A novel method of blind bedside placement of postpyloric tubes
© The Author(s). 2018
Received: 21 January 2018
Accepted: 9 February 2018
Published: 9 March 2018
The original article was published in Critical Care 2017 21:248
The Letter to this article has been published in Critical Care 2018 22:127
We read with great interest the recent report on blind bedside postpyloric placement by Lv et al. . Their methods were proven to be safe and effective in intensive care units. Although our placing procedure is similar to that reported by the authors, the choice of a postpyloric tube and the patient’s position requires further improvement.
The patient’s position before placing the postpyloric tube also requires further improvement. In our procedure, the patient is placed in a right decubitus position at 30–45° after gastric placement is accomplished, followed by a postpyloric placement. According to our experience, in this position the tip of the Flocare tube falls to the pylorus ostium by gravity, which may increase the placement success rate.
Considering the less expensive tube and better first-time success rate, our novel blind bedside postpyloric placement may be easier to implement worldwide, and we look forward to collaborating with the authors and other colleagues.
This work was supported in part by grants from the National Natural Science Foundation of China (number 81701881), and the Nanjing Medical Science and Technology Development Foundation (number YKK15098, number YKK17102).
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JKS, XW, and STY wrote the manuscript. All authors read and approved the final manuscript. The work has not been published previously nor is under consideration for publication elsewhere.
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