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The learning curve in blind bedside postpyloric placement of spiral tubes: data from a multicentre, prospective observational study
| Content Provider | SAGE Publishing |
|---|---|
| Author | Sun, Cheng Lv, Bo Zheng, Wei Hu, Linhui Ouyang, Xin Hu, Bei Zhang, Yanlin Wang, Hao Ye, Heng Zhang, Xiunong Lan, Huilan Chen, Lifang Chen, Chunbo |
| Copyright Year | 2019 |
| Abstract | ObjectiveThis study sought to quantify the learning curve for the blind bedside postpyloric placement of a spiral tube in critically ill patients.MethodsWe retrospectively analysed 127 consecutive experiences of three intensivists who performed comparable procedures of blind bedside postpyloric placement of a spiral tube subsequent to failed self-propelled transpyloric migration in a multicentre study. Each intensivist’s cases were divided chronologically into two groups for analysis. The assessment of the learning curve was based on efficiency and safety outcomes.ResultsAll intensivists achieved postpyloric placement for over 80% of their patients. The junior intensivist showed major improvement in both efficiency and safety outcomes, and the learning curve for both outcomes was approximately 20 cases. The junior intensivist showed a significant increase in the success rate of proximal jejunum placement and demonstrated a substantial decrease in the major adverse tube-associated events rate. The time to insertion significantly decreased in each intensivist as case experience accumulated.ConclusionsBlind bedside postpyloric placement of a spiral tube involves a significant learning curve, indicating that this technique could be readily acquired by intensivists with no previous experience using an adequate professional training programme. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0300060519826830?download=true |
| Starting Page | 1884 |
| Ending Page | 1896 |
| Page Count | 13 |
| ISSN | 03000605 |
| Issue Number | 5 |
| Volume Number | 47 |
| Journal | Journal of International Medical Research (IMR) |
| e-ISSN | 14732300 |
| DOI | 10.1177/0300060519826830 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2019-02-12 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2019 |
| Subject Keyword | postpyloric placement intensivist spiral nasojejunal tube critically ill Learning curve blind bedside |
| Content Type | Text |
| Resource Type | Article |
| Subject | Biochemistry (medical) Cell Biology Biochemistry |
