Contemporary Nursing

Objective To summarize the reasons of 28 patients with difficult indwelling nasogastric tube in neurosurgery, expound the countermeasures of tube placement, and improve the success rate of indwelling nasogastric tube by clinical nurses. Methods A total of 262 patients with indwelling nasogastric tube who were admitted to the Department of Neurosurgery in a tertiary hospital from September 2018 to June 2021 were included, and 28 patients with difficult tube placement were analyzed. Results The reasons for difficult nasogastric tube placement in neurosurgery patients were disturbance of consciousness combined with swallowing dysfunction, frequent choking, artificial airway, back of tongue, curvature of nasal septum, edema, etc. By adopting a personalized tube placement strategy, all 28 patients were placed Tube success. Conclusion There are many reasons for the difficulty of nasogastric tube placement in neurosurgery patients. Adequate assessment and preparation before tube placement, and individualized adoption of tube placement skills according to the different reasons for the difficulty of tube placement can improve the gastric tube placement in neurosurgery patients. The success rate of intubation can reduce the pain of patients.

Neurosurgery patients; Difficult intubation of nasogastric tube; Reason analysis; Nursing countermeasures