orogastric tubes
- From: "Buckie,Marcia" <mbuckie (at) dmc.org>
- Date: Wed, 15 Mar 2006 09:23:57 -0500
Our dept. has noticed that in the ICUs, docs are using orogastric tubes vs. NG tubes because the most current literature states the nasal route causes sinus infections in critical care patients.
In the past, we have done bedside evals and MBSS with the NGT in place (to avoid removal and replacement of the tube if the patient is not ready to eat) with the understanding that it can be removed if we think it is impacting the pt's swallow function (we are aware of the current lit on the NGT, but our clinical experience has been that many patients can swallow safely and efficiently with the Ngt in place)
Although the effects on the oral swallow is obvious, does anyone have any references for it? Often, we have patients that can safely tolerate a po diet, but fatigue , etc require them to still have tube feeding for adequate calorie intake.
Anyone else running into a similar practice pattern?
Thanks
Marcia
Marcia Peterson Buckie, M.A.CCC-SLP
Senior Speech Language Pathologist
Physical Medicine & Rehabilitation/ 1 West
Sinai-Grace Hospital
Detroit, Mi
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