Use of Temporary Enteral Access Devices in Hospitalized Neonatal and Pediatric Patients in the United States

Lyman, Beth; Kemper, Carol A.; Northington, LaDonna; Yaworski, Jane Anne; Wilder, Kerry; Moore, Candice; Duesing, Lori; Irving, Sharon Y.

doi:10.1177/0148607114567712

Cited by 42 publications

(43 citation statements)

References 18 publications

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“…In this review, it was identified that the procedure of introducing air through the tube and auscultating the epigastric region is the second chosen method of American nurses to confirm gastric positioning 28 , which is also observed in the clinical practice of the authors considering their action and teaching fields. However, literature indicates that it is possible to listen to the air bubbles in the epigastric region, regardless of whether the end of the tube is located in the stomach, esophagus or respiratory tract.…”

Section: Discussionmentioning

confidence: 98%

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Dias

Emídio

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination. Method:an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors “Intubation, gastrointestinal” and “newborns” in original articles. Results:seventeen publications were included and categorized as “measuring method” or “technique for verifying placement”. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin. Conclusion:the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.

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Section: Discussionmentioning

confidence: 98%

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Dias

Emídio

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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show abstract

“…A survey of 2298 critical care nurses reported 78.7% used auscultation to verify TEAD placement 23 . Similarly, auscultation was the most common method reported by healthcare facilities to verify TEAD placement in the study by Lyman et al 5 The fact that institutional policies support the use of auscultation shows there is much work to be done to change practice in this area.…”

Section: Temporary Enteral Access Devicesmentioning

confidence: 99%

“…Similarly, the smaller the patient, the smaller the nares, which means a smaller bore tube should be placed to promote patient comfort. A 6 French TEAD is the most commonly used in neonatal and pediatric patients 5 . Whether the tube used is polyurethane or silicone tends to be an institutional decision as both are soft and durable.…”

Section: Temporary Enteral Access Devicesmentioning

confidence: 99%

“…The Healthcare Costs and Utilization Project (2001) estimated that 11,000 G tubes are placed annually in children <18 years of age in the United States 4 . A recent report of a 1‐day prevalence study of 63 participating institutions documented 24% of neonatal and pediatric hospitalized patients had an NG, OG, or postpyloric tube 5 . This information suggests that the use of enteral feedings in children across North America is quite significant.…”

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confidence: 99%

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Pediatric Enteral Access Device Management

2016

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Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues.

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“…The lack of consistency in verification of NG tubes among care providers in different settings is remarkable because NG feeding is a common technology used for children who are not able to consume adequate nutrition orally or who cannot tolerate oral feeding to sustain growth and development 1 . While many of these children will eventually have a longer term, more stable feeding tube placed, such as a gastrostomy tube (GT), some may use an NG feeding tube for a short time while the healthcare team evaluates the need for longer term enteral access.…”

Section: Nasogastric Tube Placement and Verificationmentioning

confidence: 99%

Use of Nasogastric Feeding Tubes for Children at Home: A Template for Caregiver Education

et al. 2017

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There is a lack of knowledge on the part of caregivers who need to place nasogastric (NG) tubes in children for enteral nutrition therapy. This article provides the rationale, best practices, and a template for caregiver education. Canadian and Australian programs have excellent patient education materials. They have shared these step-by-step procedures for healthcare professionals to provide to caregivers to whom they are teaching placement and care of NG tubes.

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Use of Temporary Enteral Access Devices in Hospitalized Neonatal and Pediatric Patients in the United States

Abstract: The use of temporary EADs is common in pediatric care. There is wide variation in how placement of these tubes is verified.

Cited by 42 publications

References 18 publications

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Pediatric Enteral Access Device Management

Use of Nasogastric Feeding Tubes for Children at Home: A Template for Caregiver Education

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