Nutrition is critical for ICU patient care, yet a delay in feeding due to factors like delayed tube placement can lead to poor nutrition and compromised recovery. Tune into this podcast with Senior Critical Care Dietitian, Associate Professor Lee-anne Chapple, to understand the role dietitians play in preventing delayed feeding by extending their scope of practice. Learn how Lee-anne progressed into the advanced role of using electromagnetic stylet nasogastric/nasointestinal feeding tube technology to safely place post-pyloric feeding tubes in practice. Plus, Lee-anne explains the process, benefits and challenges to extending scope of practice, what the process of placing a feeding tube looks like and shares her top tips for dietitians wanting to upskill in this space.
Associate Professor Lee-anne Chapple is the Senior Critical Care Dietitian at the Royal Adelaide Hospital, and a Research Fellow at the University of Adelaide in Adelaide, Australia. She leads the intensive care nutrition research program at the Royal Adelaide Hospital, conducting research that focuses on nutrition physiology during critical illness and early recovery. Lee-anne also has an interest in using technology to improve nutrition care and has extended scope of practice to place post-pyloric feeding tubes in critically ill patients.
In this episode, we discuss:
- How electromagnetic stylet nasogastric/nasointestinal feeding tube technology can be used to safely place post-pyloric feeding tubes (PPFTs)
- The process, benefits and challenges of dietitians becoming credentialled in feeding tube placement
- What placing a feeding tube looks like and how long it takes
- The evidence to support dietitians placing PPFTs
- Lee-anne’s top tips for dietitians wanting to extend their scope of practice
Click here to learn about the CORTRAK* 2 Enteral Access System (EAS)
Wang, Q., Xuan, Y., Liu, C. et al. (2021). Blind placement of postpyloric feeding tubes at the bedside in intensive care. Crit Care 25, 168. https://doi.org/10.1186/s13054-021-03587-5
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