Nasojejunal tube feeding in children: knowledge and practice

British Journal of Community Nursing
Hazel Rollins

Abstract

Nasojejunal tubes (NJ) are used in small numbers of children outside of neonatal and paediatric intensive care units. There is limited evidence on which to base practice aside from insertion techniques. Ongoing care and management is largely based on historical practice and extrapolation from nasogastric tube practice. This paper presents the historical caseload data for 36 babies and children over a five year period. The children ranged from 0 to 13 years of age, and 95% were less than 2 years old. They had a median of 4 tubes each (range 1 - 46). The paper presents data from two surveys of health professionals that demonstrate a lack of consistency in practice. There are concerns about ongoing position checks and about the radiation burden in these children. Local practice is described that aims to reduce dependence on x-ray procedures and to stimulate debate. Finally, an argument is made for a better evidence base for future practice.

References

Dec 24, 2002·Archives of Disease in Childhood·A B ChangM Hubbard
Oct 11, 2005·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·James P MaloneyMarc Moss
Oct 15, 2005·JPEN. Journal of Parenteral and Enteral Nutrition·Lorri M PhippsNeal J Thomas

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Methods Mentioned

BETA
X-ray

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