Nutrisafe 2 High flow feeding tube

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NEONATOLOGY

ENTERAL NUTRITION

nutrisafe2

High Flow feeding tube

THE ISSUE: LACK OF VENTILATION DURING CPAP THERAPY

Continuous positive airway pressure (CPAP) administered via nasal prongs has dramatically improved survival rates in the premature infants with respiratory distress syndrome. However, marked bowel distensions (also called “CPAP belly syndrome“) has been associated with this increased use of nasal CPAP and usually occurs as the infant‘s respiratory status improves and the baby becomes more vigorous.(1)

This “CPAP belly syndrome“ is likely to lead to withhold feed, prolong the use of parenteral nutrition(2) and extend to include clinical scenario mimicking a “necrotizing enterocolitis (NEC) scare”.

It was observed that continuous venting of gastric air using open-air drainage of the oro-gastric tube resulted in decompression of the abdominal distension.(3)

Internal studies(4) show that connectors and lateral openings at the feeding tube‘s tip are not causing air drainage insufficiency, but the inner diameter of the feeding tube is.

VYGON developed a new nutrisafe2 high flow feeding tube, with a larger inner diameter but keeping the same outer diameter.

BENEFITS OF NUTRISAFE2 HIGH FLOW FEEDING TUBE

nutrisafe2 HIGH FLOW FEEDING TUBE

Numerical markings for inserted length indicator

Closed distal tip with two lateral eyes connector

Closed distal tip with two lateral eyes

Radiopaque for X-ray placement check

REFERENCES

(1) Jaile JC, Levin T, Wung JT, Abramson SJ, Ruzal-Shapiro C, Berdon WE. Benign gaseous distension of the bowel in premature infants treated with nasal continuous airway pressure: a study of contributing factors. AJR Am J Roentgenol. 1992 Jan;158(1):125-7. doi: 10.2214/ajr.158.1.1727337. PMID: 1727337.

(2) De Paoli AG, Morley C, Davis PG. Nasal CPAP for neonates: what do we know in 2003? Arch Dis Child Fetal Neonatal Ed. 2003 May;88(3):F168-72. doi: 10.1136/fn.88.3.f168. PMID: 12719386; PMCID: PMC1721536.

(3) PRIYADARSHI, A., HINDER, M., BADAWI, N., LUIG, M., TRACY, M.. Continuous Positive Airway Pressure Belly Syndrome: Challenges of a Changing Paradigm. International Journal of Clinical Pediatrics, North America, 9, feb. 2020

(4) Tobias Zorn, “Benchmarktest Nutrisafe2: Performance and Optimisation of Enteral Feeding Tube Design Regarding the CPAP-Belly Syndrome”, Vygon GmbH & Co.KG, 2018.

(5) RST_CDC15004B_135_21_A1_Flow comparison of 4Fr Nutrisafe2 feeding tube

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