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Nasointestinal intubation with tiger tubes: a case series indicates risk of mucosal damage

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In five intubations using the tiger tube (Cook) two were successfully placed into the small intestine. Two of the three intubation failures were due to early death due to the underlying condition. Nasointestinal placement permitted successful enteral feeding. Unfortunately, both nasointestinal placements were associated with mucosal damage that appears to be related to the tube ‘flaps’. The tiger tube facilitates nasointestinal tube placement but until concerns regarding safety are addressed its clinical use cannot be recommended.
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Keywords: mucosal damage; nasointestinal intubation; tiger tube

Document Type: Research Article

Affiliations: 1: Department of Nutrition and Dietetics, Frenchay Hospital, Bristol, UK 2: Department of General Surgery, Frenchay Hospital, Bristol, UK 3: Department of Anaesthesia, Frenchay Hospital, Bristol, UK

Publication date: 2006-04-01

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