PEDIATRICS Vol. 74 No. 3 September 1984, pp. 379-383
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An Investigation into the Benefits of Resiting Nasoenteric Feeding Tubes

V. van Someren BSc, MB, MRCP1, S. J. Linnett SRN, RSCN1, J. K. Stothers MB, ChB, PhD, MRCGP, DCH1, and P. G. Sullivan FDSRCS, PhD, DOrth, RCS1

1 From the Neonatal Research Unit, The London Hospital Medical College, London

Partial nasal obstruction in preterm infants increases the airway resistance. In spite of this, nasal feeding tubes are often used, if only because oral tubes are difficult to secure. A palatal appliance has been devised that maintains the position of oroenteric feeding tube(s) and is not associated with local complications. In order to assess the effects of resiting feeding tubes, two related studies were carried out. The first study, a trial, included respiratory monitoring of 29 infants on the third and/or seventh day after either the appliance and oroenteric tubes had been inserted, or, in the control group, after the nasoenteric tubes had been passed. After seven days, the infants using the palatal appliance had significantly less periodic breathing, central apnea, and movement than the control group. The second study showed that the removal of feeding tubes that had been in situ for several days reduced apnea rates and produced a significant increase in transcutaneous Po2.

Key Words: nasal obstruction • apnea

Submitted on February 9, 1983
Accepted on December 23, 1983




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