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SWATI SHARMA,  DEEPAK AGRAWAL Department  of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New Delhi TRAUMA 2009 RELATION B...
BACKGROUND    <ul><li>Ryle’s tube are inserted for enteral feeding  in ICU setting  </li></ul><ul><li>according to immedia...
  AIM OF STUDY  <ul><li>TO ASSESS FOR ANY CORRELATION  BETWEEN  </li></ul><ul><li>RYLE’S TUBE DIAMETER AND INCIDENCE OF CH...
  MATERIAL AND METHODS <ul><li>Study design : Prospective study </li></ul><ul><li>Duration : June 2009 -  July2009 ( Singl...
MATERIAL AND METHODS <ul><li>Diameter of Ryle’s tube upon individual physician’s preference </li></ul><ul><li>TLC and inci...
OBSERVATIONS <ul><li>No of patients: 20 </li></ul>
  OBSERVATIONS   ( SIZE OF CATHETER) TRAUMA 2009 SIZE OF CATHETER No.(%) 14 Fr 13(68.4%) 16 Fr 5(26.3%)
  OUTCOME   (CHEST INFECTION) TRAUMA 2009 GROUP TOTAL CASES TLC > 10,000 %  14 Fr 13 7 53.8 16 Fr 5 2 40 10 Fr 1 1 100
  OUTCOME   (CHEST INFECTION) TRAUMA 2009
  OUTCOME   (CHEST INFILTRATES) TRAUMA 2009
CONCLUSION <ul><li>It was found that patient with  narrow bore Ryle’s tube[14#] had higher incidence of high TLC(>10,000),...
J.P.N. Apex Trauma Center ,  A.I.I.M.S.
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Relation between diameter of ryle’s tube and chest infection

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Relation between diameter of ryle’s tube and chest infection

  1. 1. SWATI SHARMA, DEEPAK AGRAWAL Department of Neurosurgery, JPN Apex Trauma Centre, AIIMS, New Delhi TRAUMA 2009 RELATION BETWEEN DIAMETER OF RYLE’S TUBE AND CHEST INFECTION
  2. 2. BACKGROUND <ul><li>Ryle’s tube are inserted for enteral feeding in ICU setting </li></ul><ul><li>according to immediate availability and individual physician </li></ul><ul><li>preferences. </li></ul><ul><li>It was postulated by the senior author that smaller diameter </li></ul><ul><li>may decrease chest infection rate by possibly decreasing </li></ul><ul><li>incidence of micro aspirations. </li></ul>TRAUMA 2009
  3. 3. AIM OF STUDY <ul><li>TO ASSESS FOR ANY CORRELATION BETWEEN </li></ul><ul><li>RYLE’S TUBE DIAMETER AND INCIDENCE OF CHEST </li></ul><ul><li>INFECTION . </li></ul>TRAUMA 2009
  4. 4. MATERIAL AND METHODS <ul><li>Study design : Prospective study </li></ul><ul><li>Duration : June 2009 - July2009 ( Single, Level 1 trauma centre) </li></ul><ul><li>Study population : All head injury and spinal injury patients with Ryle’s tube for enteric feeding </li></ul><ul><li>TRAUMA 2009 </li></ul>
  5. 5. MATERIAL AND METHODS <ul><li>Diameter of Ryle’s tube upon individual physician’s preference </li></ul><ul><li>TLC and incidence of chest infection were noted for all patients </li></ul><ul><li>Chest infection = Positive tracheal culture + Fever </li></ul><ul><li>Infiltrates in chest radiograph + Fever </li></ul>TRAUMA 2009
  6. 6. OBSERVATIONS <ul><li>No of patients: 20 </li></ul>
  7. 7. OBSERVATIONS ( SIZE OF CATHETER) TRAUMA 2009 SIZE OF CATHETER No.(%) 14 Fr 13(68.4%) 16 Fr 5(26.3%)
  8. 8. OUTCOME (CHEST INFECTION) TRAUMA 2009 GROUP TOTAL CASES TLC > 10,000 % 14 Fr 13 7 53.8 16 Fr 5 2 40 10 Fr 1 1 100
  9. 9. OUTCOME (CHEST INFECTION) TRAUMA 2009
  10. 10. OUTCOME (CHEST INFILTRATES) TRAUMA 2009
  11. 11. CONCLUSION <ul><li>It was found that patient with narrow bore Ryle’s tube[14#] had higher incidence of high TLC(>10,000), chest infiltration and infection. </li></ul><ul><li>These results may be due to small sample size and non-randomised study poulation </li></ul><ul><li>Larger study needed for a definitive conclusions </li></ul>TRAUMA 2009
  12. 12. J.P.N. Apex Trauma Center , A.I.I.M.S.

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