Interpretation of Guidelines for nutritional treatment pathways for adult patients in China nasogastric tube
1,2Wang Yu,3 Liu Ming ,1, 2Jiang Hua
1
Institute for Emergency and Disaster Medicine Sichuan Academy of Medical Science University of Electronic Science and Technology of
China Sichuan Provincial People′s Hospital Chengdu 610072 Sichuan China
2
Sichuan Clinical Research Center for Emergency and
Critical Care Medicine Chengdu 610072 Sichuan China
3Department of General Surgery the Second Affiliated Hospital of Harbin
Medical University Harbin 150001 Heilongjiang China
Abstract：The main physiopathological mechanisms of malnutrition are disorder of digestion and absorption and stress-induced hypercatabolic state. Nutritional therapy is one of the essential treatments for critically ill patients. Enteral nutrition EN is the preferred
route of nutritional support therapy. Proper EN significantly reduces infectious complications and better controls the blood glucose results in decreased organ failure and surgical intervention rate. EN may improve outcomes in these patients. Nasogastric tube as a simple bedside technique with low medical cost non-invasive simple and economical is the preferred way for short-term <4 weeks enteral nutrition. However improper use of nasogastric tubes can also lead to complications such as nasopharyngeal irritation ulcers
bleeding catheter prolapse or blockage reflux and aspiration pneumonia. This article interpret the guideline on route of nutrition for
Chinese adult patients covering the indications for nasogastric tube the use of prokinetic drugs the selection of nasogastric tube bore
and the positioning of nasogastric tube are explained so as to provide the latest evidence-based medical evidence for the selection and
rational application of nasogastric tube.
