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Water Not Effective-Tuesday Tube Facts

Did you know…?

In one study, water was found to clear clogged tubes only 20% of the time.[1]

References:

  1. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.
  2. Dandeles, L. and Lodolee, A. Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs. The Annals of Pharmacotherapy. 2011. 45:676-680.

Other Solutions Damage Tubes-Tuesday Tube Facts

Did you know…?

Digestive enzymes, when used off-label to unclog feeding tubes, may damage tube walls.[1]

In addition, carbonated drinks, pineapple juice, and sodium bicarbonate solution may cause tube degradation.[2]

References:

  1. Rucart, P.A., Boyer-Grand, A., Santou-Miranda, V., and Chopineau, J. Influence of Unclogging Agents on the Surface State of Enteral Feeding Tubes. Journal of Parenteral and Enteral Nutrition. 2011. 35(2):255-263.
  2. Stroud, M., Duncan, H., Nightingale, J. Guidelines for enteral feeding in adult hospital patients. Gut. 2003. 52:vii1-vii12.

Clogged Feeding Tubes Interrupt Nutrition – Tuesday Tube Facts

Surgical ICU patients with a least one interruption to their enteral nutrition experience a higher calorie deficit than those with no interruptions.[2]

References:

  1. Bourgault, A.M., Heyland, D.K., Drover, J.W., Keefe, L., Newman, P., and Day, A. G. Prophylactic Pancreatic Enzymes to Reduce Feeding Tube Occlusions. American Society for Parenteral and Enteral Nutrition. 2003. 18:398-401.
  2. Peev, M. P., Yeh, D. D., Quraishi, S. A., Osler, P. , Chang, Y. , Gillis, E. , Albano, C. E., Darak, S. and Velmahos, G. C. Causes and Consequences of Interrupted Enteral Nutrition. Journal of Parenteral and Enteral Nutrition. 2015. 39: 21-27.

Patients on EN in ICU Receive just 60% of Nutrition – Tuesday Tube Facts

Did you know…?

ICU patients with feeding tubes receive an average of 60% of their required nutrition.

[1,2]

Critically ill patients are at an increased risk for malnutrition because of alterations in protein and energy metabolism displayed in response to trauma, major surgery, burns, and sepsis.[2]

References:

  1. Guenter, P., Read, J. ASPEN Enteral Nutrition by the Numbers: EN Data Across the Healthcare Continuum. American Society for Parenteral and Enteral Nutrition. 2017.
  2. Stewart, M.L. Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice. Critical Care Nurse. 2014. 34(4):14-22

EN for COVID19 in ICU- Tuesday Tube Facts

Did you know…?

For COVID-19 patients, it is recommended that enteral nutrition starts within 36 hours of ICU admission or within 12 hours of going on a ventilator.[1]

Timing of nutrition delivery is considered the most important factor for nutrition in ICU patients with COVID-19.[1]

References:

  1. Martindale, R., Patel, J., Taylor, B., Warren, M., McClave, S. Nutrition Therapy in the Patient with COVID-19 Disease Requiring ICU Care. Reviewed and Approved by the Society of Critical Care Medicine and the American Society for Parenteral and Enteral Nutrition. Updated April 1, 2020. https://www.sccm.org/getattachment/Disaster/Nutrition-Therapy-COVID-19-SCCM-ASPEN.pdf?lang=en-US