Document Detail

Malposition of feeding tubes in neonates: is it an issue?
MedLine Citation:
PMID:  19367180     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Accurate tube placement of orogastric and nasogastric feeding tubes in neonates is important to ensure safe and effective enteral feeding. Errors in placement and position of feeding tubes are described in literature, but there is little evidence of the exact prevalence of improperly placed tubes, especially in neonates. MATERIALS AND METHODS: To evaluate the prevalence of improperly placed feeding tubes, we reviewed 381 consecutive radiographs and defined the position of the feeding tubes. RESULTS: We found that in 41% of the placements, the optimal position of the feeding tubes was achieved, whereas overall 59% of the feeding tubes had been placed incorrectly. CONCLUSIONS: There is a need for both better rules to measure the distance between nose (lips) and the body of the stomach and improved methods to confirm correct tube position in neonates.
Daniel Quandt; Thomas Schraner; Hans Ulrich Bucher; Romaine Arlettaz Mieth
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric gastroenterology and nutrition     Volume:  48     ISSN:  1536-4801     ISO Abbreviation:  J. Pediatr. Gastroenterol. Nutr.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-06     Completed Date:  2009-07-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211545     Medline TA:  J Pediatr Gastroenterol Nutr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  608-11     Citation Subset:  IM    
Clinic for Neonatology, University Hospital of Zürich, Frauenklinikstrasse 10, 8091 Zürich, Switzerland.
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MeSH Terms
Enteral Nutrition / instrumentation*,  methods
Esophagus / radiography
Infant, Newborn
Intubation, Gastrointestinal / instrumentation*,  methods
Medical Errors*
Stomach / radiography

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