Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Bench-to-bedside review: Routine postoperative use of the nasogastric tube – utility or futility? | Available online http content 11 1 201 Review Bench-to-bedside review Routine postoperative use of the nasogastric tube - utility or futility Michèle Tanguy Philippe Seguin and Yannick Mallédant Service d Anesthésie Réanimation 1 Hôpital de Pontchaillou rue Henri le Guilloux 35033 Rennes Cedex 9 France Correspondence Yannick Mallédant Published 4 January 2007 This article is online at http content 11 1 201 2007 BioMed Central Ltd Critical Care 2007 11 201 doi cc5118 Abstract This article provides a summary of current information on rational postoperative use of the nasogastric tube based on a review of literature related to postoperative gastrointestinal discomfort and management with the nasogastric tube. Routine gastric decompression after major surgery neither hastens the return of bowel function nor diminishes the incidence of postoperative nausea and vomiting. The multimodal postoperative rehabilitation programme is a modern and more efficient approach. Omission of nasogastric tube decompression does not increase the incidence of anastomotic leakage or wound dehiscence. Conversely early enteral feeding is feasible and safe favours local immunity and gut integrity and improves nutritional status. With the objective to feeding nasogastric tube could be used in selected patients. To conclude use of the nasogastric tube to prevent or limit postoperative gastrointestinal discomfort must be challenged. In contrast to gastric decompression early gastric feeding must be considered within the new concept of fast track surgery. Introduction Since the 1930s routine use of the nasogastric tube to achieve postoperative gastric decompression has enjoyed widespread acceptance and for decades patients complaints were not taken into consideration by anaesthesiologists and surgeons. This strong consensus was based on a traditionally held view namely that postoperative ileus POI should be reduced by nasogastric .
