Use of a Colorimetric Carbon Dioxide Sensor for Nasoenteric Feeding Tube Placement in Critical Care Patients Compared With Clinical Methods and Radiography

2008 ◽  
Vol 23 (3) ◽  
pp. 318-321 ◽  
Author(s):  
Verónica Munera-Seeley ◽  
Juan B. Ochoa ◽  
Nefertiti Brown ◽  
Angela Bayless ◽  
M. Isabel T. D. Correia ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Critical Care ◽  
Feeding Tube ◽  
Tube Placement ◽  
Clinical Methods ◽  
Carbon Dioxide Sensor ◽  
Feeding Tube Placement ◽  
Critical Care Patients

Gastrointestinal problems and nutrition

2017 ◽  
Author(s):  
Sheila Adam ◽  
Sue Osborne ◽  
John Welch
Keyword(s):  
Critical Care ◽  
Feeding Tube ◽  
Tube Placement ◽  
Immune Functions ◽  
Liver Support ◽  
Enteral Feeding Tube ◽  
Gastrointestinal Problems ◽  
Examination Techniques ◽  
Feeding Tube Placement ◽  
Enteral And Parenteral Nutrition

The chapter includes the background gastrointestinal (GI) physiology and pathophysiology commonly seen in critical care, including the immune functions of the gut. Acute gastrointestinal bleeding, the acute abdomen, liver failure and dysfunction, liver support systems and transplantation, and the management of acute pancreatitis are covered. Physical examination techniques, diagnostic information, and history are reviewed. The rationale for the importance of nutritional support in critical care, the techniques and complications of enteral feeding tube placement , the types of parenteral intravenous (IV) access, including peripherally inserted central catheter (PICC) lines, and the monitoring of delivery of enteral and parenteral nutrition are detailed. The complications associated with enteral tube placement and management and parenteral intravenous access and management are also included.

Factors Influencing Critical Care Nurses' Adoption of the AACN Practice Alert on Verification of Feeding Tube Placement

2014 ◽  
Vol 23 (2) ◽  
pp. 134-144 ◽  
Author(s):  
A. M. Bourgault ◽  
J. Heath ◽  
V. Hooper ◽  
M. L. Sole ◽  
J. L. Waller ◽  
...  
Keyword(s):  
Critical Care ◽  
Feeding Tube ◽  
Critical Care Nurses ◽  
Tube Placement ◽  
Factors Influencing ◽  
Feeding Tube Placement

scholarly journals Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

2015 ◽  
Vol 35 (1) ◽  
pp. e1-e7 ◽  
Author(s):  
Annette M. Bourgault ◽  
Janie Heath ◽  
Vallire Hooper ◽  
Mary Lou Sole ◽  
Elizabeth G. Nesmith
Keyword(s):  
Critical Care ◽  
American Association ◽  
Feeding Tube ◽  
Critical Care Nurses ◽  
Tube Placement ◽  
Evidence Based ◽  
Clinical Practices ◽  
Feeding Tubes ◽  
Verification Methods ◽  
Feeding Tube Placement

BACKGROUNDThe 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.OBJECTIVESTo determine how the expected practices from the American Association of Critical-Care Nurses practice alert were implemented by critical care nurses.METHODSThis 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.RESULTSSeventy-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 time.CONCLUSIONSImplementation of expected clinical practices from this guideline varied. Nurses are encouraged to implement expected practices from this evidence-based, peer reviewed practice alert to minimize risk for patient harm.

Cortrak feeding tube placement: accuracy of the ‘GI flexure system’ versus manufacturer guidance

2020 ◽  
Vol 29 (21) ◽  
pp. 1277-1281
Author(s):  
Stephen Taylor ◽  
Alex Manara ◽  
Jules Brown ◽  
Kaylee Sayer ◽  
Rowan Clemente ◽  
...  
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Gastric Body ◽  
Major Morbidity ◽  
System Versus ◽  
Placement Accuracy ◽  
Feeding Tube Placement ◽  
Left Quadrant

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.

scholarly journals Predicting perioperative feeding tube placement in pancreaticoduodenectomy

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