Fu

Keyword(s):

Emergency Department ◽

Control Group ◽

Emergency Nursing ◽

Care Model ◽

Hospital Emergency ◽

Patients Satisfaction ◽

Satisfaction Degree ◽

Emergency Department Patients ◽

Experimental Group

Objective: To study the application of humanized nursing in the emergency room, hence seek more suitable care model for emergency nursing. Methods: By reviewing the 521 patients visited to the hospital emergency department in April 2013 to May 2014, the patients were divided into control group and experimental group in accordance with the principle of voluntary and the principle of random. The control group has a total of 260 patients with normal nursing model. The experimental group has a total of 261 patients with the humanized nursing mode. Patients satisfaction degree was investigated after the nursing care. Results: The satisfaction questionnaire Results show that the satisfaction degree of experimental group patients was significantly higher than the control group patients (p < 0.05). Conclusion: Humanistic nursing can effectively improve the emergency department patients satisfaction degree, help to improve the quality of service, and has value for clinical promotion.

Download Full-text

Comparison of Tracheal vs Nasopharyngeal Secretions for SARS-CoV-2 RT-PCR Testing in Patients With Tracheostomy

Otolaryngology ◽

10.1177/0194599820980706 ◽

2020 ◽

pp. 019459982098070

Author(s):

Anya Costeloe ◽

Mohammad-Nadim Samad ◽

Seilesh Babu ◽

Christopher Metz

Keyword(s):

Emergency Department ◽

Cohort Study ◽

Average Duration ◽

Control Group ◽

Nasopharyngeal Swab ◽

Rt Pcr ◽

Viral Shedding ◽

Academic Hospitals ◽

Viral Testing ◽

Experimental Group

This study compares nasopharyngeal and tracheal samples for COVID-19 viral testing in patients with a tracheostomy. This was a prospective cohort study done at 2 academic hospitals between March and June 2020. Patients admitted through the emergency department who had a COVID-19 test and an existing tracheostomy or underwent a tracheostomy during the admission period were included. Patients with a positive initial nasopharyngeal swab were placed in the experimental group (n = 8), while those with a negative swab were the control group (n = 7). Nasopharyngeal and tracheal samples underwent COVID-19 testing using the Abbott RealTime SARS-CoV-2 RNA assay. Fourteen patients underwent tracheostomy, and 1 had an existing tracheostomy. The average duration of viral shedding in nasopharyngeal samples was 20.9 days. One patient (6.7%) tested positive in tracheal secretions after a negative nasopharyngeal swab. In the remaining patients (93.3%), the nasopharyngeal and tracheal specimens correlated.

Download Full-text

COVID-19 Follow-App. Mobile App-Based Monitoring of COVID-19 Patients after Hospital Discharge: A Single-Center, Open-Label, Randomized Clinical Trial

Journal of Personalized Medicine ◽

10.3390/jpm12010024 ◽

2022 ◽

Vol 12 (1) ◽

pp. 24

Author(s):

Ester Marquez-Algaba ◽

Marc Sanchez ◽

Maria Baladas ◽

Claudia España ◽

Hermes Salvatore Dallo ◽

...

Keyword(s):

Clinical Trial ◽

Emergency Department ◽

Hospital Discharge ◽

Mobile App ◽

Control Group ◽

Primary Care Center ◽

Open Label ◽

Return Visits ◽

Experimental Group

Introduction: In the midst of a pandemic, apps can be used to provide close follow-up, ensure that patients are monitored at home, avoid excessive pressure on medical facilities, prevent the movement of people (both patients and health professionals), and reduce the risk of infection. Objective: To adapt and validate the use of a smartphone application for outpatient follow-up of COVID-19 patients after hospital discharge. Methods: We conducted an open-label clinical trial at Hospital Universitari Vall d’Hebron in Barcelona, Spain. Patients were randomly assigned in a 1:1 ratio to be followed by the Farmalarm app or by their primary care center. The primary endpoint was the reduction in the need for in-person return visits. Results: From 31 March to 4 May 2020, 150 patients were enrolled in the study at hospital discharge: 74 patients were randomized to the experimental group, and 76 to the control group. All patients in the control group and all except for six in the experimental group completed the study. During hospitalization, before study inclusion, all but 4 (97.3%) had viral pneumonia, 91 (60.7%) required supplemental oxygen, and 16 (10.7%) required intensive care unit (ICU) admission. COVID-19–related return visits to the emergency department were significantly higher in the control group (7.9% vs. 0%; p = 0.028) in the per-protocol analysis. Telephone consultations with the emergency department were performed by 12 (15.8%) patients in the control group and 0 (0%) in the experimental group (p < 0.001). Satisfaction with outpatient monitoring was rated higher by the experimental group (5 vs. 4 points; p < 0.001). Conclusions: Following COVID-19 hospital discharge, home follow-up via a mobile app was effective in reducing in-person return visits without undermining patient satisfaction or perception of health, compared with standard follow-up.

Download Full-text

The Mechanism and Therapeutic Effect of Lumbar Intervertebral Disc Foramen Puncture on Neuropathic Pain Based on Digital Medical Technology

Journal of Medical Imaging and Health Informatics ◽

10.1166/jmihi.2020.3113 ◽

2020 ◽

Vol 10 (8) ◽

pp. 1974-1980

Author(s):

Qian Xu ◽

Xuejun Gao ◽

Qiaohong Zhang ◽

Lei Zang ◽

Nicholson Maree

Keyword(s):

Intervertebral Disc ◽

Success Rate ◽

Disc Herniation ◽

Visual Analogue Score ◽

Control Group ◽

Intervertebral Foramen ◽

Lumbar Intervertebral Disc ◽

Lumbar Intervertebral Disc Herniation ◽

Experimental Group

Lumbar disc herniation is a relatively common disease in orthopedics, most patients will experience varying degrees of waist pain after suffering from this disease, and severe cases may even be paralysed. In recent years, with the rapid progress of science and technology, minimally invasive surgery technology is also developing rapidly, and its advantages are also very prominent. Puncture technology, as one of the most important and difficult points, has a high requirement for doctors, so it is particularly important to master this technology thoroughly. In order to apply this technique more in clinical practice, improve its accuracy and success rate, and increase the efficiency of operation, 40 patients with lumbar intervertebral disc herniation were selected and randomly divided into experimental group (20 cases) and control group (20 cases). According to the principle of lumbar intervertebral space puncture, its length and angle were adjusted with high precision. Percutaneous lumbar intervertebral foramen puncture locator was used for treatment in the experimental group and the control group was treated with routine nursing intervertebral foramen puncture. The number of punctures, the time needed for successful puncture, the number of successful projections, puncture complications, and clinical efficacy of the two puncture methods were analyzed. The results showed that in the analysis of clinical puncture indicators, the number of punctures, the time needed for puncture, and fluoroscopy times in the experimental group were significantly different from those in the control group (P < 0.01). The puncture method was determined through the design of the surgical approach to alleviate the symptoms as much as possible after operation. In the visual analogue score, follow-up showed that the visual analogue score of the experimental group was significantly lower than that of the previous one month and the last follow-up, with statistical significance (P < 0.01), and the excellent and good rate was significantly increased by using lumbar intervertebral disc puncture, which was 94.7%. Therefore, through this study, it is found that the new type of lumbar intervertebral perforation positioning designed in this study can significantly improve the accuracy of puncture, the success rate increased significantly, and the experiment achieved the desired results. Although there are some shortcomings in the experiment, it still provides experimental basis for the clinical application of lumbar intervertebral disc puncture in the later stage.

Download Full-text