Jpen Parenter Enter
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Jpen Parenter Enter · Nov 2005
Randomized Controlled Trial Comparative StudyA randomized controlled trial comparing three different techniques of nasojejunal feeding tube placement in critically ill children.
The goal of this study was to compare 3 different techniques used to place nasojejunal (NJ) feeding tubes in the critically ill or injured pediatric patients. This was a randomized, prospective trial in a university-affiliated 12-bed pediatric intensive care unit. Patients were critically ill children requiring placement of an NJ feeding tube. Patient age, weight, medications, use of mechanical ventilation, and patient tolerance were recorded. An abdominal radiograph obtained immediately after the placement determined correct placement. The final placement was recorded, as was the number of placement attempts. ⋯ When placed by a core group of experienced operators, the majority of NJ feeding tubes can be placed in critically ill or injured children on the first or second attempt, regardless of the technique used.
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Jpen Parenter Enter · Nov 2005
Comparative StudyCentral venous access in the home parenteral nutrition population-you PICC.
Central venous access is imperative for the delivery of home parenteral nutrition (HPN). Peripherally inserted central catheters (PICC) are being used more frequently for the delivery of HPN. There is an abundance of short-term information on the use of PICC in the hospitalized patient. However, there are no data comparing the use of PICC to other central venous access devices (OCVAD; Hickman, port) for the delivery of HPN. Catheter-related infections (CRI) are the most common cause of hospital readmission for the HPN patients. ⋯ The use of PICC for HPN may be associated with an increase in CRI. A prospective, randomized trial in the HPN population between PICC and OCVAD must be performed.
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Jpen Parenter Enter · Sep 2005
Comparative StudyParenteral nutrition as a risk factor for central venous catheter-related infection.
The role of parenteral nutrition (PN) therapy as an independent risk factor for central venous catheter (CVC)-related infection in nonselected adult patients is not well established. The aim of this study was to evaluate PN as a risk factor for central venous catheter-related infection in nonselected adult patients in a general university hospital. ⋯ PN therapy is an independent risk factor for central venous catheter-related infection in nonselected hospitalized adult patients.
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Jpen Parenter Enter · Sep 2005
The impact of a normoglycemic management protocol on clinical outcomes in the trauma intensive care unit.
The purpose of this study was to determine if protocol-driven normoglycemic management in trauma patients affected glucose control, ventilator-associated pneumonia, surgical-site infection, and inpatient mortality. ⋯ Protocol-driven management decreased glucose levels 7 of 14 days after admission without outcome change. One or more glucose levels > or =150 mg/dL were associated with worse outcome.
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Jpen Parenter Enter · Jul 2005
Comparative StudyEconomic analysis of home vs hospital-based parenteral nutrition in Ontario, Canada.
Advances in technology and infrastructure have facilitated transfer of complex services from acute care hospitals to the home. This increases the burden on community resources but may provide net savings to the health care system. We undertook a retrospective cohort study of patients transferred from hospital to home while receiving home parenteral nutrition (PN) to assess their costs of care. ⋯ Home PN is cost saving when compared with hospital-based PN. Neither age nor underlying malignancy should pose a barrier to receipt of home PN.