British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 5, Issue.: 9
A Novel Solution to Securing Nasogastric Feeding Tubes in Pediatric Burn Patients
Alyssa Brzenski1, Bruce Potenza2, Jeanne Lee2 and Mark Greenberg1* 1University of California, San Diego, Department of Anesthesiology, 200 West Arbor Dr, San Diego Ca 92103, United States.
2University of California, San Diego, Department of Surgery, 200 West Arbor Dr, San Diego Ca 92103, United States.
Alyssa Brzenski1, Bruce Potenza2, Jeanne Lee2 and Mark Greenberg1*
1University of California, San Diego, Department of Anesthesiology, 200 West Arbor Dr, San Diego Ca 92103, United States.
(1) Shashank Kumar, Department of Biochemistry, University of Allahabad, Allahabad, India.
(2) Jimmy T. Efird, Department of Public Health, Director of Epidemiology and Outcomes Research East Carolina Heart Institute, Brody School of Medicine, Greenville, North Carolina, USA.
(1) Anonymous, Universidade Federal do Rio Grande do Sul, Brazil.
(2) Rakesh Garg, Department of Anaesthesiology and Intensive Care, All India Institute of Medical Sciences, New Delhi, India.
Complete Peer review History: http://www.sciencedomain.org/review-history/6713
Aims: To present a novel method of securing nasogastric (NGT) feeding tubes in pediatric burn patients.
Presentation of Case: We have developed an arrangement of tube, twill tie and suture, to secure a feeding tube in position, in which a twill tie is secured around the patient’s head and interwoven into the burn dressing. The NGT is secured to the twill tie via a locking suture.
Discussion: Nasogastric feeding tubes are important in pediatric burn patients to facilitate the healing process by meeting their increased metabolic demand for protein and calories. These tubes are typically secured via tape to the face, but in patients with facial burns tape may not adequately anchor the feeding tube, allowing for unintended dislodgement of the NGT. Inadvertent removal of nasogastric tubes places patients at risk for complications including prolonged healing time and aspiration, as well as the need for replacement of the NGT.
Conclusion: We present a novel method of securing nasogastric feeding tubes in pediatric burn patients, which has decreased the inadvertent dislodgement of NGTs in the pediatric burn patients.
Nasogastric tube; burns; aspiration.
DOI : 10.9734/BJMMR/2015/13729Review History Comments