Complications of enteral nutrition
Mechanical |
Unable to pass a tube |
Malposition (tube placement into the trachea, pneumothorax, intracranial placement) |
Unwanted removal |
Blockage |
Nasopharyngeal pain, erosions, sinusitis, otitis media |
Hoarseness, laryngeal ulceration |
Oesophageal erosions, oesophagitis, and strictures |
Tracheo-oesophageal fistula, variceal rupture |
Duodenal perforation |
Gastrointestinal |
Diarrhoea or constipation |
Bloating |
Abdominal distension |
Reflux |
Nausea |
Cramps |
Regurgitation |
Pulmonary aspiration |
Drug interactions |
Metabolic/biochemical |
Vitamin, mineral, trace element, essential fatty acid deficiencies |
Hyperglycaemia |
Hyperkalaemia |
Hypophosphataemia |
Hypomagnesaemia |
Hypozincaemia |
(most common) |
Miscellaneous |
Abnormal liver function tests |
Pulmonary aspiration |
Feed contamination and resulting infection |