Nasoenteric feeding tube insertion

Inability to maintain volitional intake (in the setting of a functional gastrointestinal tract) and :

Critical illness expected to require an intensive care unit (ICU) stay of more than 2 days

Poor nutritional status

Weight loss and nutrient depletion

Multiple comorbid conditions

Failure to eat for more than 7 days

Inability to tolerate enteral nutrition:

Mechanical bowel obstruction

Peritonitis

Hemodynamic compromise (e.g., starting or escalating dose of vasopressor[s] in a previously stable patient)

Short gut (relative contraindication)

Severe cranial or facial fracture(s) or deformity

Esophageal obstruction or recent surgery

Esophageal or gastric varices

Coagulopathy (relative contraindication)