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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

PA Reporting-Tuesday Tube Facts

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.

Death Associated with Replacement Feeding Tube – Tuesday Tube Facts

Death Associated with Replacement Feeding Tube – Tuesday Tube Facts

A replacement feeding tube perforated bronchial tissue, leading to a patient’s death.*

The feeding tube was replaced due to a clog.*

The patient passed away just 65 minutes after the attempt to replace the feeding tube.*

* Smith, A.L., Santa Ana, C.A., Fordtran, J.S., Guileyardo, J.M. Deaths associated with insertion of nasogastric tubes for enteral nutrition in the medical intensive care unit: Clinical and autopsy findings. Baylor University Medical Center Proceedings, 2018;31(3):310-316.

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