Placement of Enteral Tubes in Children

This study is a preliminary study and needs to be followed up by several other studies to clarify the results obtained and to get more statistically relevant numbers for some of the parameters being measured. It is not significant enough on its own in many of its aspects to be taken as a guide. However, one aspect can be taken seriously and that is the need to correctly identify the placement of enteral tubes in children, because the misplacement rate of 21 percent is certainly not acceptable.

The study is certainly useful to nursing because it points out to nurses taking care of children how inaccurate the current method of measuring the length of enteral tubes for children is and how they need to assess their methods of ascertaining that the tube is correctly placed before feeding the child through the tube to avoid life-threatening complications from incorrectly placed tubes. If nurses are the ones placing the tubes, they need to know the effects of feeding children when the tube is incorrectly placed, how to recognize these effects in a timely manner, and to stop feeding the child as soon as any problem is noted and reposition the tube before further feeding is given. They need to know that under no circumstances should they continue feeding the child if they know the tube is not in the correct position. They should also know and use accurate methods for determining that a tube has been correctly positioned before feeding the child.

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s currently available - the radiograph. One thing that is not addressed in this paper is an explanation of why radiographs are not always performed to ensure correct placement of tubes. Enteral tubes are placed while a child is in hospital and all hospitals have radiology departments, so it seems strange that if there is such a high rate of inaccurate placements, that radiography is not routinely used for safety purposes. However, in the absence of its routine use, something more accurate than auscultation of insufflated air is desperately needed. This is justification for the present study. The study incorporated a cross-sectional design. The design of the study is described in infinite detail, step by step along the way. They also talk about the strengths and weaknesses of the study the tests they were performing and the drawbacks inherent in them and possible sources of errors. The one major drawback of the study is that not enough children were studied so that they could be broken down into the different subtypes for analysis, e.g. the four feeding types - bolus, continuous feeding, intermittent feeding and fasting. Then there were children taking acid reducing medications and those not. There were children with

Category: Medical - P