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Everything the nurse practitioner should know about pediatric feeding tubes

Erin Hannah1, Rita Marie John

  • 1Ola Pediatrics, Bronx, New York.

Journal of the American Association of Nurse Practitioners
|October 31, 2013
PubMed

Insights

Pediatric enteral feeding tubes, including nasogastric (NG) and gastrostomy (G) tubes, are crucial for children unable to eat orally. This review covers tube types, complications, and care guidelines for improved quality of life.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Nutrition
  • Nursing Practice

Background:

  • Enteral feeding is vital for pediatric patients with inadequate oral nutrition.
  • Nurse practitioners (NPs) frequently manage children with enteral feeding tubes at home.
  • Understanding tube feeding is essential for optimal patient outcomes.

Purpose of the Study:

  • To review current pediatric feeding tubes.
  • To detail feeding tube complications.
  • To provide guidance for tube feeding initiation, maintenance, and discontinuation.

Main Methods:

  • Literature review across multiple databases (PubMed, CINAHL, Ovid Medline, Cochrane).
  • Keywords: pediatric gastrostomy (G) tubes, nasogastric (NG) tubes, gastrojejunostomy (GJ) tubes, enteral access, nurse practitioner (NP).

Main Results:

  • Enteral feeding tubes are indicated for children unable to obtain adequate nutrition orally.
  • Tube feeding improves health-related quality of life.
  • Various tubes exist: NG, orogastric, G, and GJ tubes.

Conclusions:

  • NPs manage pediatric patients with enteral feeding tubes regularly.
  • Knowledge of risks, benefits, types, and complications is crucial for NPs.
  • Tube feeding is a recommended guideline for undernourished or dysphagic children.
Abstract

Keywords:
Pediatricchildrengastroenterologyprimary care

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