Evaluation of a Technique for Blind Placement of Post-Pyloric Feeding Tubes in Intensive Care - Application in Patients with Gastric Ileus

Bedside Electromagnetic‐Guided Feeding Tube Placement: An Improvement Over Traditional Placement Technique?

“…9,10,22 Benefits to restricting tube placement to a small group of individuals is that placement success rates tend to be improved when a select group of clinicians place tubes frequently and use consistent techniques during the procedure. 9,10 Success reported from using other bedside feeding tube placement methods includes insufflating air, with a published success rate of 77%, 23 prokinetic agents (90%), 24 pH sensing tubes (81%), 25 "corkscrew" technique with air injection (90%), 26 external magnets (89%), 27 electromyography (80%), 28 or electrocardiography (60%). 29 These blind bedside placement techniques have evolved throughout the years, with the development of new methods and special equipment to increase its effectiveness.…”

Complications related to feeding tube placement

“…This study suggests that operator skill may be a more important factor in achieving smallbowel insertions than is the method itself. Another group of investigators explored the efficacy of the 'Corpak 10-10-10 protocol' to achieve postpyloric feeding tube placement in 20 critically ill ventilated patients [33]. In 18 of the 20 cases, the method was used successfully on the first insertion attempt.…”

Ernährungssonden bei kritisch kranken Patienten

“…Durch das einfache Weitervorschieben der EN ist eine postpylorische Lage möglich. Der Zeitaufwand bis zur postpylorischen Lage beträgt im Mittel 18 min [30,53].…”