VetFolio Voice podcast sponsored by Hills Nutrition in pets

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#diet #dogfood #feedingstreetdogs • Feeding tubes • Patients that receive nasoesophageal feeding tubes tend to be younger versus those that receive nasogastric feeding tubes with the incidence of death or euthanasia being less as well (10% versus 40%). • NE tubes benefits include more debilitated for aneshtesia, need and short time, ez, tolerated, less than ne week used to several weeks. complications include coma, abnormal gag reflux, esophageal dysfunction, vomiting, andsmall internal diameter. need sedation or short anesthesia, or local a 4 to 5 drops 0.5 to 1 mL 0.5% proparacaine HcL or 2% lidocaine Hcl. 5 to 6 Fr pokyetheane or silicone elastomer tube. polyvinyl chloride is more hard and irritating. red rubber. mid to distal esophagus. wtater soluble lubricant or 5% lidocaine gel. ventral meatus or ventral protuberance or ventromedial in cats. dog. confirm w air injected 5 to 10 mL lead to borboryygmos. 3 to 5 mL water cough if in trachea. radiographs is opaque. secure w suture or cyanoacrylate. Ecollar. complication include obstruction of tube, epistaxis dacryocystitis, rhiniits, sneeze, premature removal , V or D w feeding, aspiration pneumonia, GE or esophagitis reflu. • pharyngostomy tubes benefits include large size (blenderized), ez home care, low cost, oral disease (infectin, surgery wounds, trauma, neoplasia), cant tolerate oral feedings, weeks or months. disadvantages include pharyngostomy trauma, esophagealdz (stricture, surgery, neoplasia), V or regurgitation, cats less appetite, anathema, inhibit epiglottis (too craniia, too large, kind resulting in C, aspiration neuomina, anddyspnea. , inhibit larynx blocking, stomach position w GE reflux or esophagitis, esophageal position to erosioon and ucler, local infection, and premature displaced. can use red rubber, silicone, 8-14 fr small dog or cat, 12-28 fr medium or large dogs. less size less rigid more stylet needed more dislodged. maybe cut tube less obstruct or less dead space. palpate epihyoid bone and lateral phjarynx. maxillary or linguofacil vv. 0.5 to 1 cm incision. curved Kelly forceps. carotid a. jugular vein. vagosymahttic trunk. hypoglossal nerve. glodssopharynal n. salivary gland. fingertrap and bandage bandage change and clean every 2-3d. capped or flushed to inhibit obstruction, influx air, reflux food. second intention wound healing. • NE or NG tibes need for one week ro less and no anesthesia or sedation used. Silicone is ideal and polyvinyl chloride is harder in a few days. Cats and dogs less than 10 kg get 5 to 8 Fr and dogs over 10 kg get 8 to 10 Fr. Complications include sneezincgin, couhging, gastroesopgahlea reflux tube (passed lower esophageal sphincter). Treatment for tube coughing is gastric suction for ileus and less gastric distention and for vomiting. Complications include head or facial trauma, abdsnormal neurological status (moribund, coma whiteout gag reflex), and esophageal disease (megaesophagus, mass, stricture). No complications in 63% and include V, D, tube dislodgment, epistaxis, rhinitis, nasopleural intubation (pneumothorax, aspiration pneumonitis), esophageal stricture. 61% norma BW in hospital. Maybe they will eat in the presence of the tube. • E tube with P normal GI tract. Benefits include easy, less comlications, less cost, less equiptment, fast, high owner and P tolerance (92%). Complications include committing, individual tube removal, P scratch at it, obstruction, hemorrhage, na dcellulitis, and mediastinal placed with pleuritisi. 71% w perctunaeous endoscopic G tubes O and P satisfaction. Esophagotomy tubes can we use for long term, anorexia, oral or pharyngeal disease, mid cervical positioning to decrease aspiration and laryngeal obstruction, no peritonitis, easily to place, and tolerated. They are large and can be used for blenderized diets and can be removed anytime. This advantages include esophageal disease such as stricture, megaesophagus, neoplasia, and esophagitis and surgery. It is difficult to place in large for obese patients. One anesthesia technique is for manual or unassisted transesophageal advancement using larger tubes, narrow tipped carmalts, sized 5 to 12 French, red rubber, polyvinyl chloride, or polyurethane tube. It is placement midthorax or distal esophagus. The other technique is needle assistant percutaneous using a 14 gauge needle, polyvinyl chloride, red rubber or jugular catheter through the 14 gauge needle. The needle is placed left but risks tube damage. Adapter is placed and needle removed. The final technique is to assistant percutaneous placement which allows larger tubes then the needle associate percutaneous method. It requires more skill and equipment, ridgid polyvinylchloride tube placed trans-orally. The incision is 2 to 3 mm in the skin. An 18 gauge over the needle catheter is used to guide the tube lumen. Caramel forceps, 14 French feeding tube with the guide wire, suture tips, and endotracheal tubes stylette are used.

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