An evaluation of the Cortrak Enteral access system in our intensive care.

Hdl Handle:
http://hdl.handle.net/10147/234793
Title:
An evaluation of the Cortrak Enteral access system in our intensive care.
Authors:
Dolan, A M; O'Hanlon, C; O'Rourke, J
Affiliation:
Beaumont Hospital, Beaumont, Dublin 9. ainedolan13@gmail.com
Citation:
An evaluation of the Cortrak Enteral access system in our intensive care. 2012, 105 (5):153-4 Ir Med J
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish medical journal
Issue Date:
May-2012
URI:
http://hdl.handle.net/10147/234793
PubMed ID:
22803497
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed?term=An%20Evaluation%20of%20the%20Cortrak%20Enteral%20Access%20System%20in%20our%20Intensive%20Care%20
Abstract:
Appropriate nutrition is considered a cornerstone of Intensive care; however its successful initiation is frequently impeded by decreased gastric emptying secondary to opiates, sepsis, or ileus. The presence of a postpyloric tube will guarantee delivery of calories while reducing the incidence of reflux and aspiration. Enteral nutrition is approximately 100 fold cheaper than parenteral nutrition. A nasojejunal tube may be placed blindly (success 15%), by direct vision with a gastroscope, or under fluoroscopic guidance in the X-ray department. This study examines the use of the Cortrak Enteral access system (CEAS) in placement of nasojejunal tubes, a method facilitated by the use of an electromagnet. A retrospective review was conducted to evaluate the effectiveness of the CEAS for establishing nasojejunal feeding in the Intensive Care Unit (ICU) between January and December 2010. Our results found that the CEAS was successful in positioning a nasojejunal tube in ten out of twelve patients (83% success rate). Successful placement was confirmed by portable abdominal / chest x-ray. Placement took an average of 30 minutes, and prokinetic agents were used to facilitate two placements. The duration of successful enteral nutrition varied from 2 to 15 days post placement. The CEAS is a simple bedside tool for placing postpyloric tubes. While there is a learning curve associated with its use, it may confer significant benefits to individual patients and also to those responsible for ever shrinking budgets.
Item Type:
Article
Language:
en
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorDolan, A Men_GB
dc.contributor.authorO'Hanlon, Cen_GB
dc.contributor.authorO'Rourke, Jen_GB
dc.date.accessioned2012-07-20T08:51:07Z-
dc.date.available2012-07-20T08:51:07Z-
dc.date.issued2012-05-
dc.identifier.citationAn evaluation of the Cortrak Enteral access system in our intensive care. 2012, 105 (5):153-4 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22803497-
dc.identifier.urihttp://hdl.handle.net/10147/234793-
dc.description.abstractAppropriate nutrition is considered a cornerstone of Intensive care; however its successful initiation is frequently impeded by decreased gastric emptying secondary to opiates, sepsis, or ileus. The presence of a postpyloric tube will guarantee delivery of calories while reducing the incidence of reflux and aspiration. Enteral nutrition is approximately 100 fold cheaper than parenteral nutrition. A nasojejunal tube may be placed blindly (success 15%), by direct vision with a gastroscope, or under fluoroscopic guidance in the X-ray department. This study examines the use of the Cortrak Enteral access system (CEAS) in placement of nasojejunal tubes, a method facilitated by the use of an electromagnet. A retrospective review was conducted to evaluate the effectiveness of the CEAS for establishing nasojejunal feeding in the Intensive Care Unit (ICU) between January and December 2010. Our results found that the CEAS was successful in positioning a nasojejunal tube in ten out of twelve patients (83% success rate). Successful placement was confirmed by portable abdominal / chest x-ray. Placement took an average of 30 minutes, and prokinetic agents were used to facilitate two placements. The duration of successful enteral nutrition varied from 2 to 15 days post placement. The CEAS is a simple bedside tool for placing postpyloric tubes. While there is a learning curve associated with its use, it may confer significant benefits to individual patients and also to those responsible for ever shrinking budgets.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed?term=An%20Evaluation%20of%20the%20Cortrak%20Enteral%20Access%20System%20in%20our%20Intensive%20Care%20en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.titleAn evaluation of the Cortrak Enteral access system in our intensive care.en_GB
dc.typeArticleen
dc.contributor.departmentBeaumont Hospital, Beaumont, Dublin 9. ainedolan13@gmail.comen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinsteren

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