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Amaç: Yoğun bakım hastalarının beslenmesi önemli olmasına rağmen çoğu yatış endikasyonları sebebiyle oral beslenmede zorluk yaşamaktadır. Beslenme çoğunlukla nazogastrik tüp, perkütan endoskopik gastrostomi (PEG) ve parenteral beslenme şeklinde sağlanabilmektedir. Bu çalışmada yoğun bakımda beslenme amaçlı PEG açılan hastaları retrospektif olarak değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışmaya solunumsal yoğun bakım ve palyatif bakım servisinde 2018-2020 yılları arası takip edilen ve beslenme için PEG açılan hastalar dahil edilmiştir. Hastaların yaş, cinsiyet, hastanede yatış süresi, trakeostomi durumu, ev tipi mekanik ventilatör durumu, PEG işlemi ilişkili komplikasyonları ve bir aylık mortaliteleri retrospektif olarak incelenmiştir. Bulgular: Hastaların 18’i (%54,5) erkek, 15’i (%45,5) kadındı. Ortalama yaş 71±19 olarak bulundu. PEG açılan hastaların çoğunluğunun yatış tanısı nörolojik hastalıklardı (Alzheimer ve geçirilmiş serebro vasküler hastalık). PEG ilişkili komplikasyon sadece bir hastada görüldü. Sonuç: PEG komplikasyon oranının düşük olması, hasta için efektif beslenme sağlaması ve yoğun bakımda hasta başı uygulanabilir bir işlem olması sebebiyle uzun süreli enteral beslenme gereken hastalarda tercih edilmelidir.
Objective: Although the nutrition of intensive care patients is important, most of them experience difficulty in oral nutrition due to sleep indications. Nutrition can be provided mostly in the form of nazogastric tube, percutaneous endoscopic gastrostomy (PEG) and parenteral nutrition. In this study, we aimed at retrospective assessing patients with PEG for intensive care purposes. Tools and Methods: Patients followed and opened PEG for nutrition between 2018-2020 in the respiratory intensive care and palliative care service were included in the study. The patient’s age, gender, duration of hospitalization, trakeostomy state, home-type mechanical ventilator state, complications associated with the PEG process and one-month mortality were studied retrospectively. Results: 18 of the patients (54,5%) were male and 15 (45,5%) female. The average age was 71±19. The diagnosis for the majority of patients opened PEG was neurological diseases (Alzheimer and passed cerebrovascular disease). PEG-related complications were observed only in one patient. The result: PEG complications should be preferred in patients who need a long-term intheral nutrition because they are low, they provide effective nutrition for the patient and they are a process that can be applied to each patient in intensive care.
Aim: Although nutrition of intensive care patients is important, difficulties are experienced in oral nutrition due to hospitalization indications. Nutrition can be mostly provided by nasogastric tube, percutaneous endoscopic gastrostomy (PEG) and parenteral nutrition. In this study, we aimed to retrospectively evaluate patients who underwent PEG for nutritional purposes in the intensive care unit. Materials and Methods: Patients who were followed up in our respiratory intensive care and palliative care unit between 2018-2020 and had PEG for nutrition were included in the study. Age, gender, length of hospital stay, tracheostomy status, home ventilator status, PEG related complications and one-month mortality were retrospectively analyzed. Results: The 18 (54.5%) of the patients were male, 15 (45.5%) were female. The mean age was 71±19 years. Most of the PEG patients were diagnosed with neurological diseases (Alzheimer and cerebro vascular disease). PEG related complication was only seen in a patient. Conclusion: PEG should be preferred in patients who require long-term enteral nutrition because of its low complication rate, providing effective nutrition for the patient, and being a bedside procedure in the intensive care unit.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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