Document Detail


Nonoral feeding practices for infants in the neonatal intensive care unit.
MedLine Citation:
PMID:  19696573     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to delineate current practice for the selection of nonoral feeding routes in level III neonatal intensive care units (NICUs) across Canada. SUBJECTS: All level III Canadian NICUs (n = 28). DESIGN: A written questionnaire was developed specifically for gathering data in the NICU about the current method of selection of feeding tubes. METHODS: We surveyed, by telephone, charge nurses at all level III NICUs to elucidate the current use of orogastric (OG) versus nasogastric (NG) route of tube for fullterm and preterm infants. RESULTS: The results from this study indicate that 75% percent of NICUs in Canada primarily used NG tubes. Pediatric institutions were significantly more likely to use NG (>75% of the time) (P = .003). All of the centers (100%) using NG tubes used indwelling tubes. Only 18% of centers selected OG tubes primarily. Nonpediatric institutions were significantly more likely to use OG tubes (P = .001). Ten percent of NICUs reported using both NG and OG tubes equally. There was no difference indicated on selection of tube for preterm babies versus term babies. However, there was 100% agreement in the use of OG tubes in infants with structural anomalies of the nares or if the infants were on continuous positive airway pressure. Overall, decision regarding route of tube was made primarily according to physician preference and the natural history and experience within the NICU. CONCLUSIONS: The results of this survey indicate that there are no clear clinical guidelines currently in place to determine route of feeding tubes in NICUs across Canada. Physician preference or history of the institution appears to be the most important variable in determining tube selection. Given the high prevalence of acute and chronic feeding difficulties among NICU survivors, the choice of route of tube should be guided by specific evidence-based criteria.
Authors:
Rena Birnbaum; Catherine Limperopoulos
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  9     ISSN:  1536-0911     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-21     Completed Date:  2009-11-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  180-4     Citation Subset:  IM    
Affiliation:
Montreal Children's Hospital, 2300 Tupper St., Montreal, QC, Canada. rena.birnbaum@muhc.mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Canada
Chi-Square Distribution
Enteral Nutrition* / methods,  statistics & numerical data
Evidence-Based Practice
Hospitals, General / statistics & numerical data
Hospitals, Pediatric / statistics & numerical data
Humans
Infant, Newborn
Intensive Care Units, Neonatal / organization & administration
Intensive Care, Neonatal* / methods,  statistics & numerical data
Intubation, Gastrointestinal* / methods,  statistics & numerical data
Mouth
Neonatal Nursing / methods,  statistics & numerical data
Nose
Nursing Evaluation Research
Patient Selection
Physician's Practice Patterns / statistics & numerical data
Pilot Projects
Practice Guidelines as Topic
Questionnaires

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


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