Enteral feed obstructing its own way

Kesarwani, Vikas; Ghelani, Dhaval; Reece, Graham

doi:10.4103/0972-5229.74172

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…Some other liquid medical solutions cause gastric motility to slow down, and the formation of insoluble gelatins in the presence of acids predispose to the formation of bezoars (indigestible deposits that can form in the stomach). In patients in coma, sedated or with altered state of consciousness and with gastroesophageal reflux, such aggregates can cause obstruction of the esophagus with sometimes impossibility of removal of the enteral probe itself (e.g., liquid sucralfate) [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

The Role of the Pharmacist in Selecting the Best Choice of Medication Formulation in Dysphagic Patients

Zuccari

Macis²,

Alfei

et al. 2022

JPM

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Usually, the administration of drugs by feeding tube in dysphagic patients involves handling of marketing licenses outside their term, due to the lack of suitable formulations. This circumstance has put health professionals in the dilemma of choosing the formulation whose manipulation possibly does not alter the effectiveness of the drug. In this regard, a practical guide providing indications on the prescription, handling, and administration of drugs through enteral feeding tube could be of paramount utility. For this purpose, we have considered the 1047 solid oral pharmaceutical forms included in the formulary of San Paolo Hospital (Savona, Italy). From our analysis, it emerges that 95% of medicinal products are worryingly used off-label and 40% have to be managed by the hospital pharmacists without having suitable indications by either the manufacturers or by literature studies. To fill this gap, we have compiled a detailed table containing missing indications derived from pharmacist expertise and evidence-based practices, with the aim that the sharing of our procedures will contribute to make uniform pharmacological therapies from one hospital to another. This study will allow doctors to have easy access to information on drugs that can be prescribed and nurses to become familiar only with the pharmaceutical forms that can be administered.

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Section: Resultsmentioning

confidence: 99%