Both intermittent oral gavage tube placement(0G) and indwelling nasogastric tube placement (NG) are acceptable methods for feeding preterm infants. A randomized controlled pilot study was conducted to examine the impact of OG versus NG placement on premature infant feeding transition. Twenty healthy premature infants were enrolled and thirteen completed the study. The results were not statistically significant. Age at last tube feed averaged 35 weeks gestational age (GA) for the intermittent group and 35+4 weeks GA for the indwelling group (p=0.181). Infants in both groups were discharged at an average of 36 weeks GA (p=.836) and averaged suckled volumes at 35 weeks GA was 134.4cc/kg/day for the intermittent group versus 111.8cc/kg/day for the indwelling group (p=0.240). Infant feeding patterns were analyzed descriptively and found to be consistently variable. The lack of consistency in feeding development has implications for feeding plan development and feeding transition care.

Both intermittent oral gavage tube placement(0G) and indwelling nasogastric tube placement (NG) are acceptable methods for feeding preterm infants. A randomized controlled pilot study was conducted to examine the impact of OG versus NG placement on premature infant feeding transition. Twenty healthy premature infants were enrolled and thirteen completed the study. The results were not statistically significant. Age at last tube feed averaged 35 weeks gestational age (GA) for the intermittent group and 35+4 weeks GA for the indwelling group (p=0.181). Infants in both groups were discharged at an average of 36 weeks GA (p=.836) and averaged suckled volumes at 35 weeks GA was 134.4cc/kg/day for the intermittent group versus 111.8cc/kg/day for the indwelling group (p=0.240). Infant feeding patterns were analyzed descriptively and found to be consistently variable. The lack of consistency in feeding development has implications for feeding plan development and feeding transition care.

No / There are well-recognised complications associated with malposition of nasogastric (NG) tubes. In 2011 the UK National Patient Safety Agency (NPSA) published an alert regarding their insertion and position confirmation. This alert also identified the expected radiology standards for both image acquisition and reporting. This was a retrospective review of referrals over a six-month period within a multi-site NHS Trust. A consecutive sampling approach was used and radiology reports where the text included the terms “NG tube”, “nasogastric” or “feeding” were included. Data were collected from the radiology information system and NG tube visibility and image quality were confirmed by two independent reviewers. 1137 examinations demonstrated an NG tube, of which 68.3% were performed to check tube position. There was statistically significant correlation between lower radiation exposure and non-visualisation (Fishers exact test, p < 0.001). The number of examinations with higher exposure index (EI) in the NG check cohort suggests that the radiographer increased the exposure to improve visualization (x2 = 2.846; 95% CI; p = 0.046), although the utility of this is unproven. Malplaced tubes were demonstrated either in the respiratory tract (1.8%) or proximal gastrointestinal tract (8.6%) as a result of insufficient length introduced. The prompt acquisition and reporting of radiographs is essential to reduce the risk of NG tube complications. Respiratory tract misplacement rates were in line with the published literature, but this study does raise concern regarding the number of tubes located in the proximal GI tract. Radiology's responsibility in accurate and effective reporting of medical interventions is significant.

Bakgrund: Enteral nutrition via nasogastrisk sond är en vanlig behandlingsform för kortsiktig nutritionsbehandling då den anses ha förhållandevis lätt inläggning och avlägsnande. Sondinläggning och behandling kan innebära risker som kan leda till aspiration och allvarliga infektioner. Syfte: Syftet var att beskriva vuxna patienters erfarenheter och upplevelser av näringstillförsel via nasogastrisk sond. Metod: En allmän litteraturstudie genomfördes. Nio vetenskapliga artiklar med kvalitativ ansats bearbetades i en innehållsanalys. Resultat: Innehållsanalysen presenterar fyra teman: Erfarenheter och upplevelser av fysiskt obehag, Erfarenheter och upplevelser av ett begränsat liv, Erfarenheter och upplevelser av en förändrad identitet samt Erfarenheter och upplevelser av att hantera vardagen. Deltagare beskrev upplevelser av fysiskt obehag vid insättning av sonden och under själva behandlingen, samt erfarenheter av begränsningar i vardagen och uttryckte även en ovilja att lämna hemmet. Vidare beskrevs upplevelser av en försämrad självbild relaterat till sondens synliga placering samt copingstrategier och behovet av stöd från sjukvårdspersonal och familj. Slutsats: Deltagarna upplevde både positiva och negativa erfarenheter och upplevelser vilket resulterade i motstridiga känslor. Ett individanpassat stöd från sjukvårdpersonal kan ha stor inverkan på deltagarnas välbefinnande och möjlighet till att klara sitt dagliga liv. / Background: Enteral nutrition via nasogastric tube is a common treatment form for short-term nutritional support since intubation and removal are rather simple to perform. Tube intubation and treatment may entail risks of aspiration and serious infections. Aim: The aim was to describe adult patients' experiences of nutritional support via nasogastric tube. Method: A general literature study was implemented. Nine articles with a qualitative approach were analyzed through content analysis. Results: The content analysis present four themes: Experiences of physical discomfort, Experiences of a limited life, Experiences of a changed identity and Experiences of dealing with everyday life. Participants described experiences of physical discomfort during insertion and the treatment itself, and experiences of limitations in their everyday lives and expressed a reluctance to leave their homes. Furthermore, experiences of an impaired self-image related to the tube’s visible location was described as well as coping strategies and a need for support from healthcare personnel and family. Conclusion: Participants described both positive and negative experiences, which resulted in conflicted emotions. Receiving personalized support from healthcare personnel can have a major impact on the participants' well-being and ability to cope with their everyday lives.

The purpose of the study was to identify factors associated with the delay in the initiation of breastfeeding to premature infants before discharge from hospital. The need for this research is evident in the current practice of feeding premature infants after a nasogastric tube is removed. The study sought to provide answers to delayed initiation of breastfeeding to premature infants before discharge from hospital. Fifty members of staff in the Sick Neonate Unit and 50 mothers of premature infants participated in the study. Self-administered data collection instruments were used to collect data from mothers of premature infants and staff of a Sick Neonate Unit in the hospital. The results showed that sociodemographic factors of staff 15 (f=30%) were 31-40 years old, and young nursing staff have decreased knowledge of breastfeeding as compared to senior and older staff members. Maternal demographic factors 36 (f=73.5%) were single and 13 (f=26.5) were married. Married mothers were more likely to breastfeed with the support of the partner than unmarried mothers. Health service factors staff views towards breastfeeding were 11(f=22.0% staff members were neutral about breastfeeding, and Eighteen (f=36.0%) staff members strongly disagreed to other methods of infant feeding. Maternal breastfeeding knowledge was one of the factors under maternal breastfeeding factors because it showed that 48 mothers (f=98.0%) did not have breastfeeding knowledge. Descriptive statistics were used to analyse data. / Health Studies / M.A. (Health Studies)

0BABSTRACT This thesis is focused on enteral nutrition. This issue is an integral part of intensive and resuscitation care, but it is also a part of standard and follow-up care. There are more and more new resources and the products for enteral nutrition are improving. The theoretical part deals with malnutrition, discusses the different components of nutrition. Much of the thesis forms ways of application of nutrition. The issue is a nasogastric tube, a nasojejunal tube, percutaneous endoscopic gastrostomy, percutaneous endoscopic jejunostomy, feeding button or sipping. There are further expanded the introductions, nursing care, indications and contraindications of these options. The following chapters analyse the modes of enteral feeding, advantages and disadvantages of enteral nutrition compared to parenteral. The practical part is focused on research using anonymous questionnaires in the area of enteral nutrition. The survey was conducted in four departments of three teaching hospitals in Prague. It was focused on nurses and paramedics in medical intensive metabolic care units. The survey had 73 respondents. The aim was to identify the mode of feeding that nurses prefer and how they apply it, analyze the extent to which the nurses actively involve themselves in this, how they are oriented in...