- Open Access
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).
Availability of data and materials
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.
Ethics approval and consent to participate
Consent for publication
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Lv B, Hu L, Chen L, Hu B, Zhang Y, Ye H, Sun C, Zhang X, Lan H, Chen C. Blind bedside postpyloric placement of spiral tube as rescue therapy in critically ill patients: a prospective, tricentric, observational study. Crit Care. 2017;21(1):248.View ArticlePubMedPubMed CentralGoogle Scholar
- Rollins CM. Blind bedside placement of postpyloric feeding tubes by registered dietitians: success rates, outcomes, and cost effectiveness. Nutr Clin Pract. 2013;28(4):506–9.View ArticlePubMedGoogle Scholar
- Kohata H, Okuda N, Nakataki E, Itagaki T, Onodera M, Imanaka H, Nishimura M. A novel method of post-pyloric feeding tube placement at bedside. J Crit Care. 2013;28(6):1039–41.View ArticlePubMedGoogle Scholar