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Clogging: A Frequent Complication in EADs – Tuesday Tube Facts

Did you know…?

Clogging is one of the most frequent mechanical complications of feeding tubes.[1,3]

Reported clogging rates vary from 9 – 35%.[1-7] With clogging of nasogastric (NG) feeding tubes considered under-reported, the actual rate may be much higher.[3]

References:

  1. Ireton-Jones C, DeLegge M. Handbook of Home Nutrition Support. Sudburry, MA: Jones and Bartlett; 2007.
  2. Beyer PL, Matarese LE, Gottschlich MM. Complications of enteral nutrition. 1998.
  3. Blumenstein I, Shastri YM, Stein J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014;20(26):8505-8524.
  4. Pancorbo-Hidalgo PL, García-Fernandez FP, Ramírez-Pérez C. Complications associated with enteral nutrition by nasogastric tube in an internal medicine unit. J Clin Nurs. 2001;10(4):482-490.
  5. Marcuard SP, Stegall KS. Unclogging feeding tubes with pancreatic enzyme. JPEN J Parenter Enteral Nutr. 1990;14(2):198-200.
  6. Frizzi JD, Ray PD, Raff JB. Enteral nutrition by a forward surgical team in Afghanistan. South Med J. 2005;98(3):273-278.
  7. Bourgault AM, Heyland DK, Drover JW, Keefe L, Newman P, Day AG. Prophylactic pancreatic enzymes to reduce feeding tube occlusions. Nutr Clin Pract. 2003;18(5):398-401.

Starting EN More than 3 Days After ICU Admission – Tuesday Tube Facts

Starting EN More than 3 Days After ICU Admission – Tuesday Tube Facts

Starting enteral nutrition more than 3 days after ICU admission was associated with increased length of stay.

Critically ill patients should be started on enteral tube feeds within 48 hours of intubation whenever possible.

1. Bourgault, A.M., Ipe, L., Weaver, J., Swartz, S., O’Dea, P.J. Development of Evidence-Based Guidelines and Critical Care Nurses ’ Knowledge of Enteral Feeding. Critical Care Nurse, 2007; 27(4):17-29.

2. Fremont, R. D., Rice, T.W. How soon should we start interventional feeding in the ICU? Curr Opin Gastroenterol. 2014 March; 30(2): 178–181.