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25% of NG tubes-Tuesday Tube Facts

There is however no evidence to support the use of weighted NG tubes in terms of either placement or maintenance of position.[1]

References:

  1. Stroud, M., Duncan, H., Nightingale, J. Guidelines for enteral feeding in adult hospital patients. Gut. 2003. 52:vii1-vii12.

NG Tube Complications-Tuesday Tube Facts

According to recent reviews of tube insertions, the risk of misplacing an NG tube into the airway may reach 2% or higher when tubes are inserted blindly.[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

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.

Never Event in England-Tuesday Tube Facts

Did you know…?

In England, misplacement of a naso- or oro-gastric tube in the pleura or respiratory tract that is not detected before starting a feed, flush or medication administration is considered a ‘Never Event’.[1]

Never events are defined as ‘serious incidents that are wholly preventable because guidance or safety recommendations that provide strong systemic barriers are available at a national level and should have been implicated by all healthcare providers’.[2]

References:

  1. NHS Improvement. Never Events list 2018; 2018. https://improvement.nhs.uk/documents/2899/Never_Events_list_2018_FINAL_v7.pdf. Accessed 15 September 2020.
  2. NHS Improvement. Never Events policy and framework. Revised 2018. https://improvement.nhs.uk/documents/2265/Revised_Never_Events_policy_and_framework_FINAL.pdf. Accessed 15 September 2020.

Acidic Fluids May Coagulate or Thicken Clogs – Tuesday Tube Facts

Did you know…?

The use of acidic liquids to clear a clogged feeding tube may make the problem worse.[1,2]

Enteral feeding proteins coagulate or thicken in an acidic environment.[1,2]

References:

  1. Dandeles LM, Lodolce AE. Efficacy of agents to prevent and treat enteral feeding tube clogs. Ann Pharmacother. 2011;45:676-680.
  2. Williams NT.Medication administration through enteral feeding tubes. Am J Health-Syst Pharm. 2008;65:2347-2357.