Development and evaluation of standardized protocol to prevent nasoenteral tube obstruction in cardiac patients requiring enteral nutrition with restricted fluid volumes
Language: 
English
Abstract: 

AIMS AND OBJECTIVES: This study sought to assess the impact of a standardized protocol to maintain nasoenteral tube (NET) patency in patients requiring fluid restriction and identify factors associated with tube patency. BACKGROUND: Nasoenteral tube obstruction may interrupt nutritional support and prohibit drug administration. Balancing NET patency in the context of fluid restriction can be a challenge. DESIGN AND METHODS: The impact of the standardized protocol was assessed by using a quasi-experimental design and an historical control. RESULTS: Sixty patients receiving nasoenteral feeding as part of their clinical management were enrolled in the study. Nasoenteral obstruction was 8.3%, showing a reduction from the 17.4% observed in the baseline data collection. A key factor associated with tube obstruction was sounding of an infusion pump alarm reflecting the tube patency issues. CONCLUSIONS: While mindful of the limitations of probability sampling, the implementation of a standardized protocol accompanied by staff training reduced the rates of NET obstruction. RELEVANCE TO CLINICAL PRACTICE: On the basis of these findings, we conclude that it is possible to maintain the patency of small bore tubes, even in the presence of fluid restriction, with a standardized protocol to guide clinical management.

Author(s): 
Matsuba, Claudia St
De Gutiérrez, Maria Gr
Whitaker, Iveth Y.
Item Type: 
Journal Article
Publication Title: 
Journal of Clinical Nursing
Journal Abbreviation: 
J Clin Nurs
Publication Date: 
2007-10
Publication Year: 
2007
Pages: 
1872-1877
Volume: 
16
Issue: 
10
ISSN: 
0962-1067
DOI: 
10.1111/j.1365-2702.2007.01793.x
Library Catalog: 
PubMed
Extra: 
PMID: 17880476

Turabian/Chicago Citation

Claudia St Matsuba, Maria Gr De Gutiérrez and Iveth Y. Whitaker. 2007-10. "Development and evaluation of standardized protocol to prevent nasoenteral tube obstruction in cardiac patients requiring enteral nutrition with restricted fluid volumes." Journal of Clinical Nursing 16: 10: 1872-1877. 10.1111/j.1365-2702.2007.01793.x.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1111/j.1365-2702.2007.01793.x | issn = 0962-1067 | volume = 16 | pages = 1872-1877 | last = Matsuba | first = Claudia St | coauthors = De Gutiérrez, Maria Gr, Whitaker, Iveth Y. | title = Development and evaluation of standardized protocol to prevent nasoenteral tube obstruction in cardiac patients requiring enteral nutrition with restricted fluid volumes | journal = Journal of Clinical Nursing | date = 2007-10 | pmid = | pmc = }} </ref>