Esophagostomy tubes

Re: Esophagostomy tubes

Louise Smith — Wed, 19 Oct 2011 15:21:54 GMT

Hi steph,

Know its been a while since this post was last commented on but could i have a copy of your presentation?

08014657@live.napier.ac.uk is my email.

Thanks

Louise

Re: Esophagostomy tubes

Jen — Mon, 09 Aug 2010 13:18:03 GMT

Hiya Steph, would you mind emailing me a copy too? Hope thats ok.

Jen

jenifloss@yahoo.co.uk

Re: Esophagostomy tubes

Jenny Cook RVN — Sat, 31 Jul 2010 19:57:21 GMT

[quote user="Bizzy McClure SVN"]

Ahh, I had 5-7 days in my head.... I thought that might be how long before it had to be removed but that explains it!

I'm not sure about the biopsies - Jenny do you know??? .... I was just asked to calculate the BER/MER and a feeding plan.

[/quote]

No, i havent heard anything yet with regards to the biopsies taken, but i think vet said it all look relatively normal anyways...

Re: Esophagostomy tubes

Honeybadger — Fri, 30 Jul 2010 23:37:41 GMT

[quote user="Steph Worsley RVN MBVNA"]

refeeding syndrome is where they can develop metabolic disorders mainly problems with fluid and electrolyte disorders, the most common one is hypophosphotaemia

they can have major neuro, neuromuscular, pulmonary and cardiac problems, and can be fatal if not noticed.

[/quote]

Wow, I didnt know it could cause so many problems!

Re: Esophagostomy tubes

Honeybadger — Fri, 30 Jul 2010 23:36:24 GMT

[quote user="Steph Worsley RVN MBVNA"]

hmmm email is coming back as failed, have you got another address i can send it to?

[/quote]

You could try follow.the.white.rabbit@hotmail.co.uk. I've just tested the other one and it seems to be working ok. Did you put .co.uk as a suffix not .com?

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 23:29:48 GMT

cos I am protective of my presentations hehehe

Re: Esophagostomy tubes

Nick Shackleton — Fri, 30 Jul 2010 23:24:11 GMT

[quote user="Steph Worsley RVN MBVNA"]

hmmm email is coming back as failed, have you got another address i can send it to?

[/quote]

why not upload it here Steph

attach it as a piece of media

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 23:19:51 GMT

hmmm email is coming back as failed, have you got another address i can send it to?

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 23:07:50 GMT

refeeding syndrome is where they can develop metabolic disorders mainly problems with fluid and electrolyte disorders, the most common one is hypophosphotaemia

they can have major neuro, neuromuscular, pulmonary and cardiac problems, and can be fatal if not noticed.

Glad to hear that you knew about the whole slowly re-intoducing food as a lot of people dont seem to know that!

just attaching the files and they will wing their way to you soon!!

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 23:01:19 GMT

Naso-oesophageal tubes should only be left in for max of 7 days as it is very short term feeding

Re: Esophagostomy tubes

Honeybadger — Fri, 30 Jul 2010 23:00:26 GMT

[quote user="Steph Worsley RVN MBVNA"]1/3 daily req going up to 2/3 after 24 hours and then up to full amount after another 24 hours to reduce risk of re-feeding syndrome[/quote]

Yep thats what I did in the feeding plan. What is re-feeding syndrome?

I would love to see your talk on feeding tubes, my email is bizzymcclure@hotmail.co.uk Thank you

Re: Esophagostomy tubes

Honeybadger — Fri, 30 Jul 2010 22:58:41 GMT

Ahh, I had 5-7 days in my head.... I thought that might be how long before it had to be removed but that explains it!

I'm not sure about the biopsies - Jenny do you know??? .... I was just asked to calculate the BER/MER and a feeding plan.

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 22:56:30 GMT

blinking vets lol ( I am hoping - but actually betting not- that she took biopsies of everything!!!!)

yeah O tubes can be left in from 2 days to several months if needed, feeding via the tube can be started ~4-8 hours post placement and should initially consist of 1/3 daily req going up to 2/3 after 24 hours and then up to full amount after another 24 hours to reduce risk of re-feeding syndrome

if you want some more info can email you my talk on feeding tubes that I have given a few times (think the file that had the notes to accompany it has been corrupted tho)

Re: Esophagostomy tubes

Nick Shackleton — Fri, 30 Jul 2010 22:53:30 GMT

There is more of a problem at the other end of the scale ie they need to be left for a minimum period of time.

I think I recall you have to leave them in for at least 5-7 prior to removal. due to tissue disturbances....

When they did the ex lap did they do biosies????

Re: Esophagostomy tubes

Honeybadger — Fri, 30 Jul 2010 22:42:26 GMT

Its in a cat. It had been anorexic for over 5 days. The VS did an ex lap but didn't find anything out of the ordinary. I dont really know much about the case tbh, the vet likes to keep things to herself!

Re: Esophagostomy tubes

Steph Worsley — Fri, 30 Jul 2010 22:36:56 GMT

quite a while (very technical I know) we use them as mid term feeding, although I have seen them left in for a few months

is it dog or cat and why has it been placed?