جستجوی مقالات مرتبط با کلیدواژه « enteral feeding » در نشریات گروه « پزشکی »
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Background
We aimed to assess the factors associated with the transition time to full enteral feeding (FEF) in newborns with hypoxic ischemic encephalopathy (HIE) undergoing therapeutic hypothermia.
MethodsWe obtained data retrospectively from medical records of the neonates diagnosed with HIE and treated by therapeutic hypothermia to evaluate the factors associated with transition time to FEF.
ResultsSixty-one neonates were included in the study. The median gestational age (GA) and birth weight were 39 (37–40) weeks and 3245 (2715–3575) grams, respectively. APGAR scores at the first and fifth minutes were 3 (1–5) and 6 (4–7), respectively. Fifty-seven (93.4%) of the newborns were diagnosed as having moderate HIE, and 4 (6.6%) of them had severe HIE. Transition time to FEF was found to be negatively correlated with gestational week (r, P: -0.280, 0.029) and birth weight (r, P: -0.315, 0.013); and positively correlated with lactate (r, P: 0.295, 0.044), BUN (r, P: 0.285, 0.026) and creatinine levels (r, P: 0.345, 0.007); duration of invasive (r, P: 0.565, 0.0001) and non-invasive mechanical ventilation (r, P: 0.261, 0.042), use of antibiotics (r, P: 0.556, 0.0001) and inotropic agents (r, P: 0.524, 0.0001) and hospitalization (r, P: 0.654, 0.0001).
ConclusionClinicians should be more careful while starting to feed babies undergoing therapeutic hypothermia with higher lactate levels and impaired renal functions, and should be encouraged to feed clinically stable neonates with HIE as soon as possible, as the transition time to FEF could be related with better clinical outcomes.
Keywords: Enteral feeding, Hypothermia, Hypoxic-ischemic encephalopathy, Neonates} -
BackgroundThis study aimed to determine the effects of various positions on the arterial oxygen saturation during enteral feeding of preterm infants admitted to Neonatal Intensive Care Units (NICUs). It is assumed that different body positions influence arterial oxygen saturation during enteral feeding.MethodsThis crossover clinical trial included 88 infants. The inclusion criteria were gestation age of fewer than 32 weeks, a weight of 1001-1500 gr, age of fewer than one month, 5-minute Apgar score of at least 5, exclusive breast-feeding, absence of any underlying illness, no oxygen therapy, and a minimum feed volume of 10cc for two h. The subjects were selected from the infants admitted to NICUs at Alzahra, Shahid Beheshti, and Amin hospitals, Isfahan, Iran, using a convenience sampling method. Subsequently, they were randomly assigned to four groups of 22 cases per group. The four groups were A, B, C, and D who were initially positioned on the left side, supine, prone, and right side, respectively. The arterial oxygen saturation was recorded on a minute-by-minute basis 5 min before, during, and 5 min after enteral feeding. Data were analyzed in STATA software (version 14) using a one-way analysis of variance, (ANOVA), linear mixed model, and the Chi-square test.ResultsAccording to the results of the one-way ANOVA and Chi-square test, no significant difference was observed among the four groups regarding the demographic characteristics. Moreover, the linear mixed model revealed no significant difference among the four groups of intervention, the four periods of the study, and carryover effect in terms of the mean oxygen saturation before, during, and after enteral feeding.ConclusionThe results revealed that variations in infant positions during feeding had no effects on the arterial oxygen saturation. Therefore, neonatal nurses are advised to carry out enteral feeding without unnecessary changing of the infant position, which leads to lower manipulation, and improved sleep and awakening cycle of the infants.Keywords: Enteral feeding, Infant, Oximetry, Positions, Preterm}
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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد، سال شصت و سوم شماره 1 (پیاپی 168، فروردین و اردیبهشت 1399)، صص 2081 -2087مقدمه
سوء تغذیه یکی از مشکلات عمده در بیماران بستری در بخش مراقبتهای ویژه است. تغذیه بیماران در بیمارستانها غالبا از طریق محلول تهیه شده در آشپزخانه بیمارستانها انجام می‌شود. از این رو مطالعه حاضر با هدف بررسی میزان ارزش غذایی موجود در گاواژهای بیمارستان های مشهد انجام شد تا دید روشن تری برای اتخاذ بهترین نوع تغذیه به منظور فراهم شدن نیازهای تغذیه های بیماران بستری فراهم شود.
روش کاردر این مطالعه مقطعی- توصیفی محتویات دستورالعمل پخت بیمارستان ها با نرم افزار Nut4 مورد آنالیز قرار گرفت و میزان ارزش غذایی موجود با میزان استاندارد RDI برطبق 2000 کیلو کالری مورد نیاز روزانه برای فرد مورد مقایسه قرار گرفت. تجریه تحلیل داده ها با نرم افزار SPSS و آزمون تی (p < 05/0) صورت گرفت.
نتایجمیانگین کالری، درشت مغذی‌ها و ریز مغذی‌ها در مقایسه با استاندارد RDI به طور معناداری کمتر بوده است. میانگین ویتامینهای، ویتامین B12، ویتامین E و ویتامین D کمتر از مقدار استاندارد RDI بودند اما ویتامین A، اسید فولیک، ویتامین C و ویتامین K در حد مطلوب بوده است. میزان آهن، کلسیم، روی، مس به صورت معنی دار بود. هر چند مقادیر منگنز و کروم تفاوت معنی داری نداشت. بحث: محلول گاواژ تهیه شده در بیمارستان ها برای تامین نیاز های بیماران ناکافی بوده است. با توجه به استفاده بالای بیمارستان های کشور ما از گاواژهای دستی لازم است این دستور پختها به گونه طراحی شوند که از ارزش غذایی قابل قبولی برخوردار باشند.
کلید واژگان: سوء تغذیه, تغذیه رودهای, تغذیه لوله بینی – معدهای, ارزش غذایی}IntroductionMalnutrition is one of the major problems in patients admitted to intensive care units. Intestinal nutrition is important for patients who do not have oral intake. Nutrition in hospitals is often done through a solution prepared in the hospital kitchen. A study on nutritional value in hospitals in Mashhad was carried out to provide a clearer vision for the best nutrition in order to provide the nutritional needs for hospitalized patients.
Materials and MethodsIn this cross-sectional study, the contents of the baking instruction in the hospitals were analyzed using Nut4 software and the existing nutritional value was compared with the standard RDI of 2000 kilocalories per person. Data analysis was done using SPSS software and t-test. (Significance level <0.05).
ResultMean calories, macronutrients and micronutrients were significantly lower than RDI standards. The average of vitamins, vitamin B12, vitamin E and vitamin D was lower than the standard RDI, but vitamin A, folic acid, vitamin C, and vitamin K were optimal. The amount of iron, calcium, zinc, copper was significant. However, no significant difference was observed between manganese and chromium.
DiscussionThe gavage solution prepared in hospitals has been inadequate to meet the needs of patients. Due to the high use of hand gavage hospitals in our country, these recipes are designed to be of an acceptable nutritional value.
Keywords: Malnutrition, Enteral feeding, nutritional value, Gastric Feeding Tubes} -
BackgroundOral feeding problems are among the most common issues in preterm infants. Various methods and feeding support tools are used in this regard, such as cup feeding and feeding nozzle. The present study aimed to determine the preferred method between cup feeding and feeding nozzle to support oral feeding in premature neonates.MethodsThis clinical trial was conducted on 70 preterm infants with the gestational age of 30-33 weeks in Isfahan, Iran. Infants were divided into two groups of cup feeding and feeding nozzle application. The studied variables were the duration needed to reach the time of full oral feeding, weight changes since birth until full oral feeding, and length of hospital stay.ResultsMean duration to start full oral feeding was 4.03 and 5.1 days in the cup feeding and feeding nozzle groups, respectively (P0.05). Mean length of hospital stay was 23.1 and 21.9 days in the cup feeding and feeding nozzle groups, respectively (P>0.05).ConclusionAccording to the results, the time needed to reach full oral feeding was shorter in the cup feeding group compared to the feeding nozzle group. However, the mean length of hospital stay was two days shorter in the feeding nozzle group compared to the cup feeding group. Therefore, feeding nozzle could be utilized as a supportive method in the feeding of preterm infants.Keywords: Breastfeeding, Enteral feeding, Feeding methods, Infant, Iran, NICU, Premature, Weight gain}
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BACKGROUNDRecent trials have shown controversial results on which enteral feeding methods has a lower risk of enteral feeding intolerance. Therefore, we aimed to compare two methods of bolus and intermittent feeding on enteral feeding intolerance of patients with sepsis.
METHODSThis triple-blind randomized controlled trial was conducted on 60 patients with sepsis, who were fed through tubes for at least 3 days. The patients were randomly assigned into bolus feeding, intermittent feeding, and control groups. Enteral feeding intolerance of all patients was recorded in 3 consecutive days by a researcher-made checklist including the data on gastric residual volume, vomiting, diarrhea, constipation, and abdominal distension.
RESULTSThere were no significant differences between the three studied groups in none of the intervention days pertaining to constipation, diarrhea, vomiting, abdominal distention, and gastric residual volume (p >0.05). Also, no statistically significant difference was found between all variables in the three studied groups during the 3 days (p >0.05).
CONCLUSIONAs enteral feeding intolerance of patients with sepsis was similar in both bolus and intermittent feeding methods, it can be concluded that bolus method can still be used as a standard method to decrease the risk of enteral feeding intolerance if it is used properly.Keywords: Feeding methods, Enteral feeding, Feeding intolerance, Sepsis, Intensive care unit} -
پیش زمینه و هدفیبوست از عوارض شایع دستگاه گوارش است که تاثیر قابل توجهی بر سلامت و کیفیت زندگی افراد دارد. یکی از مداخلات پیشنهادی غیر دارویی استفاده از گرما درمانی می باشد. مطالعه حاضر نیز باهدف بررسی تاثیر گرمادرمانی موضعی روی عملکرد دفع روده ای در بیماران تحت تغذیه با سوند بینی- معده ای انجام شد.مواد و روش هااین پژوهش یک کار آزمایی بالینی دو سو کور است. 64 بیمار تحت تغذیه با سوند بینی-معده ای با تخصیص تصادفی در دو گروه شاهد و آزمون موردبررسی قرار گرفتند. بیماران در گروه آزمون گرما درمانی موضعی از طریق هات پک[1] استاندارد با درجه 50 درجه سانتی گراد بر روی شکم دریافت کردند. در گروه شاهد دمای هات پک برابر با دمای محیط بود. ابزار جمع آوری داده ها شامل فرم ثبت اطلاعات دموگرافیک و فرم ثبت عملکرد گوارش بود. داده ها با استفاده از نرم افزار 20SPSS مورد تجزیه و تحلیل قرار گرفت.یافته هاعملکرد دفع روده ای در گروه آزمون قبل و بعد مداخله ازنظر آماری تفاوت معنی داری داشت (05/0>P)، اما در گروه شاهد در وضعیت دفع روده ای در مراحل مختلف تفاوت معنی داری مشاهده نشد.بحث و نتیجه گیریگرما درمانی موضعی باعث بهبود عملکرد دفع روده ای و کاهش یبوست در بیماران تحت تغذیه از راه سوند بینی- معده ای شده و کاربرد آن هم زمان با مطالعات تکمیلی پیشنهاد می شود.کلید واژگان: تغذیه روده ای, دفع روده ای, گرما درمانی موضعی, یبوست}Background and AimsConstipation is Common complication gastrointestinal that have a significant impact on the health and quality of life. Using heat therapy is one of the proposed non-pharmaceutical interventions. The present study was conducted to determine the effect of abdominal local heat therapy on the state of defecation in patients fed through nasogastric tubes.Materials and MethodsThis study is a double blind clinical trial performed in 2015 to 8 months in the inner part of Qaem Hospital of Mashhad - Iran. In this study, 64 patients on nutrition through a nasogastric tube were randomly studied into two groups: placebo and experimental group. The patients in experimental group of local heat therapy with standard hot pack with the temperature 50 ° C on the abdomen for 23 minutes. In the placebo group, hot pack temperature was equal to the ambient temperature. Data were collected using a demographic questionnaire and a form containing records of the patients digestive function. Data were analyzed in SPSS 20.ResultsDefecation in the experimental group statistically had a significant difference before and after the intervention (pConclusionThe findings of this study show the effect of local Hyperthermia in improves on the state defecation and reduce constipation in patients being fed through nasogastric tube and it is suggested further studies to use it at the same time.Keywords: Constipation, Defecation, Enteral Feeding, Local Hyperthermia}
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BackgroundIn several disease conditions, patients must inevitably be nourished by enteral feeding (EF). Though in many countries, commercial formulas are routinely used for EF, in Iran still home-made formulas are commonly employed as commercial formulas are not covered by insurance. This may pose patients to malnutrition and bring about further costs. The aim of this study was to evaluate the efficacy of EF commercial formulas in comparison with home-made formulas and thus to make further evidence for insurance policy-makingMethodsMedline, Cochrane, Embass and Center for Review & Dissemination (CRD) as well as IranDoc and SID databases were searched. Keywords included formula, ICU, and enteral nutrition or tube feeding. No clinical trial study on the efficacy of EF formulas was found. Therefore, the compositions of available formulas and their cost-effectiveness were evaluated based on the clinical guidelines of scientific bodies such as American Society for Parenteral and Enteral Nutrition (ASPEN), European Society for Parenteral and Enteral Nutrition (ESPEN) and relative articles available in PubMed. In addition, the expert opinions were also taken into consideration.ResultsDomestic commercial formulas seemed to less merit dietary recommended intakes, i.e. the amount of some nutrients were much higher, and some others were much lower than the recommended values. The amount of several micronutrients including vitamins B1, B6, C, D and K, as well as iron, calcium and magnesium were not sufficient to meet the body needs in most commercial formulas upon receiving 2000 kilocalories and less.ConclusionClinical studies on the efficacy of commercial formulas in comparison with home-made formulas are needed. Meanwhile, making suitable conditions for increasing the diversity of artificial nutrition products in the market would help clinical nutritionists to make better choices according to their patients conditions and to reduce the costs, as well.Keywords: Enteral feeding, Enteral formula, Home-made formula, Intensive care unit}
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IntroductionThe purpose of the study was to evaluate Intensive Care Unit nurses’ knowledge, attitude, self-reported practice, and observed practice regarding medication administration via enteral feeding tube.Methodin this cross sectional study, a questionnaire and a checklist was developed for evaluating the nurses' knowledge, attitude, self-reported practice and real practice regarding medication administration via enteral feeding tube. Mean score of knowledge, and the percentage of different domains of attitude and practice was reported.Results53 nurses were included in this study. The mean number of medications which were prescribed for each patient was 15.8±4.5. From these medications, 5.5±2.8 drugs were administered via enteral feeding tube. There were few nurses (5%) with proper knowledge regarding correct dosage forms selection. About half of the nurses had proper knowledge regarding tube flushing and drug dilution,however according to direct researcher’s observation, 11% of nurses flushed the tubes before medication administration.ConclusionThe current study showed the disparity between the nurses' knowledge, self-reported practice, and proper performance in drug administration through enteral feeding tube. The most important problems in knowledge and attitude of nurses included crushing the dosage forms and in real practice in diluting medications and tube flushes domain.Keywords: Attitude, Drug administration, Enteral feeding, Knowledge, Nurses, Professional practice}
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IntroductionThe incidence of malnutrition in hospitalized patients is reported to be high. In particular, patients with esophageal cancer are prone to malnutrition, due to preoperative digestive system dysfunctions and short-term non-oral feeding postoperatively. Selection of an appropriate method for feeding in the postoperative period is important in these patients.Materials And MethodsIn this randomized clinical trial, 40 patients with esophageal cancer who had undergone esophagectomy between September 2008 and October 2009 were randomly assigned into either enteral feeding or parenteral feeding groups, with the same calorie intake in each group. The level of serum total protein, albumin, prealbumin, transferrin, C3, C4 and hs-C-reactive protein (hs-CRP), as well as the rate of surgical complications, restoration of bowel movements and cost was assessed in each group.ResultsOur results showed that there was no significant difference between the groups in terms of serum albumin, prealbumin or transferrin. However, C3 and C4 levels were significantly higher in the enteral feeding group compared with the parenteral group, while hs-CRP level was significantly lower in the enteral feeding group. Bowel movements were restored sooner and costs of treatment were lower in the enteral group. Postoperative complications did not differ significantly between the groups. There was one death in the parenteral group 10 days after surgery due to myocardial infarction.ConclusionThe results of our study showed that enteral feeding can be used effectively in the first days after surgery, with few early complications and similar nutritional outcomes compared with the parenteral method. Enteral feeding was associated with reduced inflammation and was associated with an improvement in immunological responses, quicker return of bowel movements, and reduced costs in comparison with parenteral feeding.Keywords: Esophageal cancer, Enteral feeding, Parenteral feeding, Nutritional assessment}
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مقدمه
سوء تغذیه یک مشکل شایع در میان بیماران بستری در بخش‌های مراقبت ویژه محسوب می‌شود. حمایت تغذیه‌ای در بخش مراقبتهای ویژه به عنوان جزء جدایی‌ناپذیر مراقبت از بیمار پذیرفته شده است. با این حال، تغذیه در مقایسه با سایر مراقبت‌ها در اولویت پایین‌تری باقی مانده است. در حال حاضر اطلاعات کمی در ارتباط با درک از تغذیه انترال در پرستاران وجود دارد، به همین دلیل این پژوهش با هدف بررسی درک پرسنل شاغل در بخش‌های مراقبت ویژه بیمارستان‌های آموزشی شهر کرمان در مورد مراقبتهای پرستاری مربوط به تغذیه انترال در نیمه دوم سال1392 انجام شد.
مواد و روش‌ها:
این مطالعه توصیفی – مقطعی در سال 1392 روی 119 نفر از کارکنان شاغل در بخش‌های مراقبت ویژه بیمارستان‌های آموزشی شهر کرمان که مسوولیت تغذیه بیماران را انجام می‌دهند و به روش سرشماری و مبتنی بر هدف انتخاب شدند، انجام شد. ابزار گردآوری داده‌ها، پرسشنامه پژوهشگر ساخته مشتمل بر دو بخش بود. بخش اول برای بررسی ویژگی‌های دموگرافیک و بخش دوم برای سنجش درک، مشتمل بر 14 سناریو در مورد تغذیه انترال بود. برای تحلیل داده‌ها از نرم‌افزار SPSS 18 و روش‌های آماری توصیفی و آزمون‌های تی مستقل، ضریب همبستگی پیرسون و آنووا[1] استفاده شد.
یافته‌ها:
در این مطالعه مشخص شد 4/92% واحدهای مورد پژوهش را زنان تشکیل می‌دادند و 7/80% آنها متاهل و 6/96% دارای مدرک لیسانس پرستاری بودند. نمره کلی درک پرسنل در زمینه تغذیه لوله‌ای، از 14 نمره، 99/1±68/6 بود یعنی 7/47% نمره کلی درک را کسب کردند و درک آنها مثبت اما از سطح متوسط کمتر بود. بالاترین نمره درک در زمینه پیشگیری از انسداد لوله و عفونت بود. نتایج حاصل همچنین نشان داد که تنها بین درک واحدهای مورد پژوهش در زمینه تغذیه انترال و اضافه‌کاری ارتباط معنی‌دار آماری وجود داشت.
نتیجه‌گیری:
براساس نتایج این مطالعه، پرسنل مسوول تغذیه بیماران کمتر از نیمی (7/47% نمره کلی) از نمره درک را کسب کردند. با توجه به نقش مهم پرستار در مدیریت تغذیه لوله‌ای، باید استانداردهای عملی و دستورالعمل‌های مبتنی بر شواهد در بخش‌های مراقبت ویژه آموزش داده شوند تا پرسنل با آگاهی بیشتر و درک مثبت و احساس توانایی بیشتر، عملکرد اصولی‌تری را در زمینه تغذیه انترال اتخاذ کنند.
کلید واژگان: درک, بخش مراقبت های ویژه, تغذیه انترال, سناریو}IntroductionMalnutrition is a common problem among patients admitted to intensive care units. Nutrition support in intensive care units (ICUs) is accepted as an integral part of patient care; however, feeding remains a low priority compared with other ICU treatments. At present there is little information describing the enteral feeding perception of critical care nurses so this research tried to investigate nurses’ perception about NGT feeding in intensive care unit of city of Kerman medical university’s hospitals in 2013.
Materials And MethodsThis research was a descriptive and cross-sectional study. Participants were 119 nurses whom worked in Kerman medical university’s hospitals and did not do sampling. The instrument for data collection was a researcher – made questioaire and included two parts: first part included 10 questions about demographic characteristics, second part included 14 scenario for survey nurses’ perception about tube. Descriptive statistics and t-test, ANOVA and Pearson correlation were index used for data analysis with software SPSS 18.
ResultIn this study, we found that 92.4% of the subjects were women, and 80.7% of them were married and 96.6% of them had a bachelor's degree in nursing. Mean score of perception was 6.68 ±1.99 out of 14. Highest score of nurse's perceptions was related to prevention of tubal obstruction and infection. So although there was a positive perception but it was less than the average, as well as there were significant difference between perception and overtime.
ConclusionsThe result of this study showed that score of Nurse's perception was less than half (47.7 % overall score). It is recommended that Evidencebased standards and guidelines should be taught to nurses in intensive care units to gain more awareness and positive perception and feeling more capable, thus taking more principled action during enteral nutrition.
Keywords: perception, intensive care unit (ICU), enteral feeding, scenario} -
BackgroundThis study aimed to investigate and compare the bacterial safety of handmade and commercial ready‑to‑use enteral feeding formulas used in an Iranian teaching hospital.MethodsIn this experimental study, a total number of 70 samples (21 handmade formulas sampled at two sampling times, i.e. the time of preparation and 18 h after preparation, and 28 commercial ready‑to‑use formulas) were studied. Total count of viable microorganisms, coliform count and Staphylococcus aureus count for all samples were conducted.ResultsOut of 42 handmade samples, 16 samples (76%) had total viable counts greater than 103 CFU/g in the first sampling time and 17 samples (81%) had total viable counts greater than 103 CFU/g in the second sampling time. Also, 11 (52%) had coliform contamination in the first sampling time which reached 76% (16 samples) in the second sampling time. Regarding contamination with S. aureus, 5 samples (24%) were contaminated in the first‑ and 13 samples (62%) were contaminated in the second‑sampling time. Out of 28 commercial formulas, 27 samples (96%) had total viable counts greater than 103 CFU/g. Also, 24 samples (86%) were contaminated with S. aureus and 27 samples (96%) were contaminated with coliforms. In order to compare these two formulas, the results of Mann‑Whitney test showed that contamination of ready‑to‑use formulas in all three microbiological samples was significantly more than that for handmade samples.ConclusionsThe results of the present study indicate that the microbial safety of enteral feeding solutions in this hospital is much lower than standard values, demonstrating that the development of protocols for clean techniques in the preparation, handling and storage of both commercial and handmade enteral feeds is necessary.Keywords: Bacterial contamination, enteral feeding, handmade formulas, microbiological safety, ready‑to‑use formulas}
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BackgroundAspiration pneumonia is a potentially preventable illness requiring attention to small details of patient care. The type, management, and care of feeding should be carried out properly. Materials andMethodsThis is a prospective clinical study of enteral feeding on patients admitted to hospital with aspiration pneumonia. The known enteral nutritional methods, advantages,and disadvantages were told to the patient or proxy. If they didn’t accept Percutaneous endoscopic gastrostomy (PEG), nasojejunal tube (NJT) was advised. If they denied all of the procedures, oral feeding education was given. A total of 94 patients were enrolled to the study, 29 of them accepted PEG, 42 preferred NJT, and 23 preferred oral route.ResultsA total of 94 patients with a mean age of 77.84, standard deviation 10.784; 95% confidence interval (CI) 75.63-80.03 were enrolled to the study of which 27 (28.7%) patients had a history of aspiration pneumonia. Oral feeding was prominently preferred for patients nursed by a relative (15; 65.2% of Oral feeding group and 16% of total) or a caregiver (7; 30.4% of Oral feeding group and 7.4% of total) while only 1 (4.3% of Oral feeding group and 1.1% of total) with a health-care worker (P = 0.001). Overall re-aspiration rates at the 6th month were 58%, 78%, 91% in EG,NJT, oral groups, respectively. Sixth months’ survival rates of the different feeding groups were not significantly divergent from each other. History of aspiration was also found to be a significant contributor of mortality.ConclusionIn aspiration pneumonia patients’ long-term survival rates of the different feeding groups were not significantly divergent from each other.Keywords: Aspiration pneumonia, emergency department, enteral feeding, mid arm circumference, nasojejunal tube, nutrition, oral feeding, percutaneous endoscopic gastrostomy}
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Nasojejunal feeding tubes are being used at an increased frequency, but it is not without complications that could be life-threatening. We report two cases of pneumothorax following small-bore feeding tube insertion into the pleural cavity, resulting in pneumothorax. We further discuss the potential measures that can be taken to prevent and treat this serious complication.Keywords: Enteral feeding, Pneumothorax, Intubation, Nasogastric}
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