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ICU Nutritional Practice-Tuesday Tube Facts

Did you know…?

For enteral Covid-19 patients, feeding tube placement and aspiration are potential aerosol generating procedures.[1]

Tip to decrease Covid-19 exposure due to aerosol generating procedures: Decrease exposure by quicker gastric tube placement rather than postpyloric placement.[3]

References:

  1. Rimensberger, Peter C., et al. “Caring for Critically Ill Children with Suspected or Proven Coronavirus Disease 2019 Infection: Recommendations by the Scientific Sections’ Collaborative of the European Society of Pediatric and Neonatal Intensive Care.” Pediatric Critical Care Medicine, vol. 22, no. 1, 2020, pp. 56–67., doi:10.1097/pcc.0000000000002599.

Drug absorption-Tuesday Tube Facts

Did you know…?

Some medications may not be administered with enteral formulas because they form precipitates that may clog the feeding tube and reduce drug absorption.[1]

To avoid compromising nutritional status, minimize the amount of time that feeding is interrupted by using once or twice daily dosage regimens.[3]

References:

  1. Beckwith, M. C., Feddema, S. S., Barton, R. G., & Graves, C. (2004). A Guide to Drug Therapy in Patients with Enteral Feeding Tubes: Dosage Form Selection and Administration Methods. Hospital Pharmacy, 39(3), 225–237. https://doi.org/10.1177/001857870403900308

Oley Survey-Tuesday Tube Facts

Did you know…?

In a survey, 81% of feeding tubes became clogged with 40% requiring tube replacement.[1]

The 180 Oley Foundation members were surveyed. The members included patients and caregivers in an extended care environment.

References:

  1. Oley Foundation Member Survey: Enteral Feeding Tube Clogging and Resolution. In: Actuated Medical, Inc.; 2015.

GJ and G Tube Complication Rates (3)-Tuesday Tube Facts

Did you know…?

GJ tube complications were more likely to require specialist involvement and have a higher cost charged to patients compared to G tubes.[1]

References:

  1. Ronning, Meghann Marie, Gaillard, Philippe, Wey, Andrew, and Roback, Mark G. Comparison of Emergency Department Visits for Complications of Gastrostomy Versus Gastrojejunostomy Tubes in Children. Pediatr Emerg Care. 2017 Oct;33(10):e71-e74.