Nasal Bridle

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Brand PRCT (n=66) - Bridle reduced displacement 38% to 4% (p<0.05)

(Surg Endo 1999;13:1211)

Brand PRCT (n=66) - Bridle reduced displacement 38% to 4% (p<0.05)

(Surg Endo 1999;13:1211)

Fig. 10.1. Bridle technique.

neuromuscular disease, contaminated oropharyngeal environment, structural abnormalities of the aerodigestive tract, supine position, and elevated residual gastric volumes [49]. The risk of aspiration may be reduced by changing the level of feeding infusion from the stomach to the small bowel, elevation of the head of the bed to >45 degrees, implementing continuous rather than bolus feeding, using chlorohexidene mouthwashes, and administering aprokinetic drug [50].

Microbiologically confirmed sinusitis occurs in approximately 10% of cases of nasal feeding tubes and is thought to be secondary to obstruction of anatomic sinus drainage [51]. In rare cases, enteral nutrition has been linked to intestinal ischemia. The typical situation is one in which a critically ill, hypotensive patient on pressors exhibits decreasing tolerance (ileus, abdominal bloating, abdominal pain) of the tube feedings. In this clinical setting, tube feeding should be suspended pending further evaluation [52, 53].

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Good Carb Diet

Good Carb Diet

WHAT IT IS A three-phase plan that has been likened to the low-carbohydrate Atkins program because during the first two weeks, South Beach eliminates most carbs, including bread, pasta, potatoes, fruit and most dairy products. In PHASE 2, healthy carbs, including most fruits, whole grains and dairy products are gradually reintroduced, but processed carbs such as bagels, cookies, cornflakes, regular pasta and rice cakes remain on the list of foods to avoid or eat rarely.

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