Acute Brain Injury Clinical Trial
Official title:
Rate of Postpyloric Migration of Spiral Nasojejunal Tubes in Brain Injured Patients
The success rate of unguided nasojejunal feeding tube insertion will be determined in acute brain injured patients. Factors influencing tube self-progression will be evaluated.
Nutrition support is important in brain injured patients. Several studies have shown that
small bowel feeding compared with gastric feeding may be associated with a reduction in
pneumonia in critically ill patients. The Canadian Clinical Practice Guidelines recommended
that small bowel feedings should be considered for patients at high risk for intolerance to
enteral nutrition.
There are several methods to place postpyloric tube, but there is a high success rate with
endoscopic or radiological assistance. However, they are time consuming procedures, which is
of limited availability at bedside and requires trained staff.
Nasojejunal tube with spiral end (Flocare Bengmark NJ tube) has been used for bedside
placement for 10 years. But only limited data are available for success rate, especially in
brain injured patients. The aim of this study is to access the success rate and influencing
factors of spiral end nasojejunal tube in such a population.
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Observational Model: Case Control, Time Perspective: Prospective
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