A novel method of post-pyloric feeding tube placement at bedside

Autor: Taiga Itagaki, Emiko Nakataki, Hideaki Imanaka, Mutsuo Onodera, Masaji Nishimura, Nao Okuda, Hisakazu Kohata
Rok vydání: 2013
Předmět:
Zdroj: Journal of Critical Care. 28:1039-1041
ISSN: 0883-9441
DOI: 10.1016/j.jcrc.2013.06.018
Popis: Purpose Post-pyloric feeding tube placement is often difficult, and special equipment or peristalsis agents are used to aid insertion. Although several reports have described blind techniques for post-pyloric feeding-tube placement, no general consensus about method preference has been achieved. Materials and Methods The technique is performed as follows: via the nostril, a stylet-tipped feeding tube is advanced about 70 cm; to confirm tip location to the right of the epigastric area, towards the right hypochondriac region, 5 mL shots of air are injected to enable touch detection of bubbling; finally, the tube is advanced to a length of 100 cm, during which the strength of bubbling seems to diminish under palpation. Results We prospectively enrolled consecutive patients whose oral intake was expected to be difficult for 48 hours in the intensive care unit. Forty-one patients were enrolled and the rate of successful placement at first attempt was 95.1%. Mean duration for successful placement was 15 minutes. Conclusions With a novel technique, from the bedside, without special tools or drugs, we successfully placed post-pyloric feeding tubes. Essential points when inserting the tube are confirmation of the location of the tube tip by palpation of injected air, and to avoid deflection and looping.
Databáze: OpenAIRE
Externí odkaz: