Examination of gavage tube placement in children.
OBJECTIVE
A primary issue in ensuring safe and effective enteral feeding by tube is achieving and maintaining correct tube position. This study was conducted to determine the prevalence of tube placement errors, risk factors associated with these errors, and accuracy of commonly used bedside placement-screening methods.


METHODS
In this descriptive study, 39 hospitalized children having one or more types of enteral tubes were studied prospectively. Tube placement was assessed across time, using three common placement-screening methods compared to radiographs.


RESULTS
Tube placement error occurred in 43.5% of tubes at least once during the observation period. Children who were comatose or semicomatose, were inactive, had swallowing problems, or had Argyle tubes were more likely to have tube placement errors.


CONCLUSIONS
Findings suggest that radiographs to document tube placement may be needed, at least on initial enteral tube insertion.
Ellett
M L
ML
Indiana University School of Nursing, Indianapolis, USA. mlellett@iupui.edu
Beckstrand
J
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004750:Enteral Nutrition; D004868:Equipment Failure; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007441:Intubation, Gastrointestinal / Q000009:adverse effects; D008297:Male; D019300:Medical Errors / Q000517:prevention & control; D015146:Midwestern United States; D009730:Nursing Assessment / Q000379:methods*; D011446:Prospective Studies; D011859:Radiography; D012307:Risk Factors; D012308:Risk Management / Q000379:methods*; D012680:Sensitivity and Specificity