1. Electromagnetically guided bedside placement of post-pyloric feeding tubes in critical care.
- Author
-
Bear, Danielle E, Champion, Alice, Lei, Katie, Camporota, Luigi, and Barrett, Nicholas A
- Subjects
- *
ELECTROMAGNETIC devices , *FEEDING tubes , *PYLORUS , *ENTERAL feeding , *X-rays , *HOSPITAL beds , *HOSPITAL patients -- Nutrition , *TEACHING hospitals , *EQUIPMENT & supplies , *ACADEMIC medical centers , *CRITICAL care medicine , *ELECTROMAGNETISM , *HEALTH care teams , *INTUBATION , *PATIENTS , *RESEARCH funding , *GASTRIC intubation , *MECHANICAL ventilators , *PROFESSIONAL practice , *PREDICTIVE tests , *RETROSPECTIVE studies , *DATA analysis software , *DESCRIPTIVE statistics - Abstract
Post-pyloric feeding is recommended in critically ill patients with gastrointestinal intolerance. However, traditional placement methods are logistically difficult and carry potential risks. The authors retrospectively compared the position of post-pyloric feeding tubes (PPFTs) using an electromagnetic device that demonstrated by X-ray and analysed the complication rates, proportion of lung placements avoided and the time taken to establish enteral feeding. Forty placements in 37 mechanically ventilated patients were analysed; there was a success rate of 87.5%. Sensitivity and specificity were 77% (95% CI 59.9-89.6%) and 100% (95% CI 48.0-100%). Five lung placements were identified in real time and therefore avoided. The mean (SD) time from PPFT placement to X-ray was 134 minutes (± 139 minutes) and, to feeding, 276 minutes (± 213 minutes). In conclusion, placement of PPFT using an electromagnetic device carries a high success rate, is safe and feasible to undertake at the bedside in mechanically ventilated patients. [ABSTRACT FROM AUTHOR]
- Published
- 2017
- Full Text
- View/download PDF