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Initial and Ongoing Verification of Feeding Tube Placement in Adults

(applies to blind insertions and placements with an electromagnetic device)

Added to Collection

Scope and Impact of the Problem
Although often considered an innocuous procedure, blind placement of a feeding tube can cause serious and even fatal complications. 1;2 3 While styleted small-bore tubes are most often associated with complications, large-bore unstyleted tubes are not without risk.1;4-6 In a review of over 2,000 feeding tube insertions, investigations found that nasogastric feeding tubes were malpositioned in 1.3 to 3.2 percent 7,8 of all insertions; further, 28 percent of the malpositions resulted in pneumonia or pneumothorax.7 Although rare, feeding tubes may be malpositioned in the brain, especially in patients with a traumatic defect. 4;11-13 Risk for aspiration is greatly increased when a feeding tube's ports end in the esophagus. 1;9

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