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:2/11/2016)... ... February 11, 2016 , ... Dr. Sadati’s recent ... cosmetic procedures. Along with performing procedures, the magazine also highlights that Dr. Sadati ... procedures. One of the most common procedures he performs is his natural facelift. ...
(Date:2/11/2016)... ... February 11, 2016 , ... The president released a FY 2017 ... but would shift more of the cost burden to military beneficiaries. , MOAA’s ... in the defense budget as including limited quantifiable benefit fixes mixed with numerous beneficiary ...
(Date:2/11/2016)... ... February 11, 2016 , ... ... women’s health, is pleased to announce the promotions of Allison Kelly to executive ... Steve Catone to executive vice president of North American capital sales, and Wendy ...
(Date:2/11/2016)... ... February 11, 2016 , ... The Commission ... for the Board of Commissioners. Individuals interested in volunteer board service are encouraged ... of clinical practice settings and across allied health to contribute to its mission ...
(Date:2/11/2016)... FL (PRWEB) , ... February 11, 2016 , ... ... the commencement of a master charity program created to assist the people of ... days, working closely with nonprofit organizations and community leaders. Their hope is to ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... and PORTLAND, Ore. , Feb. 11, ... company, is pleased to announce the acquisition of SolutionsRx, ... and rural access hospitals. Along with providing traditional contract ... consulting services to assist clients in navigating the complex ... , CEO of Wellpartner. --> James R. ...
(Date:2/11/2016)... , Feb. 11, 2016  Attending college is ... those with type 1 diabetes, the journey can be ... schedules, assignments and campus activities, they also manage the ... top of that, many are living away from home ... (Foundation) Lilly Diabetes Tomorrow,s Leaders Scholarship with $100,000 ...
(Date:2/11/2016)... Jeffrey Zucker , vice president ... present at this year,s Summit for Clinical Operations Executives (SCOPE), ... Miami, FL. Zucker will discuss how sponsors ... supporting SCOPE,s "Improving Site Study Activation and Performance" portion of ... 25 at 11:05 a.m. --> ...
Breaking Medicine Technology: