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Measurement of glucose in tracheobronchial secretions to detect aspiration of enteral feedings

OBJECTIVES: To determine (1) the relationship between results from 2 methods to measure glucose in tracheobronchial aspirates (2) the effect of blood glucose levels on tracheobronchial glucose levels, and (3) the relationship between results from 2 methods to measure glucose in selected enteral form...

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Bibliographic Details
Published in:Heart & lung 1998-09, Vol.27 (5), p.285-292
Main Authors: Metheny, Norma A., St. John, Robert E., Clouse, Ray E.
Format: Article
Language:English
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Summary:OBJECTIVES: To determine (1) the relationship between results from 2 methods to measure glucose in tracheobronchial aspirates (2) the effect of blood glucose levels on tracheobronchial glucose levels, and (3) the relationship between results from 2 methods to measure glucose in selected enteral formulas. DESIGN: Descriptive. SETTING: Two midwestern acute-care hospitals, a research laboratory, and a clinical laboratory. PATIENTS: Sixty-two acutely ill adult subjects with artificial airways whose secretions required frequent suctioning for therapeutic purposes; 53 of these 62 patients also required capillary blood glucose measurements for therapeutic purposes. OUTCOME MEASURES: Glucose concentrations in tracheobronchial secretions, capillary blood, and selected enteral formulas. INTERVENTION: None. RESULTS: Measures of glucose content made on 75 split samples of tracheobronchial secretions by 2 methods (glucose oxidase reagent strips and a laboratory assay) were highly correlated (r = 0.94; P
ISSN:0147-9563
1527-3288
DOI:10.1016/S0147-9563(98)90047-4