Aspirated Nasogastric Feeding Solution Detected by Glucose Strips

Abstract

Brief Reports1 July 1981Aspirated Nasogastric Feeding Solution Detected by Glucose StripsRICHARD H. WINTERBAUER, M.D., RONALD B. DURNING Jr., M.D., EDWARD BARRON, Ph.D., MARY C. McFADDEN, M.S., R.D.RICHARD H. WINTERBAUER, M.D., RONALD B. DURNING Jr., M.D., EDWARD BARRON, Ph.D., MARY C. McFADDEN, M.S., R.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-1-67 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFormula feeding solutions administered through small bore nasogastric tubes are a commonly used, inexpensive, and seemingly safe source of nutrition for critically ill patients (1). We used glucose oxidase reagent strips to monitor for the aspiration of glucose rich formulas into the tracheobronchial tree. The results in 20 critically ill patients show aspiration of formula feeding to be a common occurrence.Thirteen standard brands of formula feeding solution were tested. Each was reconstituted according to the manufacturers instructions and the glucose content measured by the o-toluidine procedure on auto-analyzer 1 units (2). All measurements were done twice and the results...References1. PAGERYANHAFF CJR. Continual catheter administration of an elemental diet. Surg Gynecol Ob. 1976;142:184-8. MedlineGoogle Scholar2. YEEJENESTBOWLES HEF. Modified manual or automated o-toluidine system for determining glucose in serum with an improved aqueous reagent. Clin Chem. 1971;17:103-7. CrossrefMedlineGoogle Scholar3. BOATMATTHEWS TL. Chemical composition of human tracheobronchial secretions. In DULFANO MF, ed. Sputum: Fundamentals and Clinical Pathology. Springfield, Illinois: Charles C. Thomas; 1973:243-74. Google Scholar4. CAMPBELL M. Glucose in the saliva of the non-diabetic and the diabetic patient. Arch Oral Biol. 1965;10:197-205. CrossrefMedlineGoogle Scholar5. ULRICH K. Mundspeichel und Zuckerkrankheit. Zahn Mund Kieferheilkd. 1961;35:353-77. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RICHARD H. WINTERBAUER, M.D.; RONALD B. DURNINGJr., M.D.; EDWARD BARRON, Ph.D.; MARY C. McFADDEN, M.S., R.D.Affiliations: The Mason Clinic Seattle, Washington. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byFluid Analysis in CSF RhinorrheaClinical Outcomes of Enteral Feeding Protocol Via Percutaneous Endoscopic Gastrostomy: A Single‐Center, Retrospective StudyThe effect of methylene blue treatment on aspiration pneumoniaDevelopment, Anatomy, and Physiology of the LungsApplication of stent placement or nasojejunal feeding tube placement in patients with malignant gastric outlet obstruction: A retrospective series of 38 casesThe effect of hyperbaric oxygen treatment on aspiration pneumoniaNasogastric and Feeding Tube PlacementНозокомиальная пневмония у взрослых: национальные рекомендацииEffects of Nigella sativa seed extract on ameliorating lung tissue damage in rats after experimental pulmonary aspirationsUse of methylene blue spectrophotometry to detect subclinical aspiration in enterally fed intubated pediatric patientsTracheobronchial aspiration of gastric contents in critically ill tube-fed patients: Frequency, outcomes, and risk factorsUse of Blue Dye and Glucose Oxidase Reagent Strips for Detection of Pulmonary Aspiration: Efficacy & Safety UpdatePrevention and Treatment of Aspiration Pneumonia in Intensive Care UnitsA review of the nursing care of enteral feeding tubes in critically ill adults: part IWhat Is Known About Methods of Correctly Placing Gastric Tubes in Adults and ChildrenAspiration Assessment and Prevention in Critically Ill Enterally Fed PatientsIncidence and risk factors for oropharyngeal aspiration in mechanically ventilated infants and children *Factors determining the appearance of glucose in upper and lower respiratory tract secretionsExhaled breath condensates: a potential novel technique for detecting aspirationEvidence-based analysis: postoperative gastric bleeding: etiology and preventionDetection of Aspiration in Enterally Fed Patients: A Requiem for Bedside Monitors of AspirationNutritional supportVentilator-associated PneumoniaSemirecumbency Prevents Nosocomial Pneumonia in Mechanically Ventilated PatientsDetection of pepsin and glucose in tracheal secretions as indicators of aspiration in mechanically ventilated childrenMonitoring patients on enteral tube feedsIntolerance to Intragastric Enteral Nutrition in Critically Ill Patients: Complications and ManagementFeeding Problems in Children With Long-Term Tracheostomies Or Ventilator AssistanceIncidence of Gastroesophageal Reflux and Aspiration in Mechanically Ventilated Patients Using Small-Bore Nasogastric TubesTips on pulmonary aspiration in gastric enteral nutritionEnteral nutritionMeasurement of glucose in tracheobronchial secretions to detect aspiration of enteral feedingsEndoscopic Placeme