Detecting Enteral Nutrition Residues and Microorganism Proliferation in Feeding Tubes via Real‐Time Imaging

Yamaoka, Ippei; Kagawa, Tomohiro; Mizugai, Kazuya; Ebisu, Goro

doi:10.1177/0884533616675189

Cited by 4 publications

(3 citation statements)

References 20 publications

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“…These experiments were repeated three times under the same experimental conditions. The residual lipid emulsion in the chamber was calculated by monitoring the ICG using the IVIS Spectrum live imaging system (Perkin Elmer, Boston, MA, USA) [4].…”

Section: Methodsmentioning

confidence: 99%

Evaluation of the amount of residual lipid emulsion in chambers of flushed totally implantable venous access devices using fluorescence imaging

2019

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The aim of the present study was to use a quantitative fluorescence imaging technique to evaluate the invisible amount of residual lipid emulsion in port chambers flushed with various fundamental protocols. Chambers were filled with lipid emulsion containing indocyanine green and then flushed with 5–70 mL of normal saline. Chambers were flushed at various speeds (15–60 mL/min), with a time interval of 1 or 3 s between boluses, and with varying directions of flow. The slower the flushing speed, the more lipid emulsion that remained. Pulsatile flushing with either time interval did not decrease the residual amounts, and the areas well-cleansed after flushing were oriented to the bevel-opening direction. These findings suggest that to reduce the residual amount of lipid emulsion poured in a chamber, fast and furious flushing under continuous as opposed to pulsatile flushing is of paramount importance.

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Section: Methodsmentioning

confidence: 99%

Evaluation of the amount of residual lipid emulsion in chambers of flushed totally implantable venous access devices using fluorescence imaging

2019

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“…Manter seringas à beira do leito para administrar flush, com vistas à prevenção de obstrução de sondas, e/ou administração de medicamentos via sondas é um procedimento rotineiro. Apesar desses dispositivos não terem necessidade de esterilidade, a presença de resíduos e proliferação bacteriana implica risco de disfunções gastrointestinais, febre e até sepse 18 . Dessa forma, torna-se necessário, a fim de evitar infecções relacionadas à assistência, que a validade desses dispositivos esteja em conformidade quanto à identificação e prazos.…”

Section: Discussionunclassified

Impacto da campanha “CUIDe” na segurança do paciente em terapia nutricional enteral: ensaio clínico aberto

Silva,

Corrêa,

Assis

et al. 2021

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Objective: To evaluate the impact of the visual identity campaign “CUIDe” (Check, Use, Insert, Disinfect) on the nursing teams’ adherence to the care of patients using enteral feeding tubes. Methods: Open clinical trial applied a checklist of care to patients using enteral feeding tubes, before and after the intervention of a visual identity campaign. The study included 1.038 observations for the intervention group and 1.118 observations for the control group. A Generalized Estimating Equations Model was used for the comparisons. Results: “CUIDe” campaign improved global adherence to the care of patients with enteral feeding tubes (p<0.001). More specifically, improvements seen were related to appropriate control of expiration dates for syringes (p<0.001), detailed labeling of syringes (date/shift) (p<0.002); and administration of the enteral nutrition bottle with the head elevated to 30 degrees (p=0.022). Conclusion: “CUIDe” campaign improved the adherence to safe practices during the care of patients using enteral feeding tubes.

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“…Even though this method is simple to operate, its measurement results are affected by many factors, such as position of the tip of the gastric tube and suction force degree. The extracted gastric contents are exposed to the air and are easily contaminated[ 8 ]. Moreover, when the gastric contents are discarded, it is easy to lose the nutrient solution and the digestive fluid in the stomach, and when target feeding amount cannot be attained, it increases the malnutrition risk in patients.…”

Section: Introductionmentioning

confidence: 99%

Effects of ultrasound monitoring of gastric residual volume on feeding complications, caloric intake and prognosis of patients with severe mechanical ventilation

Xu,

Xue,

Yuan

et al. 2023

World J Gastrointest Surg

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Tumour rupture of gastrointestinal stromal tumours (GISTs) has been considered to be a remarkable risk factor because of its unfavourable impact on the oncological outcome. Although tumour rupture has not yet been included in the current tumor-node-metastasis classification of GISTs as a prognostic factor, it may change the natural history of a low-risk GIST to a high-risk GIST. Originally, tumour rupture was defined as the spillage or fracture of a tumour into a body cavity, but recently, new definitions have been proposed. These definitions distinguished from the prognostic point of view between the major defects of tumour integrity, which are considered tumour rupture, and the minor defects of tumour integrity, which are not considered tumour rupture. Moreover, it has been demonstrated that the risk of disease recurrence in R1 patients is largely modulated by the presence of tumour rupture. Therefore, after excluding tumour rupture, R1 may not be an unfavourable prognostic factor for GISTs. Additionally, after the standard adjuvant treatment of imatinib for GIST with rupture, a high recurrence rate persists. This review highlights the prognostic value of tumour rupture in GISTs and emphasizes the need to carefully take into account and minimize the risk of tumour rupture when choosing surgical strategies for GISTs.

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Detecting Enteral Nutrition Residues and Microorganism Proliferation in Feeding Tubes via Real‐Time Imaging

Abstract: EN residues and microorganism proliferation in enteral feeding tubes were detected on fluorescence and bioluminescence images, respectively. This simplified approach allowed the real-time visualization of EN residues and microorganisms in feeding tubes.

Cited by 4 publications

References 20 publications

Evaluation of the amount of residual lipid emulsion in chambers of flushed totally implantable venous access devices using fluorescence imaging

Evaluation of the amount of residual lipid emulsion in chambers of flushed totally implantable venous access devices using fluorescence imaging

Impacto da campanha “CUIDe” na segurança do paciente em terapia nutricional enteral: ensaio clínico aberto

Effects of ultrasound monitoring of gastric residual volume on feeding complications, caloric intake and prognosis of patients with severe mechanical ventilation

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