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Bedside Placement of pH-Guided Transpyloric Small Bowel Feeding Tubes in Critically III Infants and Small Children

Section of Critical Care Medicine, Department of Pediatrics, University of California, Davis, Section of Pediatric Critical Care Medicine, Department of Pediatrics, University of California, Davis

Gigi Veereman-Wauters, MD, PHD

Section of Pediatric Gastroenterology/Nutrition, Department of Pediatrics, University of California, San Francisco

Dana A.V. Braner, MD

Section of Critical Care Medicine, Department of Pediatrics, University of California, San Francisco

Background and Methods: The small bowel of critically ill infants and small children was cannulated using a soft feeding tube with a pH sensor at the distal tip. By monitoring pH, the tubes were guided through the stomach into the small bowel. Results: Successful placements were performed in 36 of 37 (97%) attempts in 29 critically ill patients whose age was 7.9 ± 6.3 months and weight was 5.9 ± 2.6 kg. Continuous jejunal feedings were administered for 3.7 ± 3.1 weeks without difficulties or complications in all but one patient. Conclusion: pH-guided jejunal tube placement provides a safe, easy bedside alternative to fluoroscopic, endoscopic or surgical placement in critically ill infants and small children. (journal of Parenteral and Enteral Nutrition 21:112-114, 1997)

Journal of Parenteral and Enteral Nutrition, Vol. 21, No. 2, 112-114 (1997)
DOI: 10.1177/0148607197021002112


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