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:1/18/2017)... ... January 18, 2017 , ... The VA Maryland ... collaborating on a research project focused on multiple sclerosis (MS). Led by Christopher ... nanotechnology to control the disease without compromising normal immune function that often occurs ...
(Date:1/18/2017)... West Palm Beach, FL (PRWEB) , ... January 18, 2017 , ... ... April as a fund raiser for Smile Train, an international charity that provides free ... is a hobby of mine and in the past I have run to support ...
(Date:1/18/2017)... ... January 18, 2017 , ... At Hallmark Nameplate, their commitment to quality ... achieved certification to ISO 13485. This certification is another way they are making constant ... and services that they need. , The ISO 13485 Certification is a major accomplishment ...
(Date:1/18/2017)... ... January 18, 2017 , ... The Hear the ... project with the donation of cochlear implants. In February 2017, the first three ... a fair chance of leading an independent life. This engagement builds on the ...
(Date:1/17/2017)... , ... January 17, 2017 , ... January is National Stalking Awareness Month ... to lurk in the corners and commit the crime of stalking, a very real danger ... addiction, an often overlooked factor in stalking and other crimes. , “Stalking: know it. Name ...
Breaking Medicine News(10 mins):
(Date:1/18/2017)... , Jan. 18, 2017  Eisai Inc., ... announced today that it is participating in Access ... non-communicable diseases (NCDs) prevention, treatment and care in ... Accelerated is the first multi-stakeholder, international initiative in ... pharmaceutical companies, including Eisai, in collaboration with the ...
(Date:1/18/2017)... NEW YORK , January 18, 2017 ... perception of people regarding the use of cannabis both for ... not only are more Americans open to the use of ... and financial sectors. According to Arcview Market Research, the North ... 2016, up 30% from the previous year. The research projects ...
(Date:1/17/2017)... Jan. 17, 2017 Precision medicine is ... the treatment of disease. The approach allows doctors ... a therapy. The approach studies the individual profile ... and environment. In January 2015, Precision Medicine Initiative ... all diseases with more than one million volunteers. ...
Breaking Medicine Technology: