| Use of small-bore feeding tubes: successes and failures. | |
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MedLine Citation:
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PMID: 17414497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: Early enteral nutrition is the preferred option for feeding patients who cannot meet their nutrient requirements orally. This article reviews complications associated with small-bore feeding tube insertion and potential methods to promote safe gastric or postpyloric placement. We review the available bedside methods to check the position of the feeding tube and identify inadvertent misplacements. RECENT FINDINGS: Airway misplacement rates of small feeding tubes are considerable. Bedside methods (auscultation, pH, aspirate appearance, air bubbling, external length of the tube, etc.) to confirm the position of a newly inserted small-bore feeding tube have limited scientific basis. Radiographic confirmation therefore continues to be the most accurate method to ascertain tube position. Fluoroscopic and endoscopic methods are reliable but costly and are not available in many hospitals. Rigid protocols to place feeding tubes along with new emerging technology such as CO2 colorimetric paper and tubes coupled with signaling devices are promising candidates to substitute for the blind placement method. SUMMARY: The risk of misplacement with blind bedside methods for small-bore feeding tube insertion requires a change in hospital protocols. |
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Authors:
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José Eduardo de Aguilar-Nascimento; Kenneth A Kudsk |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in clinical nutrition and metabolic care Volume: 10 ISSN: 1363-1950 ISO Abbreviation: Curr Opin Clin Nutr Metab Care Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-06 Completed Date: 2007-06-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9804399 Medline TA: Curr Opin Clin Nutr Metab Care Country: England |
Other Details:
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Languages: eng Pagination: 291-6 Citation Subset: IM |
Affiliation:
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Department of Surgery, Federal University of Mato Grosso, Rua Estevão de Mendonça 81, Cuiabá, MT 78043-300, Brazil. aguilar@terra.com.br |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Critical Care
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methods Critical Illness / therapy* Endoscopy, Gastrointestinal / methods Enteral Nutrition / instrumentation* Fluoroscopy / methods Humans Intubation, Gastrointestinal / adverse effects* Pneumothorax / etiology*, prevention & control Radiography, Abdominal / methods |
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