Transpyloric Enteral Feeding in Critically Ill Children

Abstract

Transpyloric enteral feeding is a good method of nutritional support in critically ill children and can be used in patients treated with neuromuscular blocking agents. The frequency and severity of complications and the risks of pulmonary infection and hepatic dysfunction related to TEF are low.

Successful blind placement of nasojejunal tubes in paediatric intensive care: impact of training and audit

“…The use of BNJTs is becoming more common in the paediatric intensive care setting. Several studies in paediatrics have shown that NJ feeding has facilitated successful nutritional support via the enteral route, thereby avoiding PN and reaching predicted energy requirements at a faster rate (Panadero et al. 1998).…”

Bedside Postpyloric Tube Placement and Enteral Nutrition Delivery in the Pediatric Intensive Care Unit

“…The PP route may potentially reduce the risk of aspiration and, by bypassing any abnormal gastric emptying, lead to greater EN tolerance . However, the indications for PP feeding are not clear, and practice is not uniform . In addition to careful selection of patients who might benefit from PP feeding, challenges surrounding PP tube placement must be considered.…”

Transpyloric enteral feeding in the postoperative of cardiac surgery in children

“…This means that oral or nasogastric feeding is often poorly tolerated, with gastric distension and a higher risk of pulmonary aspiration, particularly in those patients on mechanical ventilation [9]. Duodenojejunal enteral nutrition has been demonstrated to be a good alternative route in critically ill adults, but there is still little experience in children [10,11].…”