Upskilling dietitians in feeding tube placement

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.

 

Biography

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

Additional resources

Click here to learn about the CORTRAK* 2 Enteral Access System (EAS)

References

Yandell, R., Chapman, M., O’Connor, S., Shanks, A., Lange, K. and Deane, A. (2018), Post-pyloric feeding tube placement in critically ill patients: Extending the scope of practice for Australian dietitians. Nutr Diet, 75: 30-34. https://doi.org/10.1111/1747-0080.12362
 
Taylor, S. J., Sayer, K., & White, P. (2023). Nasointestinal tube placement: Techniques that increase success. Journal of the Intensive Care Society, 24(1), 62–70. https://doi.org/10.1177/17511437221095336 
 

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

 

This podcast is not, and is not intended to be, medical advice, which should be tailored to your individual circumstances. This podcast is for your information only, and we advise that you exercise your own judgment before deciding to use the information provided. Professional medical advice should be obtained before taking action.  Please see here for terms and conditions.

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