Successful Identification of Anatomical Markers and Placement of Feeding Tubes in Critically Ill Patients via Camera‐Assisted Technology with Real‐Time Video Guidance

Wischmeyer, Paul E.; McMoon, Michelle M.; Waldron, Nathan H.; Dye, Elizabeth J.

doi:10.1002/jpen.1313

Cited by 23 publications

(29 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Post-pyloric, mainly jejunal, feeding is possible for patients deemed to be at high risk of aspiration [ 3 ]. Ultrasonography, camera-assisted technology with real-time video guidance and X-rays are used to check the position of the tube after insertion and thus obtain a positive outcome [ 22 , 23 , 24 ]. In clinical practice further tube placement testing methods are used such as aspirate appearance, aspirate pH or auscultation, although X-rays and real-time video guidance are considered to be the most adequate methods.…”

Section: Resultsmentioning

confidence: 99%

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

et al. 2020

View full text Add to dashboard Cite

Critically ill patients in the intensive care unit (ICU) have a high risk of developing malnutrition, and this is associated with poorer clinical outcomes. In clinical practice, nutrition, including enteral nutrition (EN), is often not prioritized. Resulting from this, risks and safety issues for patients and healthcare professionals can emerge. The aim of this literature review, inspired by the Rapid Review Guidebook by Dobbins, 2017, was to identify risks and safety issues for patient safety in the management of EN in critically ill patients in the ICU. Three databases were used to identify studies between 2009 and 2020. We assessed 3495 studies for eligibility and included 62 in our narrative synthesis. Several risks and problems were identified: No use of clinical assessment or screening nutrition assessment, inadequate tube management, missing energy target, missing a nutritionist, bad hygiene and handling, wrong time management and speed, nutritional interruptions, wrong body position, gastrointestinal complication and infections, missing or not using guidelines, understaffing, and lack of education. Raising awareness of these risks is a central aspect in patient safety in ICU. Clinical experts can use a checklist with 12 identified top risks and the recommendations drawn up to carry out their own risk analysis in clinical practice.

show abstract

Section: Resultsmentioning

confidence: 99%

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…42,43 Gastric placement has been shown to be confirmed in >90% of patients. 42,43 Future studies are needed to demonstrate efficacy of smallbowel tube tip placement.…”

Section: Camera Technologymentioning

confidence: 98%

“…Another new technological innovation is a single‐use, small‐bore NG feeding tube with a miniature camera embedded in the distal end to aid in tube placement (Kangaroo Feeding Tube with IRIS Technology, Cardinal Health, http://www.cardinalhealth.com). This system allows trained clinicians to visually identify anatomical markers during the placement procedure 42,43 . Gastric placement has been shown to be confirmed in >90% of patients 42,43 .…”

Section: Verification Of Feeding Tube Placementmentioning

confidence: 99%

Development of a Competency Model for Placement and Verification of Nasogastric and Nasoenteric Feeding Tubes for Adult Hospitalized Patients

Powers

Brown

Lyman³

et al. 2021

Nut in Clin Prac

View full text Add to dashboard Cite

Nasogastric/nasoenteric (NG/NE) feeding tube placements are associated with adverse events and, without proper training, can lead to devastating and significant patient harm related to misplacement. Safe feeding tube placement practices and verification are critical. There are many procedures and techniques for placement and verification; this paper provides an overview and update of techniques to guide practitioners in making clinical decisions. Regardless of placement technique and verification practices employed, it is essential that training and competency are maintained and documented for all clinicians placing NG/NE feeding tubes. This paper has been approved by the American Society for Parenteral and Enteral Nutrition (ASPEN) Board of Directors.

show abstract

“…Feeding tube placement techniques are summarized in Table 1. 3,4,[9][10][11][12][13][14][15][16][17] Given some of the challenges that existed in traditional techniques for placing SBFTs, including cost (physician and healthcare resources), transporting critically ill patients for the procedure, safety risks and need for repeated abdominal radiographs with blind placements, and RN staffing issues, 3-5 many healthcare providers began to consider if an alternative approach would yield better results. In some situations, RNs may have multiple patient care responsibilities and time constraints that limit their ability to perform this procedure.…”

Section: Placement Techniquementioning

confidence: 99%

“…A newer technology, utilizing a feeding tube equipped with a camera, is also available for gastric feeding tube placements. 16,17 The most appropriate method may be dependent on each facility's demand for SBFT vs gastric placement, resources available to support the chosen practice, and the patient populations served. Of note, most of these placement techniques, including the EMPD, can be used to access the stomach or the small bowel.…”

Section: Bedside Feeding Tube Placement Techniquesmentioning

confidence: 99%

Developing and Maintaining an RDN‐Led Bedside Feeding Tube Placement Program

et al. 2019

View full text Add to dashboard Cite

Registered dietitian nutritionists (RDNs), like other healthcare professionals, are often searching for ways to improve their skills and advance their practice. One way RDNs have expanded their skills is by learning to place small bowel feeding tubes (SBFTs). However, it is also important that staffing RDNs to place SBFTs makes sense for their institution and their patient population. Although it is unknown how many RDNs place SBFTs, feeding tube placements by RDNs have been in practice for almost 2 decades, and it is within the RDN scope of practice. This article is a review of the literature, including indications for SBFT, possible benefits of RDNs placing SBFTs, development and maintenance of an RDN-led SBFT program, and assessment of clinical and institutional outcomes for this procedure. (Nutr Clin Pract. 2019;34:858-868)

show abstract

Successful Identification of Anatomical Markers and Placement of Feeding Tubes in Critically Ill Patients via Camera‐Assisted Technology with Real‐Time Video Guidance

Abstract: Direct visualization of the stomach using a camera-equipped FT can assist with FT placement, help avoid misplacements, and with further studies to evaluate the safety of eliminating confirmatory x-ray before feeding, could potentially preclude the need for radiographic confirmation.

Cited by 23 publications

References 16 publications

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

Risks in Management of Enteral Nutrition in Intensive Care Units: A Literature Review and Narrative Synthesis

Development of a Competency Model for Placement and Verification of Nasogastric and Nasoenteric Feeding Tubes for Adult Hospitalized Patients

Developing and Maintaining an RDN‐Led Bedside Feeding Tube Placement Program

Contact Info

Product

Resources

About