Inexpensive, safe and simple nasoenteral intubation--an alternative for the cost conscious

The efficacy and safety of nasoenteral feedings via small bore, flexible tubes have been extensively studied and reported. Most of the tubes currently used have similar characteristics including a high price ($7.00-$17.30 per tube). Our study using inexpensive ($0.55 each), polyvinyl pediatric feeding tubes and reusable guide wires in 21 patients shows that a weighted tip is not necessary for the passage of tubes into the duodenum (19/27 tubes passed) and that with proper nursing care and patient cooperation, the tubes can remain in place and patent for periods up to 71 days. The cost savings using the ubiquitous pediatric feeding tube and a reusable guide wire are significant (between $6.25 and $16.55 per tube used) and make this a more cost conscious alternative.