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Bedside Placement of pH‐Guided Transpyloric Small Bowel Feeding Tubes in Critically III Infants and Small Children
Author(s) -
Dimand Robert J.,
VeeremanWauters Gigi,
Braner Dana A.V.
Publication year - 1997
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607197021002112
Subject(s) - critically ill , medicine , parenteral nutrition , feeding tube , enteral administration , short bowel syndrome , jejunum , jejunostomy , surgery , intensive care medicine
Background and Methods: The small bowel of critically ill infants and small children was cannulated using a soft feeding tube with a pH sensor at the distal tip. By monitoring pH, the tubes were guided through the stomach into the small bowel. Results: Successful placements were performed in 36 of 37 (97%) attempts in 29 critically ill patients whose age was 7.9 ± 6.3 months and weight was 5.9 ± 2.6 kg. Continuous jejunal feedings were administered for 3.7 ± 3.1 weeks without difficulties or complications in all but one patient. Conclusion: pH‐guided jejunal tube placement provides a safe, easy bedside alternative to fluoroscopic, endoscopic or surgical placement in critically ill infants and small children. (journal of Parenteral and Enteral Nutrition 21: 112–114, 1997)