The usage of small-bore tubes is more comfortable for the patient.
Tube feeding is an example of Enteral nutrition
Can be by Enteral feeding (NGT feeding , PEG or PEJ)
Enteric-coated products, buccal tablets, sublingual tablets, carcinogenic products, tertogenic products, cytotoxics, and extended-release drugs cannot be crushed for enteral feeding.
Enteral feeding is used to feed patients who can't feed themselves or swallow. A nasogastric tube (tube passed through the nose and down to the throat and to the stomach) allows food to be put into a person without having them swallow.
Enteral feeding is less expensive, leads to decreased infectious complications, enhances host immune function, improves the maintenance of gastrointestinal structure and function, and can conveniently access the gastrointestinal tract.
Due to its small lumen diameter, small-bored tubes are more likely to be clogged by medicatoins or thick enteral nutrition formulations.
These kind of patients need parenteral nutrition:Patient in a coma with pre-existing malnutritionPreterm infants and children who are not fit for enteral nutritionPatients with a systemic inflammatory response after a major traumaPatients with a compromised gastrointestinal tract such as those with a gastrointestinal diseasePatients who are transiting to enteral nutrition
a form of enteral or intestinal site feeding that employs a stoma or semi-permanent surgically placed tube to the small intestines
The medical term for feeding through a naso-gastric tube into the stomach is "nasogastric feeding" or "enteral feeding." This method is often used when a patient is unable to eat or drink normally.
It can lead to clogged feeding tubes, decreased drug effectiveness, an increase of adverse effects and drug-formula incompatibilities.
Enteral feeding should be stopped two hours before and after the administration of the drugs. A longer break is needed for patients with delayed gastric emptying. The tube should be flushed with 30mL of water after food or drug is delivered. Drug-food interaction can also be prevented by increasing the dose. Alternatively, switching to other drugs of the same class can also prevent this from occuring.
if the need for enteral feeding lasts longer than six weeks, or if it improves the outcomes of drastic surgeries such as removal or resection of the intestines.