Beth Lyman1, Carol Kemper2, LaDonna Northington3, Jane Anne Yaworski4, Kerry Wilder5, Candice Moore6, Lori A Duesing7, Sharon Irving8. 1. Children's Mercy Hospital, Kansas City, Missouri blyman@cmh.edu. 2. Children's Mercy Hospital, Kansas City, Missouri. 3. University of Mississippi Medical Center School of Nursing, Jackson, Mississippi. 4. Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania. 5. Children's Medical Center of Dallas Neonatal Intensive Care Unit, Dallas, Texas. 6. Cinncinnati Children's Hospital, Cincinnati, Ohio. 7. Children's Hospital of Wisconsin, Milwaukee, Wisconsin. 8. University of Pennsylvania School of Nursing and Children's Hospital of Pennsylvania, Philadelphia, Pennsylvania.
Abstract
BACKGROUND: Temporary enteral access devices (EADs), such as nasogastric (NG), orogastric (OG), and postpyloric (PP), are used in pediatric and neonatal patients to administer nutrition, fluids, and medications. While the use of these temporary EADs is common in pediatric care, it is not known how often these devices are used, what inpatient locations have the highest usage, what size tube is used for a given weight or age of patient, and how placement is verified per hospital policy. MATERIALS AND METHODS: This was a multicenter 1-day prevalence study. Participating hospitals counted the number of NG, OG, and PP tubes present in their pediatric and neonatal inpatient population. Additional data collected included age, weight and location of the patient, type of hospital, census for that day, and the method(s) used to verify initial tube placement. RESULTS: Of the 63 participating hospitals, there was an overall prevalence of 1991 temporary EADs in a total pediatric and neonatal inpatient census of 8333 children (24% prevalence). There were 1316 NG (66%), 414 were OG (21%), and 261 PP (17%) EADs. The neonatal intensive care unit (NICU) had the highest prevalence (61%), followed by a medical/surgical unit (21%) and pediatric intensive care unit (18%). Verification of EAD placement was reported to be aspiration from the tube (n = 21), auscultation (n = 18), measurement (n = 8), pH (n = 10), and X-ray (n = 6). CONCLUSION: The use of temporary EADs is common in pediatric care. There is wide variation in how placement of these tubes is verified.
BACKGROUND: Temporary enteral access devices (EADs), such as nasogastric (NG), orogastric (OG), and postpyloric (PP), are used in pediatric and neonatal patients to administer nutrition, fluids, and medications. While the use of these temporary EADs is common in pediatric care, it is not known how often these devices are used, what inpatient locations have the highest usage, what size tube is used for a given weight or age of patient, and how placement is verified per hospital policy. MATERIALS AND METHODS: This was a multicenter 1-day prevalence study. Participating hospitals counted the number of NG, OG, and PP tubes present in their pediatric and neonatal inpatient population. Additional data collected included age, weight and location of the patient, type of hospital, census for that day, and the method(s) used to verify initial tube placement. RESULTS: Of the 63 participating hospitals, there was an overall prevalence of 1991 temporary EADs in a total pediatric and neonatal inpatient census of 8333 children (24% prevalence). There were 1316 NG (66%), 414 were OG (21%), and 261 PP (17%) EADs. The neonatal intensive care unit (NICU) had the highest prevalence (61%), followed by a medical/surgical unit (21%) and pediatric intensive care unit (18%). Verification of EAD placement was reported to be aspiration from the tube (n = 21), auscultation (n = 18), measurement (n = 8), pH (n = 10), and X-ray (n = 6). CONCLUSION: The use of temporary EADs is common in pediatric care. There is wide variation in how placement of these tubes is verified.
Authors: Flávia de Souza Barbosa Dias; Suellen Cristina Dias Emidio; Maria Helena Baena de Moraes Lopes; Antonieta Keiko Kakuda Shimo; Ana Raquel Medeiros Beck; Elenice Valentim Carmona Journal: Rev Lat Am Enfermagem Date: 2017-07-10
Authors: Flávia de Souza Barbosa Dias; Beatriz Pera de Almeida; Beatriz Regina Alvares; Rodrigo Menezes Jales; Jamil Pedro de Siqueira Caldas; Elenice Valentim Carmona Journal: Rev Lat Am Enfermagem Date: 2019-12-05