Nasoenteral feeding tube [Neurosurgery Wiki]

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====== Nasoenteral feeding tube ======

Gao et al. from the Jinling Hospital, Medical School of Nanjing University, [[Nanjing]] aimed to compare the effectiveness of [[electromagnetic]]-guided and endoscopic nasoenteral [[feeding tube]] placement among critically ill patients.

They performed a single-center, randomized controlled trial among 161 adult patients admitted to intensive care units (ICUs) requiring [[nasoenteral feeding]]. Patients were randomly assigned to EM-guided or endoscopic nasoenteral feeding tube placement (1:1). The primary end point was the total success rate of correct jejunal placement.

This was achieved in 74/81 and 76/80 patients who underwent EM-guided and endoscopic jejunal tube placements, respectively (91.4% vs. 95%; relative risk, 0.556; [CI], 0.156-1.980; P = 0.360). The EM-guided group had more placement attempts, longer placement time, and shorter inserted nasal intestinal tube length. However, they had shorter total placement procedure duration and physician's order-tube placement and order-start of feeding intervals. The EM-guided group had higher discomfort level and recommendation scores and lesser patient costs. This trial is registered at Chinese Clinical Trials Registry (ChiCTR-IOR-17011737).

Bedside EM-guided placement is as fast, safe, and successful as endoscopic placement and may be considered the preferred technique in critically ill patients
((Gao X, Zhang L, Zhao J, Tian F, Sun H, Wang P, Wang J, Wang Z, Wang X. Bedside
electromagnetic-guided placement of nasoenteral feeding tubes among critically
Ill patients: A single-centre randomized controlled trial. J Crit Care. 2018 Sep 
6;48:216-221. doi: 10.1016/j.jcrc.2018.09.001. [Epub ahead of print] PubMed PMID:
30243201.
)).