Jejunal tube placement in critically ill patients: A prospective, randomized trial comparing the endoscopic technique with the electromagnetically visualized method

Abstract

In a head-to-head comparison correct jejunal tube placement using the new electromagnetically visualized method was as fast, safe, and successful as the endoscopic method in a comparative intensive care unit patient population.

Effectiveness of an Electromagnetic Feeding Tube Placement Device in Detecting Inadvertent Respiratory Placement

“…Various combinations of key words used in the search included electromagnetic phenomena, enteral nutrition, instrumentation, gastrointestinal, point-ofcare testing, pneumothorax, and Cortrak. Fifteen published studies 1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17] were found that evaluated the effectiveness of an ETP device in determining tube location. These studies were reviewed for any reference to detection of bronchopulmonary placements.…”

“…3 Researchers in multiple studies have evaluated the effectiveness of an electromagnetic tube placement (ETP) device in distinguishing between tube placement in the stomach and in the small bowel. 1,[4][5][6][7][8][9][10][11][12][13][14][15][16][17] However, fewer studies have involved evaluation of the effectiveness of an ETP device in detecting bronchopulmonary placements. 1,6,11,12,14,16 Purpose This study had 2 purposes: 1.…”

Electromagnetic-Guided Bedside Placement of Nasoenteral Feeding Tubes by Nurses Is Non-Inferior to Endoscopic Placement by Gastroenterologists: A Multicenter Randomized Controlled Trial

“…Moreover, the vast majority of previous studies had a single-center, retrospective, non-comparative design. Only one single-center study randomized patients to either EM-guided or endoscopic nasoenteral feeding tube placement ( 25 ). Th is study had a small sample size (66 patients) with a rather low success rate of the fi rst endoscopic procedure (36%), whereas reinsertions aft er tube-related complications or failed replacements were not reported.…”

“…Moreover, studies in surgical patients, especially those with an altered upper gastrointestinal anatomy aft er surgery, are scarce. Most studies, including the only randomized trial ( 25 ), were performed in a single-center intensive care setting.…”

Nasopharyngeal perforation by a new electromagnetically visualised enteral feeding tube

“…A new electromagnetically visualised jejunal feeding tube system (CORTRAK Enteral Access System) compared favourably in a prospective randomised trial with the gold standard technique, endoscopic tube placement 2. The placement success rate of the new system was 91% with similar implantation time and safety profile, but at a much lower cost 2…”