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Nutrition in Clinical Practice
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Techniques and Procedures

Devices and Techniques for Bedside Enteral Feeding Tube Placement

Susan Roberts, MS, RD, LD, CNSD*
Pamela Echeverria, MS, RD, CNSD{dagger}
Sabrey A. Gabriel, MD{ddagger}

* Baylor University Medical Center, Nutrition Services, Dallas, Texas; {dagger} Northwest Medical Center, Tucson, Arizona; and the {ddagger} Department of Family Medicine, Mercer University School of Medicine, Macon, Georgia

Correspondence: General correspondence, and for ETPD: Susan Roberts, MS, RD, LD, CNSD, Assistant Director of Clinical Nutrition and Nutrition Support Team Coordinator, Baylor University Medical Center, 3500 Gaston Avenue, Nutrition Services, Dallas, TX 75246 [susanro{at}baylorhealth.edu].Correspondence for CCD: Pamela Echeverria, MS, RD, CNSD; Northwest Medical Center, Dept of Clinical Nutrition, 6200 North La Cholla, Tucson, AZ 85741 [Pamela.Echeverria{at}TriadHospitals.com].Correspondence for MGFT: Sabrey Gabriel, MD, Dept of Family Medicine, Mercer Univ School of Medicine, 1550 College St, Macon, GA 31207 [gabriel_sa{at}mercer.edu].

Enteral feedings are an integral part of care for many hospitalized patients. Accessing the gastrointestinal (GI) tract safely and in a timely manner can be challenging. Various techniques and devices to enhance the safety of bedside feeding tube placement are available for clinicians. Three specific devices are highlighted, including the colorimetric CO2 detector (CCD), a magnetically guided feeding tube (MGFT), and the electromagnetic tube placement device (ETPD). The CO2 detector is applied to detect the presence or absence of CO2, thus assisting in correct placement of the feeding tube tip into the GI tract vs the lung. The MGFT uses a magnetic device to manipulate the feeding tube through the GI tract into the small intestine. The ETPD provides real-time visualization of the feeding tube as it progresses into the small intestine. Training and repetition are essential for safe and successful feeding tube placement, and the highlighted devices can contribute to both of these goals.

Nutrition in Clinical Practice, Vol. 22, No. 4, 412-420 (2007)
DOI: 10.1177/0115426507022004412
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This article has been cited by other articles:


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 Nutr Clin PractHome page
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