[Enteral feeding tubes for critically ill patients].
The use of enteral feeding tubes is an important part of early enteral feeding in intensive care medicine. In other faculties with non-critically ill patients, such as (oncologic) surgery, neurology, paediatrics or even in palliative care medicine feeding tubes are used under various circumstances as a temporary or definite solution. The advantage of enteral feeding tubes is the almost physiologic administration of nutrition, liquids and medication. Enteral nutrition is thought to be associated with a reduced infection rate, increased mucosal function, improved immunologic function, reduced length of hospital stay and reduced costs. However, the insertion and use of feeding tubes is potentially dangerous and may be associated with life-threatening complications (bleeding, perforation, peritonitis, etc.). Therefore, the following article will give a summary of the different types of enteral feeding tubes and their range of application. Additionally, a critical look on indication and contraindication is given as well as how to insert an enteral feeding tube.
Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, Regensburg, Germany.
J
J
Braun
T
T
Bein
C H R
CH
Wiese
B M
BM
Graf
Y A
YA
Zausig
D002648:Child; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D013505:Digestive System Surgical Procedures; D016099:Endoscopy, Gastrointestinal; D004750:Enteral Nutrition / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007440:Intubation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D008279:Magnetic Resonance Imaging; D009747:Nutritional Physiological Phenomena; D014463:Ultrasonography