Testing feeding tube placement during continuous tube feedings (original) (raw)

2002, Applied Nursing Research

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Testing feeding tube placement during continuous feedings is crucial to ensure patient safety and feeding efficacy. This study evaluates methods to confirm tube position, highlighting that bilirubin concentration and aspirate appearance can indicate placement in the stomach or small bowel. Although preliminary findings suggest their utility, further validation and testing are needed for clinical application.

Methods used by critical care nurses to verify feeding tube placement in clinical practice

Critical care nurse, 2015

The American Association of Critical-Care Nurses practice alert on verification of feeding tube placement makes evidence-based practice recommendations to guide nursing management of adult patients with blindly inserted feeding tubes. Many bedside verification methods do not allow detection of improper positioning of a feeding tube within the gastrointestinal tract, thereby increasing aspiration risk. To determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses. This study was part of a larger national, online survey that was completed by 370 critical care nurses. Descriptive statistics were used to analyze the data. Seventy-eight percent of nurses used a variety of methods to verify initial placement of feeding tubes, although 14% were unaware that tube position should be confirmed every 4 hours. Despite the inaccuracy of auscultation methods, only 12% of nurses avoided this practice all of the...

Bedside assessment of enteral tube placement: aligning practice with evidence

The American journal of nursing, 2012

Since the flexible Levin tube was introduced in 1921, enteral feeding has become ubiquitous. From the out-set, nurses have been responsible for confirming the correct placement of enteral feeding tubes prior to their use for alimentation or medication administration, but current nursing practice doesn't always reflect the best evidence. Although research has established the inadequacy of auscultation to determine proper tube placement, this method is still commonly practiced. The authors examine the research that's been conducted over the past 25 years and compare the accumulated evidence with current practice, as reflected in a convenience sample of 28 New England hospitals. In addition, they evaluate various methods for assessing enteral feeding tubes and make evidence-based practice recommendations.

Capnography for feeding tube placement

Anaesthesia, 2002

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Development of a Competency Model for Placement and Verification of Nasogastric and Nasoenteric Feeding Tubes for Adult Hospitalized Patients

Nutrition in Clinical Practice, 2021

Nasogastric/nasoenteric (NG/NE) feeding tube placements are associated with adverse events and, without proper training, can lead to devastating and significant patient harm related to misplacement. Safe feeding tube placement practices and verification are critical. There are many procedures and techniques for placement and verification; this paper provides an overview and update of techniques to guide practitioners in making clinical decisions. Regardless of placement technique and verification practices employed, it is essential that training and competency are maintained and documented for all clinicians placing NG/NE feeding

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