Blind placement of postpyloric feeding tubes at the bedside in intensive care

[...]blind placements using the Corpak postpyloric feeding tube may be another alternative approach. Logistic regression analysis identified the use of vasopressor, patients with neurological diseases, Acute Physiology and Chronic Health Evaluation (APACHE) II score ≥ 20, Sequential Organ Failure Assessment (SOFA) score ≥ 12, Acute Gastrointestinal (AGI) grade ≥ II, and with mechanical ventilation or continuous renal replacement therapy (CRRT) as independent risk factors influencing the success rate of placement (Fig. 1). The presence of above factors indicated the critical condition of the patients and the impaired state of their gastrointestinal function. [...]these patients always showed a lower success rate. SEE PDF] In conclusion, blind placement of Corpak postpyloric feeding tubes at the bedside was considered to be safe and effective for critically ill patients, and the results of the current study further confirmed that all the aforementioned factors were independent risk factors and the findings of this may provide evidence for tailored therapy. [...]this technique may facilitate the establishment of postpyloric feeding in the ICU.