Recommendations to prevent inadvertent respiratory placement of the nasogastric feeding tube
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概要
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The Nasogastric feeding tube is widely used as an initial enteral feeding solution, but when wrongly inserted into the respiratory tract and feeding initiated, serious complications will happen such as pneumonia, empyema and pleural effusion. However, procedures to confirm the position of the feeding tube have not yet been established to prevent such complications.<BR>The National Hospital Organization (NHO) Headquarters Kyushu Office has held two educational meetings, a follow-up survey and discussions with representatives of NHO Kyushu area hospitals and outlined the following recommendations:<BR>1. The placement of newly inserted tubes should always be confirmed by x-ray.<BR>2. When re-inserting the tube, a verification of a below 5.5 pH value of the feeding tube's aspirate or a re-confirmation of the tube's position by x-ray is essential.<BR>3. Before every feeding, an observation of the mouth and a check of the external length of the tube from the nose should determine if the tube is partially removed or if coiling happens inside the mouth. Only after these verifications should healthcare workers start the feeding.
- 特定非営利活動法人 日本医療マネジメント学会の論文
特定非営利活動法人 日本医療マネジメント学会 | 論文
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