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ICU Patients are at High Risk for Complications

Dec 14, 2021 | Tuesday Tube Facts

Did you know…?

Trauma and surgical intensive care unit (TSICU) patients supported with mechanical ventilation are at high risk for complications associated with malnutrition.[1]

Despite these interventions, TSICU patients often suffer a calorie deficit associated with enteral nutrition interruption for procedures or transitions in care.[1]

References:

  1. Shahmanyan, D., Lawrence, J.C., Lollar, D.I., Hamill, M.E., Faulks, E.R., Collier, B.R., Chestovich, P.J. and Bower, K.L. (2021), Early feeding after percutaneous endoscopic gastrostomy tube placement in trauma and surgical intensive care patients: A retrospective cohort study. Journal of Parenteral and Enteral Nutrition. (First published: November 17, 2021). https://doi.org/10.1002/jpen.2303

ICU Nutritional Practice-Tuesday Tube Facts

Apr 21, 2021 | 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.

Covid19 prone EN-Tuesday Tube Facts

Apr 6, 2021 | Tuesday Tube Facts

Did you know…?

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]

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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.

COVID EN Tube Type-Tuesday Tube Facts

Apr 2, 2021 | 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]

If possible, these patients should be fed into the stomach instead of the small bowel.[1]

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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

Mar 29, 2021 | Tuesday Tube Facts

Did you know…?

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

[1]

More than a quarter (26%) of these interruptions were considered avoidable.[1]

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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.

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