¿What`s the best postpyloric tube insertion technique in pediatric patients? A literature review.
DOI:
https://doi.org/10.60108/ce.372Keywords:
Enteral nutrition, feeding, enteral, PediatricsAbstract
Fluoroscopy, endoscopy, electromagnetic device and bedside are the 4 main insertion techniques for postpyloric feeding tubes. The first two methods are invasive and expensive. The third one is innovative and successful but requires training to use it. The last one results less effective due to a lack of consensus on the correct procedure, resulting in an increase in the number of attempts and radiation exposure.
The objective of this study consists in analyzing the available literature about the different methods of insertion of postpyloric feeding tubes and the right procedure of the bedside insertion.
A literature research has been carried out in different data bases with free terms of the last 10 years, selecting a total of 12 articles.
For the bedside insertion a number of recommendations have been found to increase the percentage of success. Nursing training programs increase success rates and decrease patient unnecessary radiation. Some institutions have developed algorithms to prevent these radiations in pediatric patients and suggest the EM method as second line procedure or in patients with anatomical anomalies and the bedside method as first line procedure.
Bedside is the suggested first line method due to its simplicity. It is necessary to establish protocols that help decrease unnecessary radiation exposure. There is scarce evidence about this topic and more research is needed.
References
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