Malnutrition is a persistent challenge in critical care units and hospitals around the world(1). Needless feeding delays can have lasting effects on your patients’ overall recovery such as(1):
Inefficiencies in blind tube placement can use unnecessary feeding delays, serious medical complications, and patient suffering (2).
The urgency of life-threatening problems often forces feeding down the list of competing priorities for critically ill patients(3).
Feeding delays can cause or contribute to existing states of malnutrition(1,3).
Malnutrition, whether new or existing, can undermine patient recovery and drain hospital resources (4,5) due to increased need for care; longer hospital stays; higher rates of readmission(6).
For critically ill patients, the earliest possible initiation of feeding after admittance is recommended(7). Some of the benefits include:
- Meeting nutrition needs early on may be critical to setting a solid foundation for patient recovery(1.)
- Feeding tube placement protocols often involve blind placements confirmed through x-rays(2).
- Time spent positioning tubes can cause delays in feeding, medical complications, and patient discomfort, especially if repositioning is required.(1)
When it comes to enteral feeding, multiple issues may be at play, but feeding inefficiency is a serious problem that makes existing problems worse and negatively affects patient outcomes and hospital resources. (6,8)
An estimated one-third of patients enter the hospital malnourished, and approximately one-third will develop malnutrition during their stay.(6,8) Ultimately, malnutrition is costly, for the hospital’s bottom line and for patient health. It can result in hospitalization costs almost three times as high, and lengths of stay almost three times longer as patients without a malnutrition diagnosis.(6)
Patients with malnutrition are:
- Twice as likely to develop surgical site infections(9)
- Four times as likely to develop pressure ulcers(9)
- 5 times more likely to be readmitted within 15 days(9)
Maybe you’re searching for newer, more technologically advanced methods for placing feeding tubes in all of the patients you see. Or perhaps you’re hoping to streamline your ICU, getting patients fed as safely and quickly as possible without sacrificing their nutrition?
Fortunately, the answer to all of these queries comes from the same place: The CORTRAK* Enteral Access System from Avanos. From A to Z, we have all of your enteral feeding tube needs covered.
THE CORTRAK* Solution
What makes the CORTRAK* Solution so different?
How can your team meet the unique needs of critically ill patients efficiently and effectively? Research indicates that an optimal solution prioritizes reducing the time between admission and initiation of enteral feeding, minimizing the risk of malnutrition(7).
With CORTRAK*, you’ll feed patients faster to help meet the needs of critically ill patients. CORTRAK* is designed to allow clinicians to confidently place tubes in an optimal feeding position, quickly confirm location, and reduce the time to nutrition delivery.
- Have bedside visualization
- Use real-time feedback to direct tubes to desired feeding placement
- Identify misplaced tubes immediately
- Help minimize complications, such as lung placements
The CORTRAK* Enteral Access System: Confirmation Without Delay. Know you’ve got it right, right away:
- Electromagnetic stylet on the tube tip designed to provide real-time location of placement within a patient’s anatomy
- On-screen visualization offers immediate feedback on placement
- Reduce or eliminate the need for x-ray confirmation
Transitioning to CORTRAK* is easier than you think with the help of the Avanos implementation program. Experienced Avanos teams and ongoing local support help hospitals:
Establish highly trained teams of super users to maximize impact
Reduce the burden on ICU nurses to maintain training
Provide continued training
Share best practices
Ensure your team is set up for a successful tube program
Fight malnutrition more efficiently and effectively from the start with CORTRAK*, your enteral feeding partner.
- Berger, M. Best timing for energy provision during critical illness. Critical Care 2012, 16:215. Available at https://www.ncbi.nlm.nih.gov/pubmed/22429787
- Giantsou, E. Blindly inserted nasogastric feeding tubes and thoracic complications in intensive care. Health. Vol.2, No.10, 1135-1141 (2010) doi:10.4236/health.2010.210166. Available at https://www.scirp.org/journal/PaperInformation.aspx?PaperID=2811
- Cahill, N. Nutrition therapy in the critical care setting: What is “best achievable” practice? An international multicenter observational study* Crit Care Med 2010 Vol. 38, No. 2. Available at http://coldfusion.cecity.com/cecity/components/util/pdf/docs/pdf/15065_ccm_feb10_article1_print.pdf
- Neumayer, L. Early and Sufficient Feeding Reduces Length of Stay and Charges in Surgical Patients. Journal of Surgical Research 2001. 95(1)73-77. Available at https://www.journalofsurgicalresearch.com/article/S0022-4804(00)96047-5/pdf
- Braunschweig, C. Impact of Declines in Nutritional Status on Outcomes in Adult Patients Hospitalized for More Than 7 days. Journal of the Academy of Nutrition and Dietetics. 2000. 100(11); 1316-1322. Available at https://jandonline.org/article/S0002-8223(00)00373-4/fulltext?code=jand-site
- Corkins, M. Malnutrition Diagnoses in Hospitalized Patients. Journal of Parenteral and Enteral Nutrition. 2013. doi.org/10.1177/0148607113512154. Available at http://journals.sagepub.com/doi/full/10.1177/0148607113512154
- Cahill, N. When Early Enteral Feeding Is Not Possible in Critically Ill Patients. Journal of Parenteral and Enteral Nutrition. 2011. 10.1177/0148607110381405. Available at http://journals.sagepub.com/doi/10.1177/0148607110381405
- Tappenden, K. Critical Role of Nutrition in Improving Quality of Care: An Interdisciplinary Call to Action to Address Adult Hospital Malnutrition. Alliance to Advance Patient Nutrition. 2013. 37(4); 482-497. Available at http://journals.sagepub.com/doi/pdf/10.1177/0148607113484066
- Correia, I. Evidence-Based Recommendations for Addressing Malnutrition in Health Care: An Updated Strategy from the feedM.E. Global Study Group. Journal of the American Medical Directors Association. 2014. 15(8); 544-550. Avavilable at https://www.sciencedirect.com/science/article/pii/S1525861014003375