Implementation of a gastrostomy care bundle reduces dislodgements and length of stay

Ruffolo, Luis I.; Pulhamus, Marsha; Foito, Theresa; Levatino, Elizabeth; Martin, Heather; Michels, Julie; Schriefer, Jan; Wolcott, Kori; Wakeman, Derek

doi:10.1016/j.jpedsurg.2020.09.045

Cited by 5 publications

(1 citation statement)

References 13 publications

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“…In a similar vein, care by a gastrostomy team may improve outcomes following gastrostomy placement, including a reduction in gastrostomy complications. For example, at a single centre, implementation of a care bundle following gastrostomy placement resulted in a decrease in tube dislodgements and hospital length of stay [33]. A single-centre study showed an improvement in 30-day mortality following gastrostomy tube placement if a multidisciplinary 'feeding issues' team was involved with the decision to pursue gastrostomy [34].…”

Section: Multidisciplinary Tracheostomy and Gastrostomy Teammentioning

confidence: 99%

Updates in percutaneous tracheostomy and gastrostomy: should we strive for combined placement during one procedure?

DeMaio

Yarmus

2022

Current Opinion in Pulmonary Medicine

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Purpose of reviewPercutaneous tracheostomy and gastrostomy are minimally invasive procedures among the most common performed in intensive care units. Practices across centres vary considerably, and questions remain about the optimal timing, performance and postoperative care related to these procedures.Recent findingsThe COVID-19 pandemic has triggered a reevaluation of the practice of percutaneous tracheostomy and gastrostomy in the ICU. Combined percutaneous tracheostomy and gastrostomy at the bedside has potential benefits, including improved nutrition, decreased exposure to anaesthetics, decreased patient transport and decreased hospital costs. Percutaneous ultrasound gastrostomy is a novel technique that eliminates the need for an endoscope that may allow intensivists to perform gastrostomy at the bedside.SummaryMultidisciplinary care is essential to the follow up of critically ill patients receiving tracheostomy and gastrostomy. Combined tracheostomy and gastrostomy has numerous potential benefits to patients and hospital systems. Interventional pulmonologists are uniquely qualified to perform both procedures and serve on a tracheostomy and gastrostomy team.

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Section: Multidisciplinary Tracheostomy and Gastrostomy Teammentioning

confidence: 99%