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Related Experiment Videos

Transpyloric passage of feeding tubes in patients with head injuries does not decrease complications

D A Spain1, R C DeWeese, M A Reynolds

  • 1Department of Surgery, University of Louisville School of Medicine, Kentucky 40292, USA.

The Journal of Trauma
|December 1, 1995
PubMed
Summary
This summary is machine-generated.

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Early enteral nutrition via nasoenteric tubes (NETs) in severe closed head injuries (CHI) showed less than half achieved transpyloric passage. Adjunctive measures offered no clear benefit, suggesting they may not be necessary for these patients.

Area of Science:

  • Critical Care Medicine
  • Gastroenterology
  • Neurology

Background:

  • Early enteral nutrition is crucial for severe closed head injury (CHI) patients.
  • Nasoenteric tube (NET) feeding efficacy and safety, particularly aspiration risk, are debated.
  • Optimizing enteral nutrition delivery is key for patient outcomes.

Purpose of the Study:

  • To assess the transpyloric passage rate of nasoenteric tubes (NETs) in severe CHI patients.
  • To evaluate the effectiveness of measures promoting NET passage.
  • To determine the impact of NET position on pulmonary complications.

Main Methods:

  • Seventy-four moderate to severe CHI patients received enteral nutrition.
  • NETs were placed, with position assessed via abdominal films and fluoroscopy if needed.

Related Experiment Videos

  • Transpyloric passage rates and pulmonary complication incidence were analyzed.

    • Main Results:

    • Only 43% of patients achieved spontaneous transpyloric passage of NETs.
    • No significant differences in feeding, ventilation, or ICU stay were observed between postpyloric and intragastric groups.
    • Pneumonia and aspiration rates were similar regardless of NET position.

    Conclusions:

    • Spontaneous transpyloric passage of NETs is infrequent in severe CHI.
    • Adjunctive measures to promote NET passage showed no clear benefit.
    • Routine use of these measures may not be warranted, simplifying nutritional support.