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Unformatted text preview: Benefits and Complications of Feeding Tubes Feeding Route Considerations Insertion Methods Benefits Complications Nasogastric Short-term Smaller tubes clog more easily Need fully functional GI tract Can be inserted orally Blindly at bedside Endoscopically or radiologically in unusual cases Easily inserted and replaced Can use bolus feeding Sinusitis Aspiration (gastroesophageal reflux) Airway obstruction (post-cricoid ulceration) Nasal necrosis Pneumothorax from inadvertent tracheal insertion Displacement Occlusion Nasojejunal Short-term Use in patients with aspiration, poor gastric emptying (post- operative ileus, gastroparesis) Can insert but do not use if patient not volume resuscitated or hemodynamically unstable Cannot check residuals to determine tolerance Requires continuous infusion Blindly at bedside Directed in operating room Endoscopically Radiologically Reduces aspiration risk Some tubes allow suction of the stomach while feeding into small bowel Sinusitis Aspiration (gastroesophageal reflux)...
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- Spring '09