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Nasal biliary drainage catheter care

Date2013-10-16 13:47:05

I. Overview

Nasal biliary drainage catheter (Endoscopic nosal biliary drainage, ENBD) is implemented under direct vision duodenoscopy catheter drainage of the bile duct decompression technology. Its simple, bedside can be implemented, a high success rate, fewer complications, and has been widely used in biliary surgery.

Second, the placement of drainage tube method

1 Preoperative preparation: fasting 4h, 10min preoperative intramuscular injection of meperidine 50 ~ 100 mg, 0.5mg atropine sulfate and 654-2 10 mg topical anesthesia using throat pain lubricating gel containing 4g.

Two methods of operation: After oral insertion descending duodenoscopy to find sphincter nipple biopsy hole front side 2 to 3 holes of 2 mm diameter plastic catheter inserted into the common bile duct 10 ~ 15 cm, other leads from the nose end is fixed to the cheek, then sterile drainage bag.

 
Third, Nursing

1 Preoperative Care:
  In the preoperative preparation, we found that both patients and their families have a nervous fear of ENBD. If intubation security, whether the degree of suffering endured, etc., which, as we work patiently and carefully explain to patients and their families in care. ENBD is advertised more advanced technology that can cure the disease by minimally invasive techniques, rapid remission of disease, and gradually improve the symptoms and relieve jaundice, help patients through the acute phase, etc.; during the operation, when the endoscope through the pharynx discomfort, and the remaining reaction can endure. Rear catheter generally no special discomfort, and can quickly relieve the condition. Nasal biliary drainage in the diagnosis and treatment of diseases of significant value. After the relief of symptoms, had no effect on feeding and ambulation. Preoperative care, lifting the patient's tension, and be able to actively cooperate with the doctor's operation, thereby increasing the success rate of catheter, but also saves the operator time and reduce the patient's pain. The majority of patients the disease can be quickly relieve and improve the quality of clinical care.

 
(2) post-operative care:
  EMBD surgery, take a good drainage bags, drainage tube fixed on the cheek, instruct patient to bed rest, reduced activity, to prevent catheter prolapse. And to instruct the patient's family can not be allowed to deal with effluent drainage bag. Surgery due to local effects of the throat after swallowing and endoscopic cannulation short-term gastrointestinal discomfort, can be gradually eased. The patient can eat to be in remission or stabilized gradually eating. While repeatedly warned the patient to sleep in the activities and to protect the catheter to prevent accidental drag. To drain the observations by doctors, nurses treated a little prolapse suspected catheter should not be forced to look inside the delivery catheter, the catheter should be fixed to observe biliary drainage conditions, such as no bile flow report to a doctor for processing. The above work to protect the patient consciously drainage catheter, and actively cooperate and assist the medical staff treatment and care