2013
DOI: 10.1590/s0103-21002013000400007
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Abstract: Objective: Describe the main causes for the loss of the feeding tube and analyze the actions that had an impact towards the reduction of this adverse event.Methods: Cross-sectional study with secondary data from 4228 patients/day using a feeding tube.Results: The main causes for the loss of the tube were: removal by the patient (50%) and obstruction of the tube (36%). The correlation of the loss of the feeding tube with alterations in the patients' cognition (delirium and dementia) and the incrustation of resi… Show more

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Cited by 26 publications
(22 citation statements)
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References 8 publications
(22 reference statements)
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“…Clogged feeding tubes are responsible for significant loss of delivery of enteral feeding (Fisher and Blalock, 2014) and it is worth noting that, in this study, there was a significant relationship between tube obstruction and unplanned removal (p < 0.001). This result is in accordance with a previous study that has shown that the main cause for unplanned removal of the feeding tube was related to obstruction (Pereira et al, 2013).…”
Section: Discussionsupporting
confidence: 93%
See 1 more Smart Citation
“…Clogged feeding tubes are responsible for significant loss of delivery of enteral feeding (Fisher and Blalock, 2014) and it is worth noting that, in this study, there was a significant relationship between tube obstruction and unplanned removal (p < 0.001). This result is in accordance with a previous study that has shown that the main cause for unplanned removal of the feeding tube was related to obstruction (Pereira et al, 2013).…”
Section: Discussionsupporting
confidence: 93%
“…According to a study conducted in a Brazilian private hospital, the main reason for the loss of the feeding tube was obstruction (36%) related to wrong medication preparation and administration techniques (Pereira et al, 2013). Estimates of incidence of clogged feeding tubes range widely from 12.5 to 45%, but it is undisputed that they result in increased costs for patients and institutions (Fisher and Blalock, 2014).…”
Section: Introductionmentioning
confidence: 99%
“…Pereira, Coelho, Mesquita, Teixeira and Graciano (2013), identified that catheter obstruction is among the main causes of unplanned withdrawal of intensive care tubes and that these obstructions may be related to diet formulation, use of coated medications, and irregular lavage. In this way, all steps involving the administration of a medicine VNGT are of great importance and must be carried out with care to avoid complications arising from the exchange of the tube.…”
Section: Acta Scientiarum Health Sciencesmentioning
confidence: 99%
“…Porém, uma explicação para essa ocorrência pode ser o risco de delirium durante o plantão noturno, associado à diminuição da luz, ausência de visita de familiares (Yeh et al, 2004;Van Rompaey et al, 2009;Inouye, Westendorp, Saczynski, 2014), combinadas, possivelmente, com a diminuição da vigilância, por parte da equipe de enfermagem (Chang et al, 2011 contribuir para a indicação da confusão aguda (delirium) ser um fator predisponente para a perda dos artefatos terapêuticos (Lôbo et al, 2010;Pereira et al, 2013).…”
Section: Caracterização Das Perdas Dos Artefatos Terapêuticosunclassified
“…Sobre os procedimentos mais comuns, elencados como passíveis de ocorrência de perdas acidentais de artefatos, verificou-se, na presente pesquisa, que 05 perdas (1,38 %) ocorreram durante o procedimento de banho no leito; 03 perdas (0,83 %) durante mudança de decúbito; 02 perdas (0,55%) no momento de transferência cama/poltrona/maca; 05 perdas (1,38%) durante aspiração traqueal; 01 perda (0,28 %) na troca de fixação de COT; 01 perda (0,28 %) na higiene oral; 02 perdas (0,55%) durante o transporte do paciente para exames; 19 casos de obstrução de SONGE (5,25%); 03 obstruções de via do CVC (0,83%); 04 fixações de COT frouxa (1,10%) e Entretanto, quando observada às descrições relativas a cada tipo de artefato, isoladamente, verificam-se cenários semelhantes aos descritos por Pereira et al (2013) e Estudo qualitativo, desenvolvido com o objetivo de compreender a motivação da equipe de enfermagem para a notificação de eventos adversos no ambiente de trabalho (de Paiva et al, 2014), a partir de entrevista com 17 enfermeiras e 14 técnicos de enfermagem, verificou que a motivação para a notificação é influenciada por seis categorias, a saber: todo tipo de ocorrência deve ser notificado; a notificação como sistema de auxílio a gestão; a cultura de punição em transição; as enfermeiras como responsáveis pela notificação voluntária; compartilhar problemas com a administração com o sentido de alcançar qualidade no processo de trabalho e ao notificar o evento adverso, os profissionais percebem-se em relação de colaboração com a instituição e confiam que serão conferidos suporte administrativo e segurança profissional.…”
Section: Caracterização Das Perdas Dos Artefatos Terapêuticosunclassified