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Text
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URL Address
<a href="http://doi.org/10.1378/chest.107.6.1686" target="_blank" rel="noreferrer noopener">http://doi.org/10.1378/chest.107.6.1686</a>
Rights
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Pages
1686-1688
Issue
6
Volume
107
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Dublin Core
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Title
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Enteral Feeding Tube Placement Success With Intravenous Metoclopramide Administration In Icu Patients
Publisher
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Chest
Date
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1995
1995-06
Subject
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critical care medicine; efficacy; enteral nutrition; gastrointestinal intubation; General & Internal Medicine; metoclopramide; Respiratory System
Creator
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Heiselman D E; Hofer T; Vidovich R R
Description
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Objective: The purpose of this study was to determine if intravenous push metoclopramide would facilitate immediate transpyloric passage of a small-bore feeding tube without fluoroscopy or endoscopy. Design: Prospective, randomized trial. Patients: One hundred five medical and surgical ICU patients at a community teaching hospital. Interventions: Patients were randomized to receive 10 mg of metoclopramide 10 min before tube insertion or no medication. Measurement: Successful placement was stated as radiologically verified transduodenal tube location. Results: A 54% success rate was shown with administration of the drug with 46% success for the control. Chi square analysis of the success rate showed no significant relationship between administration of metoclopramide and successful tube placement (p=0.38). Increasing years of physician training was the only variable associated with successful placement (p=0.003). No association was found between successful tube placement and presence of endotracheal tube, tracheostomy, or cervical immobility, nor any interaction of metoclopramide with these variables. Conclusion: Intravenous metoclopramide, 10 mg, administered 10 min prior to intubation with a small-bore feeding tube (10F), was ineffective in facilitating transpyloric intubation.
Identifier
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<a href="http://doi.org/10.1378/chest.107.6.1686" target="_blank" rel="noreferrer noopener">10.1378/chest.107.6.1686</a>
Format
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Journal Article or Conference Abstract Publication
1995
Chest
Critical care medicine
efficacy
enteral nutrition
gastrointestinal intubation
General & Internal Medicine
Heiselman D E
Hofer T
Journal Article or Conference Abstract Publication
Metoclopramide
Respiratory System
Vidovich R R