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Capnography NG/NE tube insertion-Tuesday Tube Facts

Did you know…?

Capnography is the monitoring of the concentration or partial pressure of carbon dioxide (CO2) in respiratory gases. This can help clinicians determine when an NG/NE tube has taken an inadvertent course into the trachea during the insertion process.[1]

References:

  1. Powers, J, Brown, B, Lyman, B, et al. Development of a competency model for placement and verification of nasogastric and nasoenteric feeding tubes for adult hospitalized patients.  Nutr. Clin. Pract. 2021; 36: 517-533. https://doi.org/10.1002/ncp.10671

Pneumonia Risk May Increase After Malpositioned Feeding Tube – Tuesday Tube Facts

Pneumonia Risk May Increase After Malpositioned Feeding Tube – Tuesday Tube Facts

There may be a greater risk of pneumonia following a malpositioned feeding tube.*

In one study of patients who experienced a malpositioned feeding tube, 40% developed pneumonia at the former site of the malpositioned tube.*

* Giantsou, E.; Gunning, K. J. Blindly inserted nasogastric feeding tubes and thoracic complications in intensive care. Health, Cambridge University Hospitals NHS Trust. 2010. 2(10): 1135-1141.
More than half of misplacements reported as Serious Events – Tuesday Tube Facts

More than half of misplacements reported as Serious Events – Tuesday Tube Facts

In Pennsylvania, 56% of nasogastric feeding tube misplacements were reported as Serious Events.1

1.2% of those misplacements resulted in death.1

In 2016, a $5 million verdict was awarded following a patient’s death due to a misplaced feeding tube at a Philadelphia-area hospital.2

1. Wallace, SC. Data Snapshot: Complications Linked to Iatrogenic Enteral Feeding Tube Misplacements. Pennsylvania Patient Safety Advisory, 2017; 14:1-60.

2. McCrystal, Laura. (2016, 16 May). Montco jury awards $5 million in hospital death [online]. The Inquirer. Accessed July 8, 2019

EAD Misplacement into Lung Can Lead to Death – Tuesday Tube Facts

EAD Misplacement into Lung Can Lead to Death – Tuesday Tube Facts

Of the 1.2 million small bore feeding tubes placed, about 0.1-0.3% of patients die as a result of blind misplacement.*

About 1.2–2 percent of small bore feeding tubes that are placed blindly at the bedside enter the airway undetected. *

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