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Enteral nutrition interruption-Tuesday Tube Facts

Did you know…?

Patients who had at least one interruption to their enteral nutrition increased their hospital length of stay by 8 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. 

IR GJ Study-Tuesday Tube Facts

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In a 6 month period and at one hospital, 242 GJ feeding tubes were replaced.[1]

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. Sharafinski, Mark E. Jr.; Sehnert, Elizabeth; Moe, David; Zhang, Liyun; Simpson, Pippa; Vo, Nghia J. Pediatric Gastrojejunostomy Tube Replacement: Effects of Communication on the Need for After-Hours Procedures, Journal of Pediatric Gastroenterology and Nutrition: September 2016 – Volume 63 – Issue 3 – p e27-e30 doi: 10.1097/MPG.0000000000001267

GJ tube dislodgement-Tuesday Tube Facts

Did you know…?

In a six-year study tracking gastrojejunostomy (GJ) tubes, the two most common indications for tube exchange were structural or mechanical problems (43.1%) and GJ tube dislodgement (34.6%).[1]

References:

  1. A Natural History of Gastrojejunostomy Tubes in Children. Rachel E Wilson, Pavithra K Rao, Aaron J Cunningham, Elizabeth N Dewey, Sanjay Krishnaswami, and Nicholas A Hamilton. J Surg Res. 2020 Jan;245:461-466.

Covid19 prone EN-Tuesday Tube Facts

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For COVID-19 ICU patients in the prone position, enteral nutrition in the stomach is generally well-tolerated.[1]

On occasion, postpyloric placement of the feeding tube may be indicated. Placement of postpyloric tubes increases exposure to SARS‐CoV‐2, and thus their use should be considered only on a case‐by‐case basis in patients with COVID‐19.[1]

References:

  1. Patel, J.J., Martindale, R.G. and McClave, S.A. (2020), Relevant Nutrition Therapy in COVID‐19 and the Constraints on Its Delivery by a Unique Disease Process. Nutrition in Clinical Practice, 35: 792-799. doi:10.1002/ncp.10566.

EN interruptions-Tuesday Tube Facts

Did you know…?

Enteral nutrition is often interrupted because of procedures, positioning, technical issues with feeding accesses, and gastrointestinal intolerance issues.[1]

References:

  1. 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.
  2. Blumenstein, I., Shastri, Y.M., Stein, J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014. 20(26):8505-24.