Real-Time Camera Image-Guided Nasoenteric Tube Placement in Prone COVID-19 ICU Patients: A Single-Center Study

• Published in: Journal of intensive care medicine 2024-06, Vol.39 (6), p.567-576
• Main Authors: Chen, Yuequn, Wu, Guiqiong, Qu, Chaojun, Ye, Zimao, Kang, Yihao, Tian, Xin
• Format: Article
• Language: English
• Subjects: Adult; Aged; APACHE; COVID-19 - therapy; Critical Care - methods; Critical Illness - therapy; Female; Humans; Intensive Care Units; Intubation, Gastrointestinal - methods; Intubation, Intratracheal - methods; Male; Middle Aged; Patient Positioning - methods; Prone Position; Respiration, Artificial - methods; SARS-CoV-2
• ISSN: 0885-0666; 1525-1489
• DOI: 10.1177/08850666231220909

Background & Aims: This study aims to assess the application value of the real-time camera image-guided nasoenteric tube placement in critically ill COVID-19 patients undergoing endotracheal intubation and prone position ventilation therapy. Methods: We enrolled 116 COVID-19 patients receiving endotracheal intubation and prone position ventilation therapy in the intensive care unit (ICU). Patients were randomly divided into the real-time camera image-guided nasoenteric tube placement (n = 58) and bedside blind insertion (n = 58) groups. The success rate, placement time, complications, cost, heart rate, respiratory rate, Glasgow Coma Scale (GCS), and Acute Physiology and Chronic Health Evaluation II (APACHE-II) scores were compared between the 2 groups. Results: For ICU patients with COVID-19 undergoing prone position ventilation therapy, the success rate and cost were significantly higher in the real-time camera image-guided group compared to the bedside blind group (P