Patients unable to use oral, oral ingestion or insufficient benefit from the use of nasogastric tube. Possible complications associated with malposition of nasogastric tube and the impact of these complications indicate the need to... more
Patients unable to use oral, oral ingestion or insufficient benefit from the use of nasogastric tube. Possible complications associated with malposition of nasogastric tube and the impact of these complications indicate the need to evaluate the current insertion technique, as well as knowing the predictive ability of the methods for evaluating the position adopted at the bedside. We evaluated 80 of the insertion procedure enteral feeding as well, the tests used to check the positioning at the bedside, between October 2010 and May 2011. It was found that in 50% of procedures nurses adopted the standard estimate, with a success rate of inserting enteral feeding in different portions of the gastrointestinal tract of 97.5% (n=78) and 2.5% (n=2) inadvertent placement. The average estimate of measure of the nurses was 65.8 ± 7.4, the standard estimate was 58.2 ± 4.6, and the estimate suggested by Hanson 49.3 ± 2.95. There was a weak correlation between the estimate and standard of nurses ...
Objective: to evaluate the correlation between the auscultation test and X-ray when detecting the position of an enteral feeding tube. Methods: cross-sectional study in an intensive care unit in southern Brazil, in 2011. Clinical nurse... more
Objective: to evaluate the correlation between the auscultation test and X-ray when detecting the position of an enteral feeding tube. Methods: cross-sectional study in an intensive care unit in southern Brazil, in 2011. Clinical nurse and nurse researcher performed auscultation test recording the impressions regarding the placement of an enteral feeding tube in 80 patients. A doctor evaluated the X-ray. Kappa coefficient and PABAK reviewed the agreements. Results: The X-ray showed that 70% of the enteral tubes were in the stomach, 27.4% in the duodenum, 1.3% in the esophagus, and 1.3% in the right lung. There was a weak correlation between clinical nurses and nurse researchers (PABAK = 0.054; P = 0.103), clinical nurses and X-rays (PABAK = 0.188; P = 0.111) and nurse researchers and X-rays (PABAK = 0.128; P = 0.107) . The auscultation test did not detect two risk conditions, enteral feeding tube in the esophagus and the bronchus. Conclusion: the auscultation test showed little agre...
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Different conditions require that critically ill patients to receive lower than prescribed enteral nutrition volumes, energy and protein. This study objective was to evaluate the prescribed versus administered enteral nutrition difference... more
Different conditions require that critically ill patients to receive lower than prescribed enteral nutrition volumes, energy and protein. This study objective was to evaluate the prescribed versus administered enteral nutrition difference in adults admitted to an intensive care unit. In 2009, patients were followed for 30 days from the start of enteral nutrition to its discontinuation, or discharge from the intensive care unit. Parametric and nonparametric tests were used to evaluate prescribed versus administered differences. Eighty five patients were enrolled; mean age was 58.6±18.0 years and 40% were male. The patients remained in hospital for 29.5 days (IQ: 15.2 - 48.7) and were under enteral nutrition for 10 (IQ: 4.2 - 27.5) days. Lower than enteral nutrition prescribed volume (-428±243ml/day), energy (-665±412 Kcal/day) and protein (-30±19 g protein/day) was received. Individual patients' evaluation demonstrated that about 40% of the prescribed volume was not actually give...
Patients in whom oral energy intake is insufficient for daily needs may develop malnutrition and its complications, such as increased infection rates, increased length of hospitalization, and death. Enteral feeding is beneficial for these... more
Patients in whom oral energy intake is insufficient for daily needs may develop malnutrition and its complications, such as increased infection rates, increased length of hospitalization, and death. Enteral feeding is beneficial for these patients. However, this therapy is not without complications related to the insertion and placement of enteral feeding tubes. This review aims to identify from the literature different techniques for insertion and the methods used to evaluate the placement of enteral feeding tubes.