Mo1053 Feeding Tube Placement: Do We Need to Take It Down a PEG? Identifying Risk Factors for Adverse Outcomes After PEG Tube Placement

2016 ◽  
Vol 83 (5) ◽  
pp. AB443-AB444
Author(s):  
Varun Kapur ◽  
Mohammed I. Ali ◽  
Daniel Hassumani ◽  
Elango Edhayan ◽  
Karen Hagglund ◽  
...  
1994 ◽  
Vol 5 (2) ◽  
pp. 194-206 ◽  
Author(s):  
Barbara A. Rakel ◽  
Marita Titler ◽  
Colleen Goode ◽  
Jean Barry-Walker ◽  
Ginette Budreau ◽  
...  

The authors present a review of the research on various methods for determining placement of nasogastric and nasointestinal feeding tubes. They also discuss research on associated risk factors, complications specific to critical care patient populations, and techniques for postpyloric placement. They present research consensus, recommendations for practice, and implementation strategies.


2020 ◽  
Vol 29 (21) ◽  
pp. 1277-1281
Author(s):  
Stephen Taylor ◽  
Alex Manara ◽  
Jules Brown ◽  
Kaylee Sayer ◽  
Rowan Clemente ◽  
...  

Electromagnetic (EM) guided enteral tube placement may reduce lung misplacement to almost zero in expert centres, but more than 60 undetected misplacements had occurred by 2016 resulting in major morbidity or death. Aim: Determine the accuracy of manufacturer guidance in trace interpretation against what is referred to as the ‘GI flexure system’. Methods: The authors prospectively observed the accuracy of the ‘GI flexure system’ of trace interpretation against manufacturer guidance in primary nasointestinal (NI) tube placements. Findings: Contrary to manufacturer guidance, 33% of traces deviated >5 cm from the sagittal midline and 26.5% were oesophageal when entering the lower left quadrant, incorrectly indicating lung and gastric placement, respectively. Conversely, the GI flexure system identified ≥99.4% of GI traces when they reached the gastric body flexure; 100% at the superior duodenal flexure. All lung misplacements were identified by the absence of GI flexures. Conclusion: Current manufacturer guidance should be updated to the GI flexure system of interpretation.


HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S149
Author(s):  
R. Kirks ◽  
P. Lorimer ◽  
Y.E. Warren ◽  
A. Cochran ◽  
M. Fruscione ◽  
...  

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