Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
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Small-bore connectors, in the past, have enabled misconnections between therapeutic systems that should not connect. Many enteral misconnections have been reported with subsequent frequent fatal outcomes. ⋯ Becoming aware of the changes and planning for them within your facility or agency will ease the transition to these new devices while continuing enteral nutrition support. Clinicians should look for education and information from appropriate resources and work with their suppliers to see when these changes will come to their institution or agency.
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Meta Analysis Comparative Study
Nasal bridles for securing nasoenteric tubes: a meta-analysis.
Nasoenteric feeding tubes may easily become dislodged due to patient mental status, transfers, or positional changes. Nasal bridles were introduced to provide a better, more reliable system to secure these tubes. This meta-analysis was performed to evaluate the effectiveness of nasal bridles compared with the traditional method of adhesive tape alone in securing enteral feeding tubes. ⋯ Nasal bridles appear to be more effective at securing nasoenteric tubes and preventing dislodgement than traditional use of tape alone.
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Despite the research supporting adequate enteral nutrition (EN) in intensive care unit (ICU) patients, underfeeding is still common. This quality improvement (QI) project was done to determine the effect of "volume-based" feeding on adequacy of EN delivery and provision of calories and protein in a surgical/trauma ICU (STICU). ⋯ A change in standard of practice to an EN volume-based feeding approach in a STICU led to a significant improvement in adequacy of calories and protein delivered, with only a slight increase in diarrhea.