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COVID EN Tube Type-Tuesday Tube Facts

Did you know…?

Small-diameter feeding tubes (10-12 French) are recommended for COVID-19 patients in the ICU who require enteral nutrition.[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. May 27, 2020. https://doi.org/10.1002/jpen.1930

ICU LOS Increase with EN Interruption-Tuesday Tube Facts

Did you know…?

For critically ill surgical patients, interruptions to EN increases length of ICU stay by 1.5 days.

[1]

References:

  1. 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.

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.

Cola May Make Clogging Worse-Tuesday Tube Facts

Did you know…?

Colas and juices, while popular as a home remedy to clear clogged feeding tubes, may create additional clogs.[1]

In addition, cola does not dissolve formula-based clogs in feeding tubes.[2]

References:

  1. Dandeles, L. and Lodolee, A. Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs. The Annals of Pharmacotherapy. 2011. 45:676-680.
  2. Klang, M.; Gandhi, U.; Mironova, O. Dissolving a Nutrition Clog With a New Pancreatic Enzyme Formulation. Nutrition in Clinical Practice. 2013. 28:410-412.

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.