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Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

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Page 1: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

Enteral Feeding Access Routes

Guidelines

Carole Anne McAtearGreater Glasgow and Clyde University Hospitals Division

Page 2: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

ACCESS ROUTES

Page 3: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

Guidelines ?

Page 4: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

BSG : Guidelines for enteral feeding adult hospital patients

British Society of Gastroenterology

www.bsg.org.ukGut(2003) 52(suppVII):vii1-vii12

Page 5: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

NICE : National Institute for Clinical Effectiveness

Nutrition Support in Adults 2006

www.nice.org.uk

Page 6: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

SIGN: Scottish Intercollegiate Guideline Network

SIGN 78 (2004) Management of patients with stroke – Identification and management of patients with dysphagia

SIGN (In press 2006) Diagnosis and management of head and neck cancer

www.sign.ac.uk/guidelines

Page 7: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

ESPEN guidelines on artificial enteral nutrition – percutaneous endoscopic gastrostomy

(PEG) PEG – endoscopically ButtonPLG – laparoscopically

eg.witzel, stamin janeway – surgical PSG - sonographicallyPFG – fluroscopically

www.espen.orgClinical Nutrition (2005) 24,848-861

Page 8: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

ESPEN guidelines on enteral nutrition

Guidelines are divided into Evidence supports nutrition support Terminology Definitions and general topics Managing the patient journey through enteral nutritional care Ethical and legal aspects of enteral nutrition Methodology for the development of the ESPEN guidelines on enteral nutrition

www.espen.orgClinical Nutrition (2006) 25 issue2,175-360

Page 9: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

ESPEN guidelines on enteral nutrition:-

Surgery including organ transplantationNon-surgical oncologyGastroenterologyPancreasLiver diseaseAdult renal failure Cardiology and pulmonologyWasting in HIV and other chronic infectious diseases

Geriatrics

www.espen.orgClinical Nutrition (2006) 25 issue2,175-360

Page 10: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

HELPFUL TEXT

Artificial nutritional support in clinical practice (second edition)

J.Payne-James ISBN 1 9001 51979

Intestinal FailureJ. NightingaleISBN 1 9001 51 936

Nutrition Support for Adults and Children . A handbook for hospital practice.

T. BowlingOxford Medical Press

Page 11: Enteral Feeding Access Routes Guidelines Carole Anne McAtear Greater Glasgow and Clyde University Hospitals Division

Thank you

Have a safe Journey home