Document Detail


Endoscopic nasoenteral feeding tube placement following cardiothoracic surgery.
MedLine Citation:
PMID:  8615577     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Our purpose was to evaluate the safety and efficacy of nasoenteral feeding tube placement in the cardiothoracic surgery patients. This is a retrospective analysis of 15 critically ill cardiothoracic surgery patients who underwent endoscopic placement of an enteral feeding tube beyond the proximal duodenum for maintenance of nutrition. Twenty-five entriflex 10-F nasoenteral tubes were placed endoscopically using a modified technique far into the distal duodenum, and the placement was confirmed radiographically. Mean patient age was 71 years. Seven were males and 8 were females. Eleven had undergone coronary artery bypass surgery, two aortic valve replacement, and two aortic aneurysm repair. The mean duration of tube function was 8.5 days and mean duration of tube feeding was 15.7 days. Of the total 15 patients, 7 required replacement due to various reasons, the most common being self extubation by the patient and malpositioning after initial placement. No cardiac complications or any other complications were noted directly related to the endoscopic procedure. In eight patients, the mean serum albumin level did not change [before: 2.5mg/dL, after: 2.6mg/dL] for the short time (avg. 8.5 days) the tube was functional. Conclusions: 1) Endoscopic placement of the nasoenteral tubes is a safe method of providing enteral nutrition in critically ill cardiothoracic surgery patients. 2) Benefits of nasoenteral tubes compared to nasogastric tubes remain unproven, and frequent repositioning of nasoenteral tubes is required. 3) A prospective comparison of nasoenteral and nasogastric tubes is warranted.
Authors:
S K Vaswani; W K Clarkston
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  62     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1996 May 
Date Detail:
Created Date:  1996-06-05     Completed Date:  1996-06-05     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  421-3     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, St. Louis University School of Medicine, Missouri, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cardiac Surgical Procedures
Critical Illness
Endoscopy
Enteral Nutrition* / instrumentation
Female
Humans
Intubation, Gastrointestinal*
Male
Retrospective Studies
Safety
Thoracic Surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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