Complications related to feeding tube placement

Metheny, Norma A.; Meert, Kathleen L.; Clouse, Ray E.

doi:10.1097/mog.0b013e3280287a0f

Cited by 147 publications

(127 citation statements)

References 41 publications

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“…The procedures of insertion, maintenance, and administration of therapy through NET are not exempt from risks. The positioning of the distal tip of the tube in an inadequate anatomical place can cause serious incidents or adverse events (5) , such as the infusion of diet or medications into the respiratory tract (6)(7) . Barrier measures, such as checking prescription data, identification of the patient and of the therapeutic composition, access pathway to the gastrointestinal tract (GIT), and the performance of X-rays (XR) for the confirmation of tube positioning are actions indicated to prevent complications (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

Nasoenteral tube: factors associated with delay between indication and use in emergency services

et al. 2017

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Objective: to know the time between indication and use of a nasoenteral tube (NET) and factors associated with delays. Method: A prospective cohort study that followed adults in a Brazilian emergency department, since the indication of the use of a NET, evaluating clinical variables and the work process. The Generalized Estimated Equations model was adopted to identify factors associated with the delays in each stage of the process. Results: the time between indication and use of NET was 573 (IQR: 360-1,093) minutes, in 150 insertions of NET. Insertions in patients who previously did not use it; delays in the medical, nutrition, and nursing care routine; use of mechanical ventilation; noradrenaline; and fasting were factors for longer time before the use of the tube. Conclusion: the time between indication and use of NET was high, exceeding 10 hours in half of the cases. Factors related to the clinical condition of the patient and to the care management would contribute to delays. Descriptors: Nursing Care; Emergency Medical Services; Gastrointestinal Intubation; Treatment Time; Patient Safety. RESUMO Objetivo: conhecer o tempo entre indicação e uso da sonda nasoenteral (SNE) e fatores associados a atrasos. Método: coorte prospectiva que acompanhou adultos de uma Emergência brasileira, desde a indicação ao uso da SNE, avaliando-se variáveis clínicas e do processo de trabalho. Adotou-se o modelo de Equações de Estimações Generalizadas para identifi car fatores associados a atrasos em cada etapa do processo. Resultados: o tempo entre indicação e uso da SNE foi 573 (IQR: 360-1093) minutos, em 150 inserções de SNE. Inserções em pacientes que anteriormente não a utilizavam, retardos na rotina assistencial médica, da nutrição e enfermagem, uso de ventilação mecânica, noradrenalina e jejum foram fatores para maior tempo até o uso da sonda. Conclusão: o tempo entre indicação e uso de SNE foi elevado, excedendo 10 horas em metade dos casos. Fatores relacionados às condições clínicas do paciente e à gestão da assistência contribuiriam para atrasos. Descritores: Cuidados de Enfermagem; Serviços Médicos de Emergência; Intubação Gastrointestinal; Tempo para o Tratamento; Segurança do Paciente. RESUMENObjetivo: conocer el tiempo entre indicación y uso de sonda nasogástrica (SNG) y factores asociados a demoras. Método: cohorte prospectivo que observó adultos en Servicio de Urgencia brasileño, desde indicación hasta uso de la SNG, evaluándose variables clínicas del proceso de trabajo. Se adoptó modelo de Ecuaciones de Estimación Generalizada para identifi car factores asociados a demoras en cada etapa del proceso. Resultados: el tiempo entre indicación y uso de SNG fue 573 (IQR=360α1093) minutos, en 150 inserciones de SNG. Las inserciones en pacientes que no la utilizaban previamente, demoras en rutina de atención médica, Rev Bras Enferm [Internet]. 2017 mar-apr;70(2):326-34. 327Nasoenteral tube: factors associated with delay between indication and use in emergency services

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Section: Introductionmentioning

confidence: 99%

Nasoenteral tube: factors associated with delay between indication and use in emergency services

et al. 2017

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“…Various theories have been proposed describing the etiology and prognosis but it still remains obscure [1][2][3]5]. Congenital absence of gastric musculature [6,8], high gastric acid production [9], abdominal trauma [7,10], and other associated gastrointestinal conditions like ischemic bowel, necrotising enterocolitis (NEC), intestinal malrotation, duodenal web, hiatus hernia, Meckel's diverticulum, and gastroschisis have all been proposed as possible causes of NGP [3,[11][12][13][14]. Few authors have reported that gastric perforation was seen in the setting of a distal mechanical obstruction [3,5,15].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Gastric Perforation: A case series

Venkataraman¹,

Vareli²,

Misra³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. We report a case series of three neonates diagnosed with gastric perforations in the first week of life and successfully managed by urgent surgical intervention. All three patients had associated gastrointestinal anomalies contributing to the gastric perforation. Conclusion: Neonatal gastric perforation is extremely rare and is associated with high mortality. Early diagnosis and prompt surgical intervention are essential to improve the outcomes.

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“…The inadvertent placement of a gastric tube in the trachea contributes most substantially to the morbidities associated with tube misplacement, including instillation of food into the trachea, tracheal perforation, pneumothorax, and pulmonary hemorrhage. [18][19][20][21] Factors associated with errors in enteral tube placement in children include younger age, decreased level of consciousness, abdominal distention, presence of emesis, and the use of the orogastric route. 1 The EA di waveforms can immediately notify the clinician that the tube is not in the esophagus/stomach and may be in the trachea.…”

Section: Discussionmentioning

confidence: 99%

Electrocardiographic Guidance for the Placement of Gastric Feeding Tubes: A Pediatric Case Series

et al. 2011

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Complications related to feeding tube placement

Abstract: Complications related to malpositioned feeding tubes are usually preventable. Poor reporting of feeding tube placement errors hinders the adoption of effective protocols to prevent such errors.

Cited by 147 publications

References 41 publications

Nasoenteral tube: factors associated with delay between indication and use in emergency services

Nasoenteral tube: factors associated with delay between indication and use in emergency services

Neonatal Gastric Perforation: A case series

Electrocardiographic Guidance for the Placement of Gastric Feeding Tubes: A Pediatric Case Series

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