Comparison of Syringe Compression Force Between ENFit and Legacy Feeding Tubes

Mundi, Manpreet S.; Duellman, Wanda; Epp, Lisa; Davidson, Jacob B.; Hurt, Ryan T.

doi:10.1002/jpen.1174

Cited by 10 publications

(30 citation statements)

References 13 publications

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“…The use of an RDN was much higher in the pediatric cohort (73.5%). Our previous evaluation of the force required to compress a syringe with ENFit tubes vs legacy tubes revealed that tube size, type of blender, and time of blending all had an impact on the force required to compress a syringe . In the present study, the vast majority of pediatric BTF consumers were using 18F or smaller tubes and likely will not be impacted with this transition, as no one reported using a 24F or 26F tube.…”

Section: Discussionmentioning

confidence: 50%

“…The commonly used sizes also have an impact on the transition to the ISO 80369‐3 connector. We recently evaluated the most common connector to meet this standard (ENFit), using feeding scenarios common to HEN patients such as gravity feeding and syringe feeding . After testing a wide variety of formulas, we noted no significant impact of ENFit transition on 18F and 20F tubes.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…These changes in formula options are occurring at the same time as the transition of all EN tubes and supplies to a new connector in an effort to prevent misconnections . Since Wallace et al reported one of the earliest cases of misconnection in 1972, over 116 cases of misconnections have been reported showing significant morbidity and 21 deaths . Because of this issue, major EN manufacturers and suppliers formed the Global Enteral Device Supplier Association (GEDSA) and developed the International Organization of Standards (ISO) small‐bore standard (ISO 80369‐3) to ensure that only EN supplies are able to connect to EN tubes.…”

Section: Introductionmentioning

confidence: 99%

“…However, it is difficult to assess how many HEN patients are using large‐bore tubes and thus would be affected by this change. Similarly, the syringe compression force, which allowed for assessment of syringe bolus feeding through new connectors, was affected by the formula used (especially high‐viscosity formulas such as BTF), type of blender, and blending time . The current cross‐sectional study was conducted given the significant need to better understand the HEN population, especially with the upcoming transition to the new connector.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Cross‐sectional Evaluation of Home Enteral Nutrition Practice in the United States in the Context of the New Enteral Connectors

Epp

Salonen

Hurt

et al. 2019

J Parenter Enteral Nutr

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Purpose: The increased prevalence of home enteral nutrition (HEN), reemergence of blenderized tube feeding (BTF), and conversion of enteral connectors to the ISO 80369-3 standard are creating a significant need to better understand the practices of the HEN population. A cross-sectional survey of current HEN consumers was conducted to evaluate the demographics of HEN consumers, including formulas and feeding tubes being used. Methods: In order to disseminate the survey to a wide range of HEN consumers, we partnered with private infusion companies (Coram and Pediatric Home Services) along with the Oley and Tube Feeding Awareness Foundations. A validated survey focusing on patient demographics, tube types, formula used, and tube clogging complications was placed online from September 1, 2016, to October 15, 2016. Results: During the study period, 1519 surveys were completed, with 1062 respondents in the pediatric group (<18 years old) and 457 in the adult group (ࣙ18 years old). The most popular formulas were standard polymeric and specialized formulas in both the pediatric and adult groups. However, a significant number in the pediatric (31.2%) and adult (18.6%) groups used BTF either alone or in combination with other formulas. Clogging was also quite prevalent and correlated with tube size. Conclusions: The present study highlights the significant diversity of the HEN practice in terms of types and sizes of tubes as well as formulas used, including confirmation of the widespread use of BTF. These data are key to ensure HEN providers are able to appropriately support and educate their patients. (JPEN J Parenter

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Section: Discussionmentioning

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Cross‐sectional Evaluation of Home Enteral Nutrition Practice in the United States in the Context of the New Enteral Connectors

Epp

Salonen

Hurt

et al. 2019

J Parenter Enteral Nutr

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Home enteral nutrition: A descriptive study

Mundi

Elfadil

Olson

et al. 2023

J Parenter Enteral Nutr

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Background: With data demonstrating benefit, the prevalence of home enteral nutrition (HEN) has increased significantly over the last few decades. Despite this increase, there remains a paucity of data regarding real-world use of HEN including clinical outcomes and complications.Methods: Descriptive analysis of prospectively maintained database of our specialized HEN program was undertaken. Patients who received care in our program with HEN initiation date between January 1, 2018, and December 31, 2020, were included in the analysis. Data regarding demographic information, anthropometrics, enteral nutrition (EN) regimen, electrolytes, and nutrition therapy history were included and tracked until July 31, 2021.Results: During the study period, 1600 patients initiated HEN treatment under our care. Majority of the study population needed EN therapy due to malignancy and its complications, including malignant dysphagia or mechanical obstruction (60.6%) followed by neurodegenerative diseases (7.5%). By the end of the study period, a majority of the patients (82%) stopped HEN treatment. Of these, 44.2% achieved EN goals and/or oral autonomy. Patients continued HEN treatment for a median of 100 (interquartile range, 32-301) days. Overall, 53.2% of patients experienced/reported at least one HEN-related complication that was clinically managed by the HEN team. Complications included tuberelated, enteral feeding intolerance (EFI), and electrolyte shifts. Conclusion:In our study population, HEN was most utilized to manage malignancyrelated complications, including dysphagia. Unfortunately, complications, including EFI and tube-related complications, remained quite prevalent. Further evaluation regarding risk factors for complications and preventive mechanisms, such as increased education, is indicated.

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Synthesis of research on ENFit gastrostomy tubes with potential implications for US patients using these devices

et al. 2022

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Misconnections between enteral devices and other medical devices have been associated with patient death and serious injuries. To minimize such misconnections, the design of connectors on enteral devices has been standardized. The most common adaptation of the standardized enteral connector is called ENFit. Gastrostomy tubes (G-tubes), which may or may not possess the ENFit connector, are increasingly used to deliver commercial and blenderized diets in home settings to enteral device users. To investigate and compare the performance of Gtubes with and without ENFit connectors, research investigations have recently been performed. However, synthesis of such investigations and quantitative discussion of the consequences of transitioning to ENFit-based G-tube devices has not yet occurred. Here we review the research findings from these studies, with data on patient practices from a Mayo Clinic survey, to estimate the impact on tube feeders in home settings of transitioning to ENFit-based G-tube devices. Extrapolating the findings from these studies to US enteral G-tube patients, 2.5%-8.6% of adult patients and 0.2%-1.9% of pediatric patients may experience perceptible slowing in their gravity feeds if using ENFit-based G-tube devices. About 2.5%-8.6% of adult patients and 0.5%-5.5% of pediatric patients (or their caregivers) may need to push with perceptibly more force for syringe push-based feeding using ENFit-based G-tube devices. Lastly, the article offers suggestions for patients and device manufacturers.

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Comparison of Syringe Compression Force Between ENFit and Legacy Feeding Tubes

Cited by 10 publications

References 13 publications

Cross‐sectional Evaluation of Home Enteral Nutrition Practice in the United States in the Context of the New Enteral Connectors

Cross‐sectional Evaluation of Home Enteral Nutrition Practice in the United States in the Context of the New Enteral Connectors

Home enteral nutrition: A descriptive study

Synthesis of research on ENFit gastrostomy tubes with potential implications for US patients using these devices

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