A novel technique for post-pyloric feeding tube placement in critically ill patients: A pilot study

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dc.contributor.authorYoung, R.
dc.contributor.authorChapman, M.
dc.contributor.authorFraser, R.
dc.contributor.authorYandell, R.
dc.contributor.authorChorley, D.
dc.contributor.authorO'Connor, S.
dc.date.issued2005
dc.descriptionPublisher's copy made available with the permission of the publisher © Australian Society of Anaesthetists
dc.description.abstractDelivery of enteral nutrition in critically ill patients is often hampered by gastric stasis necessitating direct feeding into the small intestine. Current techniques for placement of post-pyloric feeding catheters are complex, time consuming or both, and improvements in feeding tube placement techniques are required. The Cathlocator™ is a novel device that permits real time localisation of the end of feeding tubes via detection of a magnetic field generated by a small electric current in a coil incorporated in the tip of the tube. We performed a pilot study evaluating the feasibility of the Cathlocator™ system to guide and evaluate the placement of (1) nasoduodenal feeding tubes, and (2) nasogastric drainage tubes in critically ill patients with feed intolerance due to slow gastric emptying. A prospective study of eight critically ill patients was undertaken in the intensive care unit of a tertiary hospital. The Cathlocator™ was used to (1) guide the positioning of the tubes post-pylorically and (2) determine whether nasogastric and nasoduodenal tubes were placed correctly. Tube tip position was compared with data obtained by radiology. Data are expressed as median (range). Duodenal tube placement was successful in 7 of 8 patients (insertion time 12.6 min (5.3-34.4)). All nasogastric tube placements were successful (insertion time 3.4 min (0.6-10.0)). The Cathlocator™ accurately determined the position of both tubes without complication in all cases. The Cathlocator™ allows placement and location of an enteral feeding tube in real time in critically ill patients with slow gastric emptying. These findings warrant further studies into the application of this technique for placement of post-pyloric feeding tubes.
dc.description.statementofresponsibilityR. J. Young, M. J. Chapman, R. Fraser, R. Vozzo, D. P. Chorley, S. Creed
dc.description.urihttp://www.aaic.net.au/Article.asp?D=2004309
dc.identifier.citationAnaesthesia and Intensive Care, 2005; 33(2):229-234
dc.identifier.doi10.1177/0310057x0503300212
dc.identifier.issn0310-057X
dc.identifier.issn1448-0271
dc.identifier.orcidChapman, M. [0000-0003-0710-3283]
dc.identifier.orcidYandell, R. [0000-0003-3801-5593]
dc.identifier.orcidO'Connor, S. [0000-0002-4177-4059]
dc.identifier.urihttp://hdl.handle.net/2440/17175
dc.language.isoen
dc.publisherAustralian Soc Anaesthetists
dc.source.urihttps://doi.org/10.1177/0310057x0503300212
dc.subjectHumans
dc.subjectBody Mass Index
dc.subjectEnteral Nutrition
dc.subjectCritical Care
dc.subjectAPACHE
dc.subjectPilot Projects
dc.subjectEquipment Design
dc.subjectComputers
dc.subjectAdult
dc.subjectAged
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.titleA novel technique for post-pyloric feeding tube placement in critically ill patients: A pilot study
dc.typeJournal article
pubs.publication-statusPublished

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