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Feasibility of Home-Based Electromagnetic Navigation-Guided Nasojejunal Tube Placement in a High-Risk Bedridden Elderly: A Case Report
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DOI：10.2147/rmhp.s599330.png)
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Abstract
En 中文
Ningxuan Liu, Meng Hong Department of Endocrinology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, 430000, People’s Republic of China Correspondence: Meng Hong, Department of Endocrinology, Zhongnan Hospital of Wuhan University, 18F, Building 8, 169 Donghu Road, Wuchang District, Wuhan, Hubei, 430000, People’s Republic of China, Email hongmeng1201@163.com Objective: To evaluate the feasibility and clinical outcomes of a nurse‑performed, home‑based electromagnetic navigation‑guided nasojejunal tube placement in a high‑risk bedridden elderly patient who was unable to be transported to hospital. Methods: We present a case of an 89-year-old male with long-term bedridden status and high aspiration risk. A qualified nurse performed electromagnetic navigation-guided nasojejunal tube insertion in the patient’s home environment. The procedure steps, nursing interventions, and short-term outcomes were documented. Results: The tube was successfully placed in the upper jejunum under real-time electromagnetic guidance within 8 minutes. No complications such as tube displacement, blockage, or aspiration occurred during the 15-day follow-up. Family satisfaction was high. Conclusion: This first reported case suggests that nurse-led, home-based electromagnetic navigation-guided nasojejunal tube placement may be a feasible and safe option for high-risk bedridden elderly patients who cannot be transported. Strict environmental assessment, operator expertise, and structured risk management are essential for success. Keywords: electromagnetic navigation, nasojejunal tube, home-based care, aspiration risk, elderly, case report
Keywords:
electromagnetic navigation
nasojejunal tube
home-based care
aspiration risk
elderly
case report
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