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기관 내 삽관을 시행한 환자를 대상으로 한 유도철사 보조 비위관 삽입의 유용성

Other Titles
 Guidewire-Assisted Nasogastric Tube Insertion in Intubated Patients in an Emergency Center 
Authors
 고 진 ; 김현종 ; 이한식 ; 정성필 ; 정현수 ; 김민정 ; 유제성 ; 김승환 
Citation
 Korean Society of Critical Care Medicine (대한중환자의학회지), Vol.28(4) : 287~292, 2013 
Journal Title
 Korean Society of Critical Care Medicine (대한중환자의학회지) 
ISSN
 1229-4802 
Issue Date
2013
Abstract
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.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/88585
DOI
10.4266/kjccm.2013.28.4.287
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Emergency Medicine
Yonsei Authors
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