Comparison of complication rates in dogs with nasoesophageal versus nasogastric feeding tubes

Yu, Melissa K.; Freeman, Lisa M.; Heinze, Cailin R.; Parker, Valerie J.; Linder, Deborah E.

doi:10.1111/vec.12048

Cited by 30 publications

(27 citation statements)

References 15 publications

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“…A highly recommended practice, early EN has been associated with decreased morbidity and mortality in critically ill human and small animal patients . Clinical signs of GIDM were evaluated in recent retrospective studies of critically ill dogs undergoing nasoenteric feeding . The prevalence of vomiting and regurgitation was found to be 11% of patients in one study and 24–26% in another study population.…”

Section: Manifestations and Complications Of Gidmmentioning

confidence: 99%

Gastrointestinal dysmotility disorders in critically ill dogs and cats

Whitehead

Cortes

Eirmann

2016

J Vet Emergen Crit Care

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Objective -To review the human and veterinary literature regarding gastrointestinal (GI) dysmotility disorders in respect to pathogenesis, patient risk factors, and treatment options in critically ill dogs and cats. Etiology -GI dysmotility is a common sequela of critical illness in people and small animals. The most common GI motility disorders in critically ill people and small animals include esophageal dysmotility, delayed gastric emptying, functional intestinal obstruction (ie, ileus), and colonic motility abnormalities. Medical conditions associated with the highest risk of GI dysmotility include mechanical ventilation, sepsis, shock, trauma, systemic inflammatory response syndrome, and multiple organ failure. The incidence and pathophysiology of GI dysmotility in critically ill small animals is incompletely understood. Diagnosis -A presumptive diagnosis of GI dysmotility is often made in high-risk patient populations following detection of persistent regurgitation, vomiting, lack of tolerance of enteral nutrition, abdominal pain, and constipation. Definitive diagnosis is established via radioscintigraphy; however, this diagnostic tool is not readily available and is difficult to perform on small animals. Other diagnostic modalities that have been evaluated include abdominal ultrasonography, radiographic contrast, and tracer studies. Therapy -Therapy is centered at optimizing GI perfusion, enhancement of GI motility, and early enteral nutrition. Pharmacological interventions are instituted to promote gastric emptying and effective intestinal motility and prevention of complications. Promotility agents, including ranitidine/nizatidine, metoclopramide, erythromycin, and cisapride are the mainstays of therapy in small animals. Prognosis -The development of complications related to GI dysmotility (eg, gastroesophageal reflux and aspiration) have been associated with increased mortality risk. Institution of prophylaxic therapy is recommended in high-risk patients, however, no consensus exists regarding optimal timing of initiating prophylaxic measures, preference of treatment, or duration of therapy. The prognosis for affected small animal patients remains unknown. (J Vet Emerg

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Section: Manifestations and Complications Of Gidmmentioning

confidence: 99%

Gastrointestinal dysmotility disorders in critically ill dogs and cats

Whitehead

Cortes

Eirmann

2016

J Vet Emergen Crit Care

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“…Nasoenteric tubes are either nasogastric tubes or nasoesophageal tubes. Apart from being the device of choice for short term nutrition, these tubes do not require general anaesthesia during placement (Yu et al, 2013). Because puppies with canine parvovirus enteritis may not be good candidates for general anaesthesia, oesophagostomy, gastrostomy and jejunal tubes are not recommended.…”

Section: Feeding Devicesmentioning

confidence: 99%

“…Arguments for NG tube placement include the fact that gastric decompression can be achieved if the end of the tube is situated within the stomach lumen and that gastric residual volumes can be measured regularly. A recent study showed that complication rates with nasoenteric tubes were quite low and that complication rates between NG and NE tubes were not significantly different (Yu et al, 2013). Complications that could occur with either of these tubes include epistaxis during tube placement, tracheal intubation, dacrocystitis, rhinitis, aspiration pneumonia, vomiting, regurgitation and blocked or dislodged tubes (Yu et al, 2013, Marks, 2001).…”

Section: Feeding Devicesmentioning

confidence: 99%

“…A recent study showed that complication rates with nasoenteric tubes were quite low and that complication rates between NG and NE tubes were not significantly different (Yu et al, 2013). Complications that could occur with either of these tubes include epistaxis during tube placement, tracheal intubation, dacrocystitis, rhinitis, aspiration pneumonia, vomiting, regurgitation and blocked or dislodged tubes (Yu et al, 2013, Marks, 2001). Because of the risk of tracheal intubation it is important to verify the correct placement of the tube before securing it (Marks, 2001).…”

Section: Feeding Devicesmentioning

confidence: 99%

“…Previously it was thought that NG feeding tubes were associated with more complications because they would interfere with closure of the lower oesophageal sphincter. These potential complications include regurgitation, aspiration pneumonia, gastroesophageal reflux and reflux esophagitis (Yu et al, 2013) and many clinicians preferred the use of NE tubes. Arguments for NG tube placement include the fact that gastric decompression can be achieved if the end of the tube is situated within the stomach lumen and that gastric residual volumes can be measured regularly.…”

Section: Feeding Devicesmentioning

confidence: 99%

See 2 more Smart Citations

Early enteral nutrition in puppies with parvovirus enteritis

Schoor¹,

Schoeman²

2014

The Veterinary Nurse

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Canine parvovirus (CPV) enteritis is an important cause of severe, often fatal enteritis in dogs. Survival rates can be as high as 90% when puppies receive intensive treatment at tertiary veterinary facilities. No disease-specific therapies exist and treatment consists of supportive therapies. These therapies include intensive fluid therapy, antibiotic therapy, anti-emetic therapy and analgesic therapy. Anthelminthic therapy is added to eliminate possible concurrent verminosis. One supportive measure which was found to be associated with more rapid clinical improvement in canine parvovirus enteritis is the early implementation of enteral nutrition. This article reviews the research findings in various aspects of early enteral nutrition in both human and animal critical care. Different naso-enteric feeding devices are compared and various feeding methods for the various clinical scenarios encountered with canine parvovirus enteritis are briefly discussed. The concept of gastric residual volume and its potential role in early enteral nutrition is evaluated. The authors' view on how these research findings can be practically applied to treat puppies with canine parvovirus enteritis is presented. A detailed description is given on the decision making process in early enteral nutrition in a tertiary facility treating puppies with canine parvovirus enteritis.

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Gastrointestinal system motility and integrity

Klaus¹

2016

Monitoring and Intervention for the Critically Ill Small Animal

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Comparison of complication rates in dogs with nasoesophageal versus nasogastric feeding tubes

Abstract: This study did not identify a difference in complication rate between NE and NG feeding tubes in dogs. Additional studies are required to determine the optimal terminal location of feeding tubes in dogs.

Cited by 30 publications

References 15 publications

Gastrointestinal dysmotility disorders in critically ill dogs and cats

Gastrointestinal dysmotility disorders in critically ill dogs and cats

Early enteral nutrition in puppies with parvovirus enteritis

Gastrointestinal system motility and integrity

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