Pediatric nasogastric tube placement

Wathen, Beth; Peyton, Christine

doi:10.1097/01.ccn.0000446246.61200.91

Cited by 2 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Accidental dislodgement is a common complication associated with the use of a nasal gastric tube and has been cited in numerous articles (Bechtold et al, 2014; Kang et al, 2018; Lynch et al, 2018; Mayes et al, 2020; McGinnis, 2011; Newton et al, 2016; Parks et al, 2013; Puricelli et al, 2016; Seder et al, 2010). When a patient requires numerous episodes of enteral feeding tube reinsertion, it increases a patient’s risk of anxiety, possible sedation (Mayes et al, 2020), and potential life-threatening events such as inadvertent placement of the tube in the lungs and pneumothorax (Gunn et al, 2009; Lyman et al, 2018; Lynch et al, 2018; Metheny et al, 2019; Stabler et al, 2018; Wathen & Peyton, 2014). Patients recovering from a TBI, as well as other pediatric patients, are at higher risk for accidental tube dislodgement because of their impulsivity and lack of understanding of the necessity of the tube to remain in place (Kang et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

Nasal Tube Securement

McNeely

Quackenbush

Bothwell

et al. 2022

Rehabilitation Nursing

View full text Add to dashboard Cite

Purpose: The aim of this study was to compare accidental dislodgement rates of nasal gastric tubes secured with standard methods or a nasal tube securement device in pediatric patients. Design: A randomized controlled trial was conducted. Methods: Participants (n = 43) were randomized into standard securement or nasal tube securement device using block randomization to control for age and diagnosis. Surveys were collected from staff and caregivers on device ease of use and satisfaction. Results: There were a similar number of tube dislodgements for patients in the nasal tube securement device group (n = 6) and the standard practice group (n = 7). The median hospital length of stay was higher for the standard practice group (13 days vs. 9 days). Conclusion: Use of the nasal tube securement device did not significantly decrease the rate of tube dislodgements compared with standard practice. Clinical Relevance to Rehabilitation Nursing: The study provides information for pediatric rehabilitation nurses in choosing securement options for nasal gastric tubes.

show abstract

Section: Introductionmentioning

confidence: 99%

Nasal Tube Securement

McNeely

Quackenbush

Bothwell

et al. 2022

Rehabilitation Nursing

View full text Add to dashboard Cite

show abstract

Nasogastric Tube Placement: A Cross-Comparison of Verification Methods Used in Pennsylvania Hospitals and How They Align With Guidelines

Gardner¹,

Wallace²

2021

PatientSaf

View full text Add to dashboard Cite

Nasogastric tubes (NGTs) are used as an alternative approach to deliver nutrition and medications, or a method to remove stomach contents. Insertion of these tubes is considered a simple procedure; however, wrong placement or dislodged tubes can lead to patient harm and possibly death. The risk of harm and death increases when misplaced or dislodged tubes are not identified prior to using them. We queried the Pennsylvania Patient Safety Reporting System for events that occurred between January 1, 2017, and June 30, 2020. We analyzed those reports that provided supplemental information describing NGT placement verification methods to determine how these activities aligned with NGT guidelines. The use of X-rays and pH aspirate, guideline-approved verification methods, were identified in 90.8% (544 of 599) of the reports. In 9.2% (55 of 599) of the reports, the use of non-recommended verification methods (e.g., insertion of air bolus/auscultation, were identified). Reports indicated that patients aged less than one year old experienced a higher percentage of non-recommended verification methods being used when compared to all other patients. Interviews with staff at three healthcare facilities discussed their approach to verifying NGT placement. Risk reduction strategies comprise using the guideline recommendations to verify NGT placement and avoiding the use of non-recommended verification methods.

show abstract

Pediatric nasogastric tube placement

Abstract: n u t r i t i o n a n d m e d i c a t i o n w i t h o u t c o m p l i c a t i o n s .

Cited by 2 publications

References 10 publications

Nasal Tube Securement

Nasal Tube Securement

Nasogastric Tube Placement: A Cross-Comparison of Verification Methods Used in Pennsylvania Hospitals and How They Align With Guidelines

Contact Info

Product

Resources

About