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Blind bedside placement rate-Tuesday Tube Facts

Apr 6, 2021 | Tuesday Tube Facts

Did you know…?

Over 25 years of documented evidence concluded that between 1%- 2% of blindly placed small bore feeding tubes enter the airway UNDETECTED.[1]

The large number of blind feeding tube placements results in unacceptable numbers of unnecessary harm to patients.[3]

References:

  1. Krenitsky, J. Blind Bedside Placement of Feeding Tubes: Treatment or Threat? Practical Gastroenterology. 2011. March; 32-42.

GJ and G tube complication rates-Tuesday Tube Facts

Apr 6, 2021 | Tuesday Tube Facts

Did you know…?

Although gastrostomy (G) tubes and gastrojejunostomy (GJ) tubes had similar complication rates and emergency department visits, GJ tube complications were more likely to result in intervention by radiology.[1]

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Referenc

  1. Ronning, Meghann Marie, Gaillard, Philippe, Wey, Andrew, and Roback, Mark G. Comparison of Emergency Department Visits for Complications of Gastrostomy Versus Gastrojejunostomy Tubes in Children. Pediatr Emerg Care. 2017 Oct;33(10):e71-e74.

    PA Reporting-Tuesday Tube Facts

    Apr 6, 2021 | Tuesday Tube Facts

    Did you know…?

    Pennsylvania is one of few states that requires reporting of misplaced nasogastric feeding tubes.[1]

    From 2011-2016 the Patient Safety Authority (PSA) documented 166 nasogastric tube misplacements with 56% (n=93) documented to have caused serious harm and 137 placed into the lung.[2]

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    References:

    1. Irving, S., Rempel, G., Lyman, B., Sevilla, W., Northington, L., Guenter, P. Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project. Nutrition in Clinical Practice. 2018. 33(6):921-927. 
    2. Wallace, S.C. Data Snapshot: Complications Linked to Iatrogenic Enteral Feeding Tube Misplacements. Pennsylvania Patient Safety Advisory. 2017. 14:1-60.

    1972 Published Misconnection-Tuesday Tube Facts

    Apr 2, 2021 | Tuesday Tube Facts

    Did you know…?

    The first report of accidental infusion of enteral nutrition (EN) into an intravenous (IV) line was published in 1972.[1]

    An enteral misconnection is defined as an inadvertent connection between an enteral feeding system and a nonenteral system such as an intravascular line, peritoneal dialysis catheter, tracheostomy tube cuff, medical gas tubing, and other medical devices.[1]

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    References:

    1. Guenter, P. and Lyman, B. ENFit Enteral Nutrition Connectors. Nutrition in Clinical Practice, 2016. 31: 769-772.

    EN interruptions-Tuesday Tube Facts

    Apr 2, 2021 | Tuesday Tube Facts

    Did you know…?

    Enteral nutrition is often interrupted because of procedures, positioning, technical issues with feeding accesses, and gastrointestinal intolerance issues.[1]

    Enteral access device (EAD) occlusion is classified in one of two ways: obstruction of the internal lumen or mechanical failure.[2]

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    References:

    1. Stewart, M.L. Interruptions in Enteral Nutrition Delivery in Critically Ill Patients and Recommendations for Clinical Practice. Critical Care Nurse. 2014. 34(4):14-22.
    2. Blumenstein, I., Shastri, Y.M., Stein, J. Gastroenteric tube feeding: techniques, problems and solutions. World J Gastroenterol. 2014. 20(26):8505-24.