Nasoenteric Feeding Tube Insertion

Published on 22/03/2015 by admin

Filed under Critical Care Medicine

Last modified 22/03/2015

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W17 Nasoenteric Feeding Tube Insertion

Deepika Mohan

image Before Procedure

Indications

• Inability to maintain volitional intake in the setting of a functional gastrointestinal tract and:

• Critical illness expected to require more than 2 days’ intensive care unit (ICU) stay
• Poor nutritional status
• Multiple comorbid conditions
• Weight loss and nutrient depletion
• Failure to eat for more than 7 days

Contraindications

• Inability to tolerate enteral nutrition:

• Mechanical bowel obstruction
• Peritonitis
• Hemodynamic compromise (e.g., starting or escalating dose of vasopressors in previously stable patient)
• Short gut (relative)

• Severe cranial or facial fractures
• Esophageal obstruction or recent surgery
• Esophageal or gastric varices
• Coagulopathy (relative)

Equipment

• Tube:

• Nasogastric sump tube (14F-18F)
• Nasoenteric feeding tube with stylet and/or metal weighted tip

• Lubricant
• Gloves
• Gown with long sleeves
• Eye protection
• Emesis basin
• Syringe

• 60-mL Toomey syringe if inserting sump tube
• 10-mL Luer-Lok syringe if inserting nasoenteric feeding tube

• Stethoscope
• Adhesive device

• Tape
• Bridle

• Optional:

• Lidocaine jelly
• Pro-motility agent (e.g. metoclopramide, erythromycin)
• End-tidal CO2 detector

image Anatomy

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