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ICU Patients are at High Risk for Complications

Did you know…?

Trauma and surgical intensive care unit (TSICU) patients supported with mechanical ventilation are at high risk for complications associated with malnutrition.[1]

Despite these interventions, TSICU patients often suffer a calorie deficit associated with enteral nutrition interruption for procedures or transitions in care.[1]

References:

  1. Shahmanyan, D., Lawrence, J.C., Lollar, D.I., Hamill, M.E., Faulks, E.R., Collier, B.R., Chestovich, P.J. and Bower, K.L. (2021), Early feeding after percutaneous endoscopic gastrostomy tube placement in trauma and surgical intensive care patients: A retrospective cohort study. Journal of Parenteral and Enteral Nutrition. (First published: November 17, 2021). https://doi.org/10.1002/jpen.2303

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.