This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Nicholas, C. D. Articles by Tsuei, B. J. Search for Related Content PubMed Articles by Nicholas, C. D. Articles by Tsuei, B. J. Social Bookmarking                         What's this?

Techniques and Procedures: Simple Bedside Placement of Nasal-Enteral Feeding Tubes: A Case Series

Department of Surgery; Division of Cardiac Surgery

Michael A. Zgoda, MD

Department of Medicine

Paul A. Kearney, MD, FACS

Department of Surgery, Division of General Surgery, Section of Trauma, University of Kentucky, Lexington, Kentucky

Bernard R. Boulanger, MD, FACS

Department of Surgery, Division of General Surgery, Section of Trauma, University of Kentucky, Lexington, Kentucky

Juan B. Ochoa, MD

Department of Surgery, Division of General Surgery, Section of Trauma, University of Kentucky, Lexington, Kentucky

Betty J. Tsuei, MD

Department of Surgery, Division of General Surgery, Section of Trauma, University of Kentucky, Lexington, Kentucky

The placement of postpyloric feeding tubes has been clinically difficult. A study was undertaken to identify a reliable bedside manual technique. One hundred one consecutive enteral feeding tubes were placed in 93 patients at the bedside. One patient was not available for radiographic evaluation. Nonweighted, straight tubes were used in supine patients premedicated with metoclopramide. Two additional stock wire stylets were used to stiffen the tubes. The tubes were simply advanced. If resistance was encountered, the tube was backed up and advanced again. Tip location was checked by injection of blue dye and plain roentgenography. Sixty-nine percent of tubes were placed to the ligament of Treitz or jejunum, 15% in the third or fourth portion of the duodenum (D3/D4), 11% in D1/D2, and 5% in the pylorus or stomach. Ninety-five percent of tubes were used successfully for enteral nutrition. Time for placement was 28 ± 22 minutes (mean ± SD). Blue saline injection localized tube position correctly relative to the pylorus more frequently than plain roentgenography [98% vs 95%, not statistically significant (NSS)]. Ninety-five percent of feeding tubes were positioned distal to the stomach. Simple bedside placement of stiffened feeding tubes is effective and reliable.

Nutrition in Clinical Practice, Vol. 16, No. 3, 165-168 (2001)
DOI: 10.1177/088453360101600307


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				A. C. Bernard, B. Magnuson, B. J. Tsuei, M. Swintosky, S. Barnes, and P. A. Kearney Defining and Assessing Tolerance in Enteral Nutrition Nutr Clin Pract, October 1, 2004; 19(5): 481 - 486. [Abstract] [Full Text] [PDF]