Aspirated Nasogastric Feeding Solution Detected by Glucose Strips
Authors: RICHARD H. WINTERBAUER
Journal: Annals of Internal Medicine (1981)

Brief Reports1 July 1981Aspirated Nasogastric Feeding Solution Detected by Glucose StripsRICHARD H. WINTERBAUER, M.D., RONALD B. DURNING Jr., M.D., EDWARD BARRON, Ph.D., MARY C. McFADDEN, M.S., R.D.RICHARD H. WINTERBAUER, M.D., RONALD B. DURNING Jr., M.D., EDWARD BARRON, Ph.D., MARY C. McFADDEN, M.S., R.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-95-1-67 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptFormula feeding solutions administered through small bore nasogastric tubes are a commonly used, inexpensive, and seemingly safe source of nutrition for critically ill patients (1). We used glucose oxidase reagent strips to monitor for the aspiration of glucose rich formulas into the tracheobronchial tree. The results in 20 critically ill patients show aspiration of formula feeding to be a common occurrence.Thirteen standard brands of formula feeding solution were tested. Each was reconstituted according to the manufacturers instructions and the glucose content measured by the o-toluidine procedure on auto-analyzer 1 units (2). All measurements were done twice and the results...References1. PAGERYANHAFF CJR. Continual catheter administration of an elemental diet. Surg Gynecol Ob. 1976;142:184-8. MedlineGoogle Scholar2. YEEJENESTBOWLES HEF. Modified manual or automated o-toluidine system for determining glucose in serum with an improved aqueous reagent. Clin Chem. 1971;17:103-7. CrossrefMedlineGoogle Scholar3. BOATMATTHEWS TL. Chemical composition of human tracheobronchial secretions. In DULFANO MF, ed. Sputum: Fundamentals and Clinical Pathology. Springfield, Illinois: Charles C. Thomas; 1973:243-74. Google Scholar4. CAMPBELL M. Glucose in the saliva of the non-diabetic and the diabetic patient. Arch Oral Biol. 1965;10:197-205. CrossrefMedlineGoogle Scholar5. ULRICH K. Mundspeichel und Zuckerkrankheit. Zahn Mund Kieferheilkd. 1961;35:353-77. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RICHARD H. WINTERBAUER, M.D.; RONALD B. DURNINGJr., M.D.; EDWARD BARRON, Ph.D.; MARY C. McFADDEN, M.S., R.D.Affiliations: The Mason Clinic Seattle, Washington. 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