Navigation Links
Tube Feeding Error: Fatal Medical Mistakes
Date:7/15/2009

Recent Death of Infant in Madrid Brings Issue to Forefront

SILVER SPRING, Md., July 15 /PRNewswire-USNewswire/ -- The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.), whose mission is to improve patient care by advancing the science and practice of nutrition support therapy, is saddened by the recent death of an infant in Madrid, Spain, who died when formula was given to him through an IV catheter and not through a feeding tube in his stomach.

"This type of tube feeding error, or enteral misconnection, is preventable," said Peggi Guenter, PhD, RN, CNSN, director of clinical practice, advocacy, and research affairs for A.S.P.E.N. "Best practices in EN require a comprehensive understanding by healthcare practitioners and changes to clinical and organizational processes. That's why A.S.P.E.N. works every day to provide research, training and guidelines and standards so that healthcare professionals have the knowledge they need to prevent these deadly mistakes."

Patients receiving enteral nutrition, sometimes referred to as "tube feeding," are unable to feed themselves and are frequently among the most critically ill. EN is the delivery of food directly into the gastrointestinal tract (GI) through a tube placed in the nose, the stomach or the small intestines. These patients often have many other types of tubes such as IVs, oxygen, or drainage tubes in them.

It's not the first time an enteral misconnection has caused a death; the first one was reported in 1973. In addition to this week's incident in Madrid, A.S.P.E.N. staff recently learned about the case of a young pregnant woman who was erroneously given tube feeding formula into her IV line, resulting in the death of her 35-week fetus, and shortly thereafter, her death.

A.S.P.E.N. is at the forefront of providing guidelines and standards, position papers and scientific articles, as well as creating industry dialogue on this topic. One key issue is to establish design standards for an enteral connector so that they are not compatible with connectors from other medical devices such as IVs, neuroaxial devices, breathing systems, or blood pressure cuffs. These standards redesign take years to develop and implement but the concern is great about medical misconnections and the change process has begun.

Key A.S.P.E.N. resources:

Enteral Feeding Misconnections: An Update, Nutrition in Clinical Practice, June 2009.

Enteral Misconnections paper in the May 2008 issue of The Joint Commission Journal on Quality and Patient Safety.

The Enteral Nutrition Practice Recommendations. This recently released document covers ordering and labeling of enteral nutrition; enteral formula (medical foods) and infant formula regulation; water and enteral formula safety and stability; enteral nutrition administration and more.

The American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is dedicated to improving patient care by advancing the science and practice of nutrition support therapy. Founded in 1976, A.S.P.E.N. is an interdisciplinary organization whose members are involved in the provision of clinical nutrition therapies, including parenteral and enteral nutrition. With more than 5,500 members from around the world, A.S.P.E.N. is a community of dietitians, nurses, pharmacists, physicians, scientists, students and other health professionals from every facet of nutrition support clinical practice, research and education.

For more information about A.S.P.E.N., please visit www.nutritioncare.org.


'/>"/>
SOURCE The American Society for Parenteral and Enteral Nutrition
Copyright©2009 PR Newswire.
All rights reserved

Related medicine news :

1. Bottle-Feeding Moms Ignored
2. SNICKERS(R) Brand and David Arquette Make a Big Move to Help Feeding America Bar Hunger
3. Reliv Foundation Builds Feeding Center and School for Impoverished People in Haiti
4. Breast-Feeding Boosts Childs School Performance
5. Microsoft and Feeding America Join Forces to Fight Hunger
6. Breast-feeding OK for Most Moms with MS
7. Feeding Feelings: Survey Reveals Americans Are Turning to Junk Food When Stressed
8. Music may improve feeding, reduce pain in premature babies: U of A study
9. Feeding America and Abbott Partner For Hurricane Relief
10. Strict maternal feeding practices not linked to child weight gain
11. Feeding America Partner Support Expedites Disaster Relief and Recovery Efforts
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/26/2017)... ... May 26, 2017 , ... The ... seminar to focus on current legislative activity and the latest regulatory concerns impacting ... p.m. Sunday, Sept. 10, and will continue through Monday, Sept. 11, at the ...
(Date:5/26/2017)... , ... May 26, 2017 , ... ... delicatessen foods, is sharing bold recipes for Memorial Day entertaining that are sure ... , “Boar’s Head fresh sliced meats and cheeses featured in these refreshingly ...
(Date:5/26/2017)... ... May 26, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House ... focusing on the Peace Agreements being discussed by President Donald Trump and the rest ... to try to speed up peace talks in the continuous battle between Israel and ...
(Date:5/26/2017)... ... 26, 2017 , ... “When the Stars Lead Home”: a poignant story of ... author Laura Weigel Douglas, an avid reader who lives in the Pacific Northwest with ... like Green Hills Adventure Camp. She couldn’t be more grateful. , Twelve-year old Tizzy ...
(Date:5/26/2017)... ... May 26, 2017 , ... “Cactus Jack: Against All Odds”: the story of ... “Cactus Jack: Against All Odds” is the creation of published author, Walter Hubbard, a ... to Jack Carlisle’s third child Jane. Walter. Walter and Jane have three adult ...
Breaking Medicine News(10 mins):
(Date:5/12/2017)... 2017  The China and Canada joint ... less water, energy and detergent, and features a powerful disinfection process. ... shoebox-sized washing machine that washes and sanitizes women,s panties or babies, ... ... and does not require an external water inlet. ...
(Date:5/10/2017)... 10, 2017  The Corporate Whistleblower Center says, ... sleep therapy clinics to call us anytime at ... is involved in a substantial scheme to overbill ... from an employee of a medical equipment company ... to provide medical practice groups with extra generous incentives ...
(Date:5/9/2017)... WASHINGTON , May 9, 2017  Demonstrating ... the board of directors for the Pharmaceutical Research ... criteria for membership. Biopharmaceutical companies will now have ... in order to be eligible to join PhRMA. ... criteria, the board is sending a clear message ...
Breaking Medicine Technology: