Nasointestinal intubation with tiger tubes: a case series indicates risk of mucosal damage

Journal of Human Nutrition and Dietetics : the Official Journal of the British Dietetic Association
S J TaylorAlexander R Manara

Abstract

Abstract In five intubations using the tiger tube (Cook) two were successfully placed into the small intestine. Two of the three intubation failures were due to early death due to the underlying condition. Nasointestinal placement permitted successful enteral feeding. Unfortunately, both nasointestinal placements were associated with mucosal damage that appears to be related to the tube "flaps". The tiger tube facilitates nasointestinal tube placement but until concerns regarding safety are addressed its clinical use cannot be recommended.

References

Oct 1, 1996·Critical Care Medicine·C R Hernández-SocorroJ L Manzano
Nov 26, 2002·Intensive Care Medicine·Mette M BergerRené L Chioléro
May 14, 2003·Digestive Diseases and Sciences·Stephen J TaylorAlex R Manara
Sep 16, 2003·JPEN. Journal of Parenteral and Enteral Nutrition·Daren K HeylandUNKNOWN Canadian Critical Care Clinical Practice Guidelines Committee
Apr 13, 2004·Current Opinion in Critical Care·Andrew R Davies, Rinaldo Bellomo
Apr 28, 2005·Journal of Intensive Care Medicine·Stephen J TaylorClaire Jewkes
May 19, 2005·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Stéphane VilletMette M Berger

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Citations

Oct 24, 2007·Intensive Care Medicine·Damon C Scales, Andreas Laupacis
Jan 11, 2011·Critical Care : the Official Journal of the Critical Care Forum·Günther ZickNorbert Weiler
Jan 17, 2012·JPEN. Journal of Parenteral and Enteral Nutrition·Jessica M LeeJohn W Mah
Oct 25, 2012·European Journal of Clinical Nutrition·A P Vivanti

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