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PEG placement and ICU beds-Tuesday Tube Facts

Did you know…?

For COVID-19 patients with ventilator-dependent respiratory failure, PEG tube placement along with a tracheostomy tube may expedite discharge planning. [1]

References:

  1. Goyal H, Ali A, Bansal P. Percutaneous Endoscopic Gastrostomy Tube Placement in COVID-19 Patients. Front Nutr. 2021 Jun 4;8:603276. D: PMC8211889.

First PEG in IR in 1981-Tuesday Tube Facts

Did you know…?

The first percutaneous gastrostomy (PEG) tube that was placed under radiological guidance was in 1981.[1]

Placement via radiological guidance was initially developed for cases where endoscopy could not be performed or was too risky to be attempted.[1]

References:

  1. Ray DM, Srinivasan I, Tang SJ, Vilmann AS, Vilmann P, McCowan TC, Patel AM. Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology. World J Radiol 2017; 9(3): 97-111

PEG fewer complications-Tuesday Tube Facts

Did you know…?

Surgical gastrostomy has the highest total complication rate of 29% compared to approximately 15% for percutaneous endoscopic gastrostomy (PEG) or radiological gastrostomy.[1]

Complications may include tube blockage, infection, or abscess among others.[1]

References:

  1. Karthikumar, Balasubramanian et al. “Percutaneous gastrostomy placement by intervention radiology: Techniques and outcome.” The Indian journal of radiology & imaging vol. 28,2 (2018): 225-231. doi:10.4103/ijri.IJRI_393_17

Malnutrition Prevalent in Older Adults – Tuesday Tube Facts

Did you know…?

Malnutrition is highest among older adults (65+). Hospital stays with malnutrition are 2x longer than those without.[1]

Patients treated for Covid-19 may require a feeding tube to help supplement their nutrition to fight the infection.[2] Keeping these tubes clear by proactively using the TubeClear system may help maintain feeding tube flow so these patients keep getting the nutrition they need for recovery.[3]

References:

  1. Barrett ML, Bailey MK, Owens PL. “Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition.” U.S. Agency for Healthcare Research and Quality. 2016. https://hcup-us.ahrq.gov/reports/HCUPMalnutritionHospReport_083018.pdf
  2. Garcia-Navarro, Lulu, host. “What Is The Treatment For COVID-19 Patients? A Doctor Explains.” Weekend Edition Sunday, NPR. March 15, 2020. https://www.npr.org/2020/03/15/816042230/what-is-the-treatment-for-covid-19-patients-a-doctor-explains
  3. Actuated Medical Inc. TubeClear Prophylactic Test Report: 1100791569, Rev002. 2019.

Acidic Fluids May Coagulate or Thicken Clogs – Tuesday Tube Facts

Did you know…?

The use of acidic liquids to clear a clogged feeding tube may make the problem worse.[1,2]

Enteral feeding proteins coagulate or thicken in an acidic environment.[1,2]

References:

  1. Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feeding tube clogs. Ann Pharmacother. 2011;45:676-680.
  2. Williams NT.Medication administration through enteral feeding tubes. Am J Health-Syst Pharm. 2008;65:2347-2357.