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Uncertainty in Literature about Enteral Nutrition – Tuesday Tube Facts

Did you know…?

Uncertainty in the literature about feeding tube choices, practices, and transitions requires clinicians to draw on incomplete and sometimes conflicting evidence, personal experience, economic realities, and compassion to deliver supportive care.[1]

References:

  1. Abdelhadi, R.A., Rempel, G., Sevilla, W., Turner, J.M., Quet, J., Nelson, A., Rahe, K., Wilhelm, R., Larocque, J., Guenter, P. and (2021), Transitioning From Nasogastric Feeding Tube to Gastrostomy Tube in Pediatric Patients: A Survey on Decision-Making and Practice. Nutrition in Clinical Practice, 36: 654 664. https://doi.org/10.1002/ncp.10603

EN for Patients with Head and Neck Cancer – Tuesday Tube Facts

Did you know…?

Head & neck cancer and the treatment modalities have significant nutritional impacts. Patients often need nutrition support which can include enteral nutrition. The type of feeding tube placed, when the EN begins, and the type of formula can all impact patient clinical outcomes.[1]

References:

  1. Heneghen, Lisa, MPH, RDN, SNSC, CSO. Enteral Nutrition for Patients with Head and Neck Cancer. ASPEN Videos and Podcasts. 2022; https://www.youtube.com/watch?v=8YjOwB3cuPg

EN-related readmissions – Tuesday Tube Facts

Did you know…?

Among EN-related readmissions, 44.6% (33/72) documented enteral access device-related issues, 40.5% (30/74) cited symptoms attributed to EN, and 14.9% (11/74) attributed sodium imbalance from dehydration.[1]

References:

  1. Palchaudhuri, S, Mehta, SJ, Snider, CK, et al. Causes of readmissions for patients discharged on enteral nutrition. J Parenter Enteral Nutr. 2022; 1- 5. doi:10.1002/jpen.2331

The danger of tube misconnections – Tuesday Tube Fact

Did you know…?

It is common to see patients in the hospital with a feeding tube, an arterial catheter, and a central venous catheter, which all have the same connector. A misconnection is physiologically incompatible with life, and if enteral feeding is placed inside the IV line, it would be like concrete pouring into a patient’s heart.[1]

References:

  1. Simmons, Debra. “Keeping Everyone Safe: Tubing Misconnections.” The Oley Foundation, accessed 21 Feb. 2022, https://oley.org/page/DebSimmonsTubeMis

FDA Feeding Tube Warning – Tuesday Tube Facts

Did you know…?

The FDA has put out a warning & recommendation for pediatric feeding tubes. If your child is injured by a feeding set tubing, please report the event to the FDA. Your report, along with information from other sources, can provide information that helps improve patient safety.[1]

References:

  1. Pedersen, Amanda. “FDA Warns of Pediatric Feeding Tube Strangulation.” Medical Device and Diagnostic Industry, 8 Feb. 2022, https://www.mddionline.com/regulatory-quality/fda-warns-pediatric-feeding-tube-strangulation?ADTRK=InformaMarkets&elq_mid=20876&elq_cid=8727