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Technical Issues with Feeding Access-Tuesday Tube Facts

Did you know…?

Technical issues with enteral access contribute to interruptions in nutrition. 25.5% of the total interruption time is due to tubes becoming clogged or dislodged.[1]

References:

  1. Melissa L. Stewart. Interruptions in enteral nutrition delivery in critically ill patients and recommendations for clinical practice. CriticalCareNurse. Vol 34, No. 4, August 2014 https://aacnjournals.org/ccnonline.

Acidic environments and clog rates-Tuesday Tube Facts

Did you know…?

It has been observed that feeding tubes positioned in the highly acidic environment (e.g., stomach) may clog more readily than those positioned in the more neutral pH environment (e.g., small bowel).[1]

References:

  1. Boullata, Joseph I., et al. “ASPEN Safe Practices for Enteral Nutrition Therapy.” Journal of Parenteral and Enteral Nutrition, vol. 41, no. 1, 2016, pp. 15–103., doi:10.1177/0148607116673053.

Liquid Medications & Tube Clogging-Tuesday Tube Facts

Did you know…?

Some Liquid medications contribute to tube clogging when exposed to enteral nutrition formula. Liquid syrups, for instance, cause clumping and lead to tube clogging. [1]

lansoprazole oral suspension granules, sucralfate suspension, and mineral oil are known to clog feeding tubes.[1]

References:

  1. Schallom, Marilyn. “How to Recognize, Prevent, and Troubleshoot Mechanical Complications of Enteral Feeding Tubes.” American Nurse, 23 July 2020, www.myamericannurse.com/recognize-prevent-troubleshoot-mechanical-complications-enteral-feeding-tubes/.

Cpt code -Tuesday Tube Facts

Did you know…?

CPT Code 49460 is for the mechanical removal of obstructions from feeding tubes under fluoroscopic guidance.[1]

Specifically, the code states:

Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report.

1.References:https://www.bostonscientific.com/content/dam/bostonscientific/Reimbursement/Gastroenterology/pdf/Enteral_Feeding_Coding_and_Payment_Quick_Reference.pdf

Water Not Effective-Tuesday Tube Facts

Did you know…?

In one study, water was found to clear clogged tubes only 20% of the time.[1]

References:

  1. Garrison, C. M. Enteral Feeding Tube Clogging: What Are the Causes and What Are the Answers? A Bench Top Analysis. Nutrition in Clinical Practice. 2018. 33(1):147-150.
  2. Dandeles, L. and Lodolee, A. Efficacy of Agents to Prevent and Treat Enteral Feeding Tube Clogs. The Annals of Pharmacotherapy. 2011. 45:676-680.