To prevent occlusion between feedings, the tube should be flushed and capped with a column of water remaining. If vomiting, hypersalivation, or abdominal distention occurs during infusion, the volume and infusion rate should be decreased and feeding frequency increased. The diet should be warmed to near body temperature and slowly administered over 10 to 15 minutes. If more than 20% of the previous meal is aspirated, prokinetic drug administration and reduced food intake are recommended. If bolus delivery is elected, the tube should be aspirated between feedings to confirm tube patency, GI motility, and adequate passage of the previous meal. If a syringe pump is used for CRI, the fluid line should be changed daily to prevent clogging. Liquid diets can be delivered via constant-rate infusion (CRI) or intermittent bolus (see Developing a Feeding Plan). If they can be used, larger tubes can accommodate a diluted, commercially homogenized recovery diet. When a 5- or 6-French tube is placed, supplementation is limited to a liquid enteral diet. The small internal diameter of NE and NG tubes is a major limitation.
In this dog, the NE tube is sutured to the skin caudolateral to the planum and on the forehead.
Although Elizabethan collars are recommended, many patients do not tamper with NE tubes if they are secured to the patient in a comfortable location. Related Article: Feeding the Critically Ill, Anorectic Dogįigure 1. Evidence that NG tubes can cause signs of reflux esophagitis is lacking (possibly because of their small size), despite the fact that they cross the lower esophageal sphincter. Although NE and NG tubes are normally used for short-term feeding, they can be retained for several weeks 2 however, unlike gastrostomy and enterostomy tubes, NE and NG tubes can be removed within hours of placement. The small tube size allows patients to eat or drink around the tubes. NE and NG feeding tubes are relatively inexpensive, can be placed quickly and easily, do not require general anesthesia, and are generally well tolerated by cats and dogs (Figure 1). 1 Patients should be given a chance to eat on their own before tube feeding is initiated.Įnteral nutrition is commonly delivered via a nasoesophageal (NE), nasogastric (NG), esophagostomy, gastrostomy, or enterostomy tube. Recovery from such conditions as parvoviral enteritis is faster with enteral nutrition. Enteral nutrition helps maintain the structure and function of the GI tract and acts as an immunologic barrier. Enteral nutrition may be preferred to parenteral nutrition when there is adequate GI tract function. NET Framework Version:9 ASP.NET Version.Early feeding of hospitalized veterinary patients is critical for prevention of malnutrition and recovery from systemic illness. (IExecutionStep step, Boolean& completedSynchronously) +134 EndProcessRequest(IAsyncResult asyncResult) +38 b_20_1(IAsyncResult asyncResult, ProcessRequestState innerState) +43 EndExecute(IAsyncResult asyncResult) +38 WrappedAsyncVoid`1.CallEndDelegate(IAsyncResult asyncResult) +39 EndExecuteCore(IAsyncResult asyncResult) +52
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