N A Metheny

Summary

Affiliation: Saint Louis University
Country: USA

Publications

  1. ncbi request reprint Strategies to prevent aspiration-related pneumonia in tube-fed patients
    Norma A Metheny
    School of Nursing, Saint Louis University, 3525 Caroline Mall, St Louis, MO 63104, USA
    Respir Care Clin N Am 12:603-17. 2006
  2. doi request reprint A review of published case reports of inadvertent pulmonary placement of nasogastric tubes in children
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Mo Electronic address
    J Pediatr Nurs 29:e7-12. 2014
  3. ncbi request reprint Head-of-bed elevation in critically ill patients: a review
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, MO 63104, USA
    Crit Care Nurse 33:53-66; quiz 67. 2013
  4. doi request reprint Blind insertion of feeding tubes in intensive care units: a national survey
    Norma A Metheny
    Saint Louis University, 3525 Caroline Mall, St Louis, MO 63104, USA
    Am J Crit Care 21:352-60. 2012
  5. ncbi request reprint Indicators of tubesite during feedings
    Norma A Metheny
    Saint Louis University School of Nursing, USA
    J Neurosci Nurs 37:320-5. 2005
  6. ncbi request reprint Complications related to feeding tube placement
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Missouri 63104, USA
    Curr Opin Gastroenterol 23:178-82. 2007
  7. ncbi request reprint Residual volume measurement should be retained in enteral feeding protocols
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, Missouri 63104 1099, USA
    Am J Crit Care 17:62-4. 2008
  8. pmc Gastric residual volume and aspiration in critically ill patients receiving gastric feedings
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Missouri 63104 1099, USA
    Am J Crit Care 17:512-9; quiz 520. 2008
  9. pmc Effectiveness of an aspiration risk-reduction protocol
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, MO 63104, USA
    Nurs Res 59:18-25. 2010
  10. pmc Relationship between feeding tube site and respiratory outcomes
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, Missouri 63104, USA
    JPEN J Parenter Enteral Nutr 35:346-55. 2011

Detail Information

Publications26

  1. ncbi request reprint Strategies to prevent aspiration-related pneumonia in tube-fed patients
    Norma A Metheny
    School of Nursing, Saint Louis University, 3525 Caroline Mall, St Louis, MO 63104, USA
    Respir Care Clin N Am 12:603-17. 2006
    ..Fortunately, many of these strategies are relatively easy and inexpensive to incorporate into routine care...
  2. doi request reprint A review of published case reports of inadvertent pulmonary placement of nasogastric tubes in children
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Mo Electronic address
    J Pediatr Nurs 29:e7-12. 2014
    ..Little is known about the incidence of inadvertent pulmonary placement of nasogastric tubes during blind insertions in children...
  3. ncbi request reprint Head-of-bed elevation in critically ill patients: a review
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, MO 63104, USA
    Crit Care Nurse 33:53-66; quiz 67. 2013
    ..Currently available information provides some indications of how to position patients; however, randomized controlled trials where both outcomes are evaluated simultaneously at various head-of-bed positions are needed...
  4. doi request reprint Blind insertion of feeding tubes in intensive care units: a national survey
    Norma A Metheny
    Saint Louis University, 3525 Caroline Mall, St Louis, MO 63104, USA
    Am J Crit Care 21:352-60. 2012
    ....
  5. ncbi request reprint Indicators of tubesite during feedings
    Norma A Metheny
    Saint Louis University School of Nursing, USA
    J Neurosci Nurs 37:320-5. 2005
    ..A variety of easy-to-use bedside methods can be used with a moderate degree of confidence to distinguish between gastric and small-bowel tube placement during continuous feedings...
  6. ncbi request reprint Complications related to feeding tube placement
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Missouri 63104, USA
    Curr Opin Gastroenterol 23:178-82. 2007
    ..The purpose of this review is to describe recent reports of feeding tube placement problems and to examine possible solutions...
  7. ncbi request reprint Residual volume measurement should be retained in enteral feeding protocols
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, Missouri 63104 1099, USA
    Am J Crit Care 17:62-4. 2008
  8. pmc Gastric residual volume and aspiration in critically ill patients receiving gastric feedings
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, Missouri 63104 1099, USA
    Am J Crit Care 17:512-9; quiz 520. 2008
    ..The helpfulness of bedside assessment of gastric residual volume in the prediction of aspiration has been questioned, as has the volume that signals increased risk of aspiration...
  9. pmc Effectiveness of an aspiration risk-reduction protocol
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, MO 63104, USA
    Nurs Res 59:18-25. 2010
    ..Aspiration of gastric contents is a serious problem in critically ill, mechanically ventilated patients receiving tube feedings...
  10. pmc Relationship between feeding tube site and respiratory outcomes
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, Missouri 63104, USA
    JPEN J Parenter Enteral Nutr 35:346-55. 2011
    ....
  11. ncbi request reprint Effect of feeding-tube properties on residual volume measurements in tube-fed patients
    Norma A Metheny
    St Louis University School of Nursing, 3525 Caroline Mall, St Louis, MO 63104, USA
    JPEN J Parenter Enteral Nutr 29:192-7. 2005
    ....
  12. ncbi request reprint pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement
    N A Metheny
    Saint Louis University School of Nursing, MO 63104 1099, USA
    Nurs Res 48:189-97. 1999
    ..Currently available bedside methods for determining feeding tube placement often provide inconclusive results. Therefore, additional data are needed to assist nurses in making decisions regarding tube location...
  13. pmc Efficacy of dye-stained enteral formula in detecting pulmonary aspiration
    Norma A Metheny
    School of Nursing, Saint Louis University, St Louis, MO 63104, USA
    Chest 122:276-81. 2002
    ..1 food dye (0.8 and 1.5 mL/L) is visible in suctioned tracheobronchial secretions following three forced small-volume pulmonary aspirations over a 6-h period in an animal model...
  14. ncbi request reprint Risk factors for aspiration
    Norma A Metheny
    School of Nursing, Saint Louis University, Missouri 63104 1099, USA
    JPEN J Parenter Enteral Nutr 26:S26-31; discussion S32-3. 2002
    ..However, there is confusion about the extent to which these factors actually contribute to aspiration. The purpose of this literature review was to summarize findings from selected research studies...
  15. ncbi request reprint Testing feeding tube placement during continuous tube feedings
    Norma A Metheny
    St Louis University School of Nursing, St Louis, MO 63104, USA
    Appl Nurs Res 15:254-8. 2002
  16. pmc Detection of pepsin in tracheal secretions after forced small-volume aspirations of gastric juice
    Norma A Metheny
    St Louis University, St Louis, Missouri 63104, USA
    JPEN J Parenter Enteral Nutr 28:79-84. 2004
    ..Detecting small-volume aspirations of gastric contents is an important but difficult task. A potentially useful method for this purpose is assaying tracheal secretions for pepsin, an expected constituent of gastric juice...
  17. pmc Verification of inefficacy of the glucose method in detecting aspiration associated with tube feedings
    Norma A Metheny
    Saint Louis University School of Nursing, St Louis, MO, USA
    Medsurg Nurs 14:112-9, 121; discussion 120. 2005
    ..As such, the results from the study provide the clinician with useful data to decide if the glucose method is appropriate for use in clinical settings...
  18. pmc Pepsin as a marker for pulmonary aspiration
    Norma A Metheny
    School of Nursing, St Louis University, MO, USA
    Am J Crit Care 11:150-4. 2002
    ..A potential method is immunoassay of tracheal secretions for the gastric enzyme pepsin...
  19. pmc Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors
    Norma A Metheny
    Saint Louis University School of Nursing, MO, USA
    Crit Care Med 34:1007-15. 2006
    ....
  20. ncbi request reprint Effect of gastrointestinal motility and feeding tube site on aspiration risk in critically ill patients: a review
    Norma A Metheny
    Saint Louis University School of Nursing, MO 63104 1099, USA
    Heart Lung 33:131-45. 2004
    ..The purpose of this literature review is to examine the effect of the interaction between gastrointestinal motility and feeding site on the aspiration risk in critically ill, tube-fed patients...
  21. ncbi request reprint Preventing respiratory complications of tube feedings: evidence-based practice
    Norma A Metheny
    Saint Louis University, St Louis, MO, USA
    Am J Crit Care 15:360-9. 2006
    ..A review of current research-based information to support modification of these risk factors is provided...
  22. ncbi request reprint Inadvertent intracranial nasogastric tube placement
    Norma A Metheny
    Saint Louis University, USA
    Am J Nurs 102:25-7. 2002
  23. doi request reprint Preventing aspiration in older adults with dysphagia
    Janice L Palmer
    Saint Louis University School of Nursing, St Louis, USA
    Am J Nurs 108:40-8; quiz 49. 2008
    ..This article discusses best practices for assessment and prevention of aspiration among older adults who are being hand-fed or fed by tube. To view an accompanying online video, go to http://links.lww.com/A226...
  24. ncbi request reprint North American Summit on Aspiration in the Critically Ill Patient: consensus statement
    Stephen A McClave
    Department of Medicine, University of Louisville School of Medicine, Kentucky 40202, USA
    JPEN J Parenter Enteral Nutr 26:S80-5. 2002
    ..Management strategies for treating aspiration pneumonia are based on degree of diagnostic certainty, time of onset, and host factors...
  25. ncbi request reprint Incidence and risk factors for oropharyngeal aspiration in mechanically ventilated infants and children
    Kathleen L Meert
    Pediatr Crit Care Med 5:194-6. 2004
  26. ncbi request reprint Gastric vs small-bowel feeding in critically ill children receiving mechanical ventilation: a randomized controlled trial
    Kathleen L Meert
    Critical Care Medicine, Children s Hospital of Michigan, 3901 Beaubien Blvd, Detroit, MI 48201, USA
    Chest 126:872-8. 2004
    ..To determine the effect of feeding tube position (gastric vs small bowel) on adequacy of nutrient delivery and feeding complications, including microaspiration, in critically ill children...

Research Grants10

  1. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2000
    ..abstract_text> ..
  2. Development of a 'Nurse-Friendly' Bedside Test for Aspiration
    Norma A Metheny; Fiscal Year: 2010
    ....
  3. Development of a 'Nurse-Friendly' Bedside Test for Aspiration
    Norma Metheny; Fiscal Year: 2009
    ....
  4. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2007
    ..A t-test for independent groups will be used to compare Usual Care and ARRP on the outcome variables. Delivery, receipt and enactment of the ARRP will be evaluated by quantitative and qualitative methods. ..
  5. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2006
    ..A t-test for independent groups will be used to compare Usual Care and ARRP on the outcome variables. Delivery, receipt and enactment of the ARRP will be evaluated by quantitative and qualitative methods. ..
  6. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2004
    ..Patients will be recruited from 5 intensive care units at a Level I trauma center. Data collection will occur over a 24-month period and the data will be analyzed by logistic regression and multiple linear regression. ..
  7. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2003
    ..Patients will be recruited from 5 intensive care units at a Level I trauma center. Data collection will occur over a 24-month period and the data will be analyzed by logistic regression and multiple linear regression. ..
  8. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2002
    ..Patients will be recruited from 5 intensive care units at a Level I trauma center. Data collection will occur over a 24-month period and the data will be analyzed by logistic regression and multiple linear regression. ..
  9. DETECTING ASPIRATION ASSOCIATED WITH TUBE FEEDINGS
    Norma Metheny; Fiscal Year: 2001
    ..abstract_text> ..
  10. Development of a 'Nurse-Friendly' Bedside Test for Aspiration
    Norma Metheny; Fiscal Year: 2009
    ....