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American Journal of Critical Care. 2006;15: 360-369
Copyright © 2006 by the American Association of Critical-Care Nurses.
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DISTINGUISHED RESEARCH LECTURE

CE Online

Preventing Respiratory Complications of Tube Feedings: Evidence-Based Practice

By Norma A. Metheny, RN, PhD.. From Saint Louis University, St. Louis, Mo.

Abstract

The most dreaded complication of tube feedings is tracheobronchial aspiration of gastric contents. Strong evidence indicates that most critically ill tube-fed patients receiving mechanical ventilation aspirate gastric contents at least once during their early days of tube feeding. Those who aspirate frequently are about 4 times more likely to have pneumonia develop than are those who aspirate infrequently. Although a patient’s illness might not be modifiable, some risk factors for aspiration can be controlled; among these are malpositioned feeding tubes, improper feeding site, large gastric volume, and supine position. A review of current research-based information to support modification of these risk factors is provided.

Presented May 22, 2006, at the AACN National Teaching Institute, Anaheim, Calif.
To receive CE credit for this article, visit the American Association of Critical-Care Nurses’ (AACN) Web site at http://www.aacn.org, click on "Education" and select "Continuing Education," or call AACN’s Fax on Demand at (800) 222-6329 and request item No.1126.




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