Procedures for a Transpyloric Feeding Tube Inserted Into Newborns and Infants: A Systematic Review.
| Autor: | Quinteiro NM; University of Alabama at Birmingham, School of Nursing, Birmingham, Alabama.School of Medical Sciences and Women's Hospital (Ms Quinteiro), Women's Hospital (Ms Fioravanti dos Santos), Department of Pediatrics, School of Medical Sciences (Dr de Siqueira Caldas), School of Nursing (Dr Carmona), State University of Campinas (UNICAMP), Campinas, São Paulo, Brazil., Fioravanti Dos Santos J, de Siqueira Caldas JP, Carmona EV |
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| Jazyk: | angličtina |
| Zdroj: | Advances in neonatal care : official journal of the National Association of Neonatal Nurses [Adv Neonatal Care] 2024 Aug 01; Vol. 24 (4), pp. 374-381. Date of Electronic Publication: 2024 Jul 09. |
| DOI: | 10.1097/ANC.0000000000001172 |
| Abstrakt: | Background: Enteral feeding by a transpyloric tube in critically ill infants is indicated when there is a failure in gastric feeding. However, there is a wide variability regarding the insertion technique. Purpose: To perform a systematic review of the methods for inserting a transpyloric feeding tube in newborns and infants. Data Sources: Nine databases, without date or language restrictions, accessed in September 2021. Study Selection: A systematic review of experimental and nonexperimental studies, according to the "Patient/problem; Intervention; Comparison; Outcome" strategy and the "Preferred Reporting Items for Systematic Reviews and Meta-Analyses" guidelines. The clinical question was about the measurement and insertion techniques, as well as the success rates of properly placing a transpyloric tube in newborns and infants. Data Extraction: Two authors (N.M.Q. and J.F.S.) analyzed 6 observational descriptive prospective studies, all of them published in peer-reviewed indexed medical journals and one in the official journal of the National Association of Neonatal Nurses. Results: The success rate varied between 70% and 100%. There was an important variability in the type of tube, measurement method, and insertion techniques. It was found that the most common strategies to achieve proper positioning were glabella-calcaneal measurements, gastric air insufflation, and right lateral decubitus. Implications for Practice: A transpyloric catheter insertion protocol needs to be established in each neonatal unit, according to the literature findings. Implications for Research: Randomized controlled studies that evaluate the gastric air insufflation technique and other adjuvant measures could elucidate the knowledge gap concerning the correct positioning of transpyloric tubing in newborns and infants. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 by The National Association of Neonatal Nurses.) |
| Databáze: | MEDLINE |
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