明智地选择：喂料管选择基础知识.pdf

1、Choosing Wisely Feeding tube selection basics and complication prevention strategiesCynthia Reddick,RD,CNSCHome Tube Feeding Expert,Educator,and StrategistFinancial DisclosuresAvanos MedicalLearning ObjectivesIdentify considerations in feeding tube selectionReview the various types of access devices

2、 used in long term tube feedingUnderstand the anatomy of gastric tube(GT)placementReview best practices for prevention of tube site complicationsConsiderations in Feeding Tube SelectionFunctional purpose of the tubePhysical abilityMental capacity and ageSocioeconomic factorsEthical considerationsRed

3、dick CA,Greaves JR,Flaherty JE,Callihan LE,Larimer CH,Allen SA.Choosing wisely:Enteral feeding tube selection,placement,and considerations before and beyond the procedure room.Nutr Clin Pract.2023;38(2):216-239.French(Fr)SizeLarger Fr=larger outer diameter(OD)Fr=OD(in mm)x 3Inner diameter(ID)is vari

4、able and not 100%dependent on Fr sizeGastrostomy Tube PlacementCommon techniques:EndoscopicRadiologicSurgicalhttps:/ TechniquesReddick CA,Greaves JR,Flaherty JE,Callihan LE,Larimer CH,Allen SA.Choosing wisely:Enteral feeding tube selection,placement,and considerations before and beyond the procedure

5、 room.Nutr Clin Pract.2023;38(2):216-239.Common Tube Types9Standard Profile Gastrostomy Tube Non balloon24 Fr20 FrStandard Profile Gastrostomy Tube Non balloonStandard Profile Gastrostomy Tube Balloon Standard Profile Gastrostomy Tube Balloon Balloon vs Non Balloon Gastrostomy Tube24 FrBalloon vs No

6、n Balloon Gastrostomy Tube Gastro-Jejunostomy(GJ)TubeNon-balloonBalloonLow Profile Gastrostomy Tube Non-balloonLow Profile Gastrostomy Tube BalloonLow Profile Gastrostomy Tube internal retention variationsIdentifying Feeding Tube TypesReddick CA,Greaves JR,Flaherty JE,Callihan LE,Larimer CH,Allen SA