Enteral Feeding Tube Placement Success With Intravenous Metoclopramide Administration In Icu Patients

Enteral Feeding Tube Placement Success With Intravenous Metoclopramide Administration In Icu Patients

Heiselman D E; Hofer T; Vidovich R R

Chest

1995

1995-06

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.

critical care medicine; efficacy; enteral nutrition; gastrointestinal intubation; General & Internal Medicine; metoclopramide; Respiratory System

Journal Article or Conference Abstract Publication

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1686-1688

6

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