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:6/26/2016)... ... June 26, 2016 , ... Many ... been diagnosed with endometriosis. These women need a treatment plan to not only ... approach that can help for preservation of fertility and ultimately achieving a pregnancy. ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Austin residents ... the American College of Mohs Surgery and to Dr. Russell Peckham for medical and ... highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed ...
(Date:6/25/2016)... Aliso Viejo, California (PRWEB) , ... June 25, 2016 , ... ... preset to fit their specific project," said Christina Austin - CEO of Pixel Film ... all fully customizable and all within Final Cut Pro X . Simply select ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern Californian, ... and his M.D from the David Geffen School of Medicine at UCLA. He trained ... Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program where ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, ... at Work award to iHire in recognition of their exemplary accomplishments in worksite health ... annual Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016 ... appointment of Dr. Edward Futcher to ... Director, effective June 23, 2016.Dr. Futcher was also ... and Governance Committees.  As a non-executive member of ... expertise and strategic counsel to VolitionRx in connection ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... ITASCA, Ill. , June 23, 2016  In a startling ... states are failing their residents by lacking a comprehensive, proven plan ... , a definitive ranking of how states are tackling the ... rating to only four states – Kentucky , ... and Vermont . Of the 28 failing states, ...
Breaking Medicine Technology: