Enteral access devices.

When the mode of nutrition support therapy is decided, it is generally accepted that the gastrointestinal (enteral) route be considered before the intravenous (parenteral) route. Currently, there are a plethora of enteral devices available and as many techniques for device insertion. This article will help the health care practitioner differentiate among the various enteral access devices available and provide care aimed at minimizing device related complications. Many complications can be prevented by keeping the devices secure, noting any migration inward or outward, and providing good site care and proper flushing. With careful selections of the type of enteral feeding device and tube tip location, most patients can be fed successfully by the enteral route.