Real-time image-guided nasogastric feeding tube placement: A case series using Kangaroo with IRIS Technology in an ICU

Successful Identification of Anatomical Markers and Placement of Feeding Tubes in Critically Ill Patients via Camera‐Assisted Technology with Real‐Time Video Guidance

“…These results suggest that with further study, direct visualization of the gastric mucosa by the IRIS camera could potentially preclude the need for radiographic confirmation in almost all patients but may require some improvements to the camera to identify other anatomical markers. Our results and clinical experience in this study were similar to a recently published case series by Mizzi et al 19 using IRIS to confirm bedside FT placement in patients in the ICU. In that study, 20 unconscious patients underwent FT placement using the device, and the gastric mucosa was identified in 90% of the cases and airway misplacement was avoided in approximately one-third of patients.…”

“…Our results and clinical experience in this study were similar to a recently published case series by Mizzi et al using IRIS to confirm bedside FT placement in patients in the ICU. In that study, 20 unconscious patients underwent FT placement using the device, and the gastric mucosa was identified in 90% of the cases and airway misplacement was avoided in approximately one‐third of patients . In both the Mizzi et al's study and our own, there was some difficulty with image quality.…”

“…In that study, 20 unconscious patients underwent FT placement using the device, and the gastric mucosa was identified in 90% of the cases and airway misplacement was avoided in approximately one‐third of patients . In both the Mizzi et al's study and our own, there was some difficulty with image quality. The manufacturer has since improved the device design to increase the quality of the camera's visualization.…”

Nasogastric Tube Feeding in Older Patients: A Review of Current Practice and Challenges Faced

“…It has received FDA approval and is currently authorised for research use in the UK. A prospective study on 21 patients in a neurological ITU showed that 90% of patients were successfully intubated, and correct placement was confirmed in all, using abdominal X-ray with contrast [58] ✔Real-time tracking ✔ Scope for the camera to verify placement regularly, prior to enteral feeding, and reduce the need for check X-rays. ✖ It is anticipated that outcomes will be operator-driven, but the training expertise required needs to be evaluated.…”

Developing and Maintaining an RDN‐Led Bedside Feeding Tube Placement Program

“…There has been a long-standing debate on the clinical indications for SBFTs compared with gastric feeding. Multiple meta-analyses and reviews [18][19][20] have attempted to gain clarity on this issue with conflicting results. Furthermore, major nutrition support organizations have issued discrepant recommendations ( Table 2).…”