Increased Force Required With Proposed Standardized Enteral Feed Connector in Blenderized Tube Feeding

Mundi, Manpreet S.; Epp, Lisa; Hurt, Ryan T.

doi:10.1177/0884533616639126

Cited by 29 publications

(41 citation statements)

References 36 publications

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“…If BTFs can go through the Cath‐tip syringe, they should also be able to go through the ENFit connector 82 . Another study by Mundi et al 83 observed a need for increased force with the ENFit connector to administer blenderized formulas compared to traditional connectors, but this study was conducted with device prototypes and not with FDA‐approved products. Currently, the FDA and other independent labs are conducting flow and pressure studies with a variety of tubes and a variety of formulas, including blenderized diets.…”

Section: Section 5 Procure Select/prepare Label and Dispense Enmentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

352

531

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Enteral nutrition (EN) is a valuable clinical intervention for patients of all ages in a variety of care settings. Along with its many outcome benefits come the potential for adverse effects. These safety issues are the result of clinical complications and of process-related errors. The latter can occur at any step from patient assessment, prescribing, and order review, to product selection, labeling, and administration. To maximize the benefits of EN while minimizing adverse events requires that a systematic approach of care be in place. This includes open communication, standardization, and incorporation of best practices into the EN process. This document provides recommendations based on the available evidence and expert consensus for safe practices, across each step of the process, for all those involved in caring for patients receiving EN.

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Section: Section 5 Procure Select/prepare Label and Dispense Enmentioning

confidence: 99%

ASPEN Safe Practices for Enteral Nutrition Therapy

Boullata

Carrera²,

Harvey

et al. 2016

J Parenter Enteral Nutr

352

531

View full text Add to dashboard Cite

show abstract

“…Sullivan et al 8 concluded that these methods of feeding were poorly tolerated compared with continuous feeding through a small bore feeding tube. Recent research conducted by Mundi et al 19 has found that home-made blenderised recipes require more force to push through when using the new ENFit adapter which could have implications for using a blended diet in malnourished patients.…”

Section: Resultsmentioning

confidence: 99%

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Coad

Toft

Lapwood³

et al. 2016

Arch Dis Child

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With the growing number of children and young people with complex care needs or life-limiting conditions, alternative routes for nutrition have been established (such as gastrostomy feeding). The conditions of children and young people who require such feeding are diverse but could relate to problems with swallowing (dysphagia), digestive disorders or neurological/muscular disorders. However, the use of a blended diet as an alternative to prescribed formula feeds for children fed via a gastrostomy is a contentious issue for clinicians and researchers. From a rapid review of the literature, we identify that current evidence falls into three categories: (1) those who feel that the use of a blended diet is unsafe and substandard; (2) those who see benefits of such a diet as an alternative in particular circumstances (eg, to reduce constipation) and (3) those who see merit in the blended diet but are cautious to proclaim potential benefits due to the lack of clinical research. There may be some benefits to using blended diets, although concerns around safety, nutrition and practical issues remain.

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“…Homemade diets usually have higher viscosity than industrialized ones. Therefore, adequate fluidity is required to avoid the clogging of the catheter or the need to exert excessive pressure on the syringe plunger when the infusion is in bolus, with risk of catheter displacement 21 .…”

Section: Resultsmentioning

confidence: 99%

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

Jansen

Generoso

Guedes

et al. 2017

Rev. bras. geriatr. gerontol.

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Objective: the development and analysis of the macro and micronutrient composition of homemade enteral diets. Method: A standard homemade enteral diet was developed at three caloric concentrations -1500, 1800 and 2100 Kcal. After preparation and testing of viscosity, stability, odor and color, plus evaluation of cost, the chemical composition of the nutrients of the diets were analytically determined. Folic acid, vitamin D and vitamin B12 values were calculated using chemical composition tables. The results were compared with recommended nutritional standards for the elderly. Result: The diets exhibited normal macronutrient distribution. The 1500 caloric level presented some mineral and vitamin deficiencies. Suitable values were obtained at the other caloric levels for all minerals except magnesium. There were appropriate levels of all the vitamins in the 2100 Kcal diet, while vitamin E, D and B6 levels were below the recommended dietary allowances in the 1800 Kcal diet. Conclusion: The standard homemade enteral diets studied can contribute to the food and nutritional safety of elderly persons undergoing home care, if all are supplemented with magnesium and the 1800 Kcal diet is supplemented with vitamin E, D and B6. The 1500 Kcal diet was not nutritionally safe in terms of micronutrients.

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Increased Force Required With Proposed Standardized Enteral Feed Connector in Blenderized Tube Feeding

Abstract: ENFit adapter implementation is the largest change to home enteral nutrition in more than a decade. Additional rigorous testing is required to ensure that the needs of all patients receiving home enteral nutrition are met prior to widespread adoption.

Cited by 29 publications

References 36 publications

ASPEN Safe Practices for Enteral Nutrition Therapy

ASPEN Safe Practices for Enteral Nutrition Therapy

Blended foods for tube-fed children: a safe and realistic option? A rapid review of the evidence

Development of enteral homemade diets for elderly persons receiving home care and analysis of macro and micronutrient composition

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