Post-pyloric feeding has been shown to be beneficial compared to gastric feeding in terms of calories delivered, length of intensive care unit stay and possibly rates of ventilator-associated pneumonia and mortality. It has often been disregarded as taking too long or requiring expensive equipment, but we have established a rapid, safe, cheap and reliable technique for inserting post-pyloric feeding tubes.
KearnsPJChinDMuellerL. The incidence of ventilator-associated pneumonia and success in nutrient delivery with gastric versus small intestinal feeding: a randomized clinical trial. Crit Care Med2000;28: 1742–46.
2.
MontejoJCGrauTAcostaJ. Multicenter, prospective, randomized, single-blind study comparing the efficacy and gastrointestinal complications of early jejunal feeding with early gastric feeding in critically ill patients. Crit Care Med2002;30: 796–800.
3.
MontecalvoMEA. Nutritional outcome and pneumonia in critical care patients randomized to gastric versus jejunal tube feedings. The Critical Care Research Team. Crit Care Med1992;20: 1377–87.
4.
HeylandDKDhaliwalRDroverJW. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adult patients. J Parenter Enteral Nutr2003;27: 355–73.
5.
MentecHDupontHBocchettiM. Upper digestive intolerance during enteral nutrition in critically ill patients: frequency, risk factors, and complications. Crit Care Med2001;29: 1955–61.
6.
NeumannDDe LeggeM. Gastric versus small-bowel tube feeding in the intensive care unit: A prospective comparison of efficacy. Crit Care Med2002;30: 1436–38.
7.
DaviesARFroomesPRAFrenchCJ. Randomized comparison of nasojejunal and nasogastric feeding in critically ill patients. Crit Care Med2002;30: 586–90.
8.
LevyHHayesJBoivinM. Transpyloric feeding tube placement in critically ill patients using electromyogram and erythromycin infusion. Chest2004;125: 587–91.
9.
PowersJChanceRBortenschlagerL. Bedside placement of small-bowel feeding tubes: in the intensive care unit. Crit Care Nurse2003;23: 16–24.