{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:29:26Z","timestamp":1791401366284,"version":"4.3.3"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T00:00:00Z","timestamp":1499126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nutrition &amp; Dietetics"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine whether the placement of a post\u2010pyloric feeding tube (<jats:styled-content style=\"fixed-case\">PPFT<\/jats:styled-content>) can be taught safely and effectively to a critical care dietitian.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a prospective observational study conducted in an adult intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>). The intervention consisted of 19 attempts at post\u2010pyloric intubation by the dietitian. The 10 \u2018learning\u2019 attempts were performed by the dietitian under the direction of an experienced (having completed in excess of 50 successful tube placements) user. A subsequent nine \u2018consolidation\u2019 attempts were performed under the responsibility of the intensive care consultant on duty. The primary outcome measures were success (i.e. tip of the <jats:styled-content style=\"fixed-case\">PPFT<\/jats:styled-content> being visible in or distal to the duodenum on X\u2010ray) and time (minutes) to <jats:styled-content style=\"fixed-case\">PPFT<\/jats:styled-content> placement. Patients were observed for adverse events per standard clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 19 post\u2010pyloric tube placements were attempted in 18 patients (52 (23\u201370) years, <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content> admission diagnoses: trauma n = 4; respiratory failure n = 3; and burns, pancreatitis and renal failure n = 2 each). No adverse events occurred. Most (75%) patients were sedated, and mechanically ventilated. Prokinetics were used to assist tube placement in 11% (2\/19) of attempts, both of which were successful. Placement of <jats:styled-content style=\"fixed-case\">PPFT<\/jats:styled-content> was successful in 58% (11\/19) of attempts. Whilst training, the success rate was 40% (4\/10) compared with 78% (7\/9) once training was consolidated (<jats:italic>P<\/jats:italic> = 0.17). In the successful attempts, the mean time to placement was 11.0 minutes (3.9\u201327.1 minutes).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A dietitian can be trained to safely and successfully place <jats:styled-content style=\"fixed-case\">PPFT<\/jats:styled-content> in critically ill patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1747-0080.12362","type":"journal-article","created":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T13:31:39Z","timestamp":1499175099000},"page":"30-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Post\u2010pyloric feeding tube placement in critically ill patients: Extending the scope of practice for Australian dietitians"],"prefix":"10.1111","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3801-5593","authenticated-orcid":false,"given":"Rosalie","family":"Yandell","sequence":"first","affiliation":[{"name":"Department of Clinical Dietetics The University of Adelaide  Adelaide South Australia Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Chapman","sequence":"additional","affiliation":[{"name":"Department of Critical Care Services Royal Adelaide Hospital, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide South Australia Australia"},{"name":"Centre of Research Excellence (CRE) in Translating Science to Good Health, Nutritional Physiology, Interventions and Outcomes The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Department of Critical Care Services Royal Adelaide Hospital, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Shanks","sequence":"additional","affiliation":[{"name":"Department of Clinical Dietetics The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Lange","sequence":"additional","affiliation":[{"name":"Centre of Research Excellence (CRE) in Translating Science to Good Health, Nutritional Physiology, Interventions and Outcomes The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Deane","sequence":"additional","affiliation":[{"name":"Department of Critical Care Services Royal Adelaide Hospital, The University of Adelaide  Adelaide South Australia Australia"},{"name":"Discipline of Acute Care Medicine The University of Adelaide  Adelaide South Australia Australia"},{"name":"Centre of Research Excellence (CRE) in Translating Science to Good Health, Nutritional Physiology, Interventions and Outcomes The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gtc.2011.09.003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001525"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00044067-200011000-00005"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0b013e3181959836"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200301000-00006"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607196020006385"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"357","DOI":"10.4037\/ajcc2003.12.4.357","article-title":"Comparison of two methods for postpyloric placement of enteral feeding tubes","volume":"12","author":"Lenart S","year":"2003","journal-title":"Am J Crit 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