Incidence of hypochloremic metabolic alkalosis in dogs and cats with and without nasogastric tubes over a period of up to 36 hours in the intensive care unit

Chih, Annie; Rudloff, Elke; Waldner, Cheryl L.; Linklater, Andrew

doi:10.1111/vec.12720

Cited by 5 publications

(5 citation statements)

References 20 publications

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“…Complications associated with NFT occurred in 65.5% of cases in our study with sneezing as the most frequent 1 (32.8%). These rates were either similar or lower than those reported by other studies 15‐19 . Therefore, complications related to NFT does not seem to occur more frequently at home than under the supervision of medical staff during hospitalization.…”

Section: Discussionsupporting

confidence: 80%

“…These rates were either similar or lower than those reported by other studies. [15][16][17][18][19] Therefore, complications related to NFT does not seem to occur more frequently at home than under the supervision of medical staff during hospitalization. Although the overall complication rate of 65.5% seems quite high, all of these adverse effects were considered minor complications with minimal impact on the quality of life and no lifethreatening adverse effects were reported.…”

Section: Discussionmentioning

confidence: 99%

“…Our retrospective study describes the use of naso-esophageal feeding tubes at home in dogs and cats. Few studies report the use of such tubes in both species, [15][16][17][18][19] and only 1 study reports limited data in cats with suspected acute pancreatitis discharged with NFT in place. 18 Our study provides evidence that NFT can be well tolerated at home without life-threatening complications.…”

Section: Discussionmentioning

confidence: 99%

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Tolerability of naso‐esophageal feeding tubes in dogs and cats at home: Retrospective review of 119 cases

Dumont,

Lemetayer,

Desquilbet

et al. 2023

Veterinary Internal Medicne

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BackgroundThe use of naso‐esophageal feeding tubes (NFT) at home could represent an alternative way to reduce the costs for owners and facilitate enteral feeding until recovery of a spontaneous appetite.ObjectiveTo describe the use of NFT at home in dogs and cats and evaluate the satisfaction of owners and their capacity to handle the device.AnimalsOne hundred nineteen client‐owned animals (90 cats and 29 dogs) which remained anorexic during hospitalization and were discharged with NFT for at least 24 hours after placement.MethodsMedical records were reviewed retrospectively, and owners were contacted by telephone calls. Complications were reported according to their relative severity (minor and major). Owners were asked to report their experience and comfort with NFT management.ResultsNaso‐esophageal feeding tubes were kept in place at home for a median of 6 days (range, 1‐17) and 62.2% (95% confidence interval [CI]: 53.3‐70.7) of animals recovered a spontaneous appetite while wearing NFT, 60% (95% CI: 44.4‐75.6) of the remaining animals recovered a spontaneous appetite after removal. Overall complication rate was 65.5% (95% CI: 57.0‐74.0), but only 18.5% (95% CI: 11.5‐25.5) required a consultation and no life‐threatening complication occurred. Owners were satisfied in 94.1% (95% CI: 89.9‐98.3) of cases.Conclusion and Clinical ImportanceAlthough most animals discharged with NFT at home presented complications, no major adverse effects were reported and NFT were easily handled by owners. This study provides evidence that NFT can be well tolerated at home.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Tolerability of naso‐esophageal feeding tubes in dogs and cats at home: Retrospective review of 119 cases

Dumont,

Lemetayer,

Desquilbet

et al. 2023

Veterinary Internal Medicne

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“…Placement of a nasogastric tube in patients with CPV can be a means of provision of enteral nutrition as well as allowing for gastric suctioning to prevent abdominal discomfort and vomiting or regurgitation. A recent article 82 documented little to no change in acid-base status in patients whose treatment protocols included gastric suctioning. Liquid enteral diets can be started at 25% of a patient’s REE and administered either in intermittent boluses or as constant-rate infusions, depending on clinician preference and hospital resources.…”

Section: Enteral Nutritionmentioning

confidence: 99%

Update on Canine Parvoviral Enteritis

Mazzaferro

2020

Veterinary Clinics of North America: Small Animal Practice

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Canine parvoviral enteritis is one of the most common causes of morbidity and mortality in dogs worldwide. Tests can detect viral antigen in feces, and characteristic decreases in total leukocyte, neutrophil, and lymphocyte counts can increase the index of suspicion in affected cases and can be used to prognosticate morbidity and mortality. The standard of care for infected animals includes IV crystalloid and sometimes colloid fluids, antiemetics, broad-spectrum antibiotics, and early enteral nutrition. Vaccination induces protective immunity in most dogs. Vaccination, along with limiting exposure in young puppies, is the most effective means of preventing parvoviral enteritis in dogs.

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“…The decision of whether to use a nasogastric (NG) or nasoesophageal (NO) feeding tube is influenced by clinician preference, patient clinical presentation, and the requirement for gastric decompression. Veterinary studies have looked at complications associated with NE tubes, with a direct comparison between NG and NO feeding tubes finding no difference in complication rate in one retrospective study (Campbell et al., 2010; Chih et al., 2018; Klaus et al., 2009; Yu et al., 2013). However, a study comparing oesophagostomy tube ending points between the oesophagus and the stomach revealed a higher risk of reflux oesophagitis and stricture formation with the use of tubes ending in the stomach which was presumed to be because of disruption of the distal oesophageal high‐pressure zone (Balkany et al., 1977).…”

Section: Introductionmentioning

confidence: 99%

Complication rates associated with nasoesophageal versus nasogastric feeding tube placement in dogs and cats: a randomised controlled trial

Camacho,

Humm

2024

J of Small Animal Practice

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ObjectivesTo determine the rate of accidental placement of nasoenteric tubes into the respiratory tract. To compare the methods of checking correct tube placement. To compare the complication rates between nasoesophageal and nasogastric tubes.Materials and MethodsAnimals requiring nasoenteric feeding tubes were prospectively randomised to have either nasoesophageal or nasogastric tube placement. Various techniques for assessing tube position were compared with thoracic radiographic findings. Complications during placement and use were recorded.ResultsNinety‐seven animals (82 dogs and 15 cats) were studied. The tube was misplaced into the respiratory tract in three (3.1%) cases. No technique for checking placement was completely concordant with radiography but the presence of negative pressure at the thoracic inlet during placement was consistent with the presence of the tube in the oesophagus in 86.2% cases, while capnography can be considered to confirm tracheal placement. The overall rate of complications during tube placement was 25.8%, with mostly minor clinical complications reported. There was no significant difference in the new‐onset regurgitation/vomiting rate, or complications while the tube was in situ between the nasoesophageal and nasogastric groups.Clinical SignificanceMisplacement of nasoenteric tubes is uncommon but a consistent alternative test to radiography for checking correct nasoenteric tube placement was not demonstrated. The choice of placement of either a nasoesophageal or nasogastric tube should be guided by clinician preference, and clients should be warned about possible complications during placement and while the nasoenteric tube is in situ.

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Incidence of hypochloremic metabolic alkalosis in dogs and cats with and without nasogastric tubes over a period of up to 36 hours in the intensive care unit

Abstract: In this small population of dogs and cats, intermittent NGT aspiration was not associated with the development of HCMA over a period of up to 36 hours after NGT placement.

Cited by 5 publications

References 20 publications

Tolerability of naso‐esophageal feeding tubes in dogs and cats at home: Retrospective review of 119 cases

Tolerability of naso‐esophageal feeding tubes in dogs and cats at home: Retrospective review of 119 cases

Update on Canine Parvoviral Enteritis

Complication rates associated with nasoesophageal versus nasogastric feeding tube placement in dogs and cats: a randomised controlled trial

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