New Opportunities for Verification of Enteral Tube Location Project: Fact Sheet

Why was this project developed? 

  • There is no current universal approach to verification of enteral tube location in pediatrics.  Some hospitals may do an x-ray but there is a strong effort in pediatrics to avoid radiation exposure. Pediatric patients can remove their nasogastric feeding tubes several times per day which would involve repeated x-rays and loss of hours of feeding.
  • Misplacement of nasogastric feeding tubes into the lung and inadvertent administration of enteral formula into the lung has resulted in death or serious adverse consequences for the child.


Who is involved in with NOVEL Project? 

  • American Association of Critical Care Nurses
  • American Association for Medical Instrumentation
  • Biomedical engineers
  • Children’s Healthcare Association Patient Safety Officers
  • Pediatric home care nurses
  •  A parent whose son died after receiving enteral formula in the lung from an incorrectly placed NG tube
  • Neonatologists and neonatal nurses
  • Venture capitalist who specializes in matching clinical needs with inventors and entrepreneurs.
  • Society for Pediatric Nurses


Who is involved from ASPEN? 

  • Debra BenAvram, CAE, Chief Executive Officer
  • Praveen Goday, MBBS, CNSC, Pediatric  Gastroenterology and Nutrition Medical College of Wisconsin, A.S.P.E.N Board of Director
  • Beth Lyman, RN, MSN, Pediatric Nutrition Support Nurse, A.S.P.E.N. Member
  • Linda Muir,MD, Chair of  A.S.P.E.N.’s Pediatric and Pediatric Gastroenterologist Section, A.S.P.E.N. Member
  • Jane Anne Yaworski, RN,MSN, Pediatric Nutrition Support Nurse, A.S.P.E.N. Member


Who are the target populations for NOVEL Project? 

  • NICU patients
  • Pediatric inpatients
  • Pediatric home patients


What has been done so far? 

  • Developed a position paper on the current status of feeding tube placement verification techniques used in pediatrics.
  • Completed a research proposal for a point prevalence study done on day one to determine how many nasogastric or transpyloric feeding tubes are used in pediatric hospitals.
  • Created a desired features document addressing specific needs of each of the target populations.
  • Work with the FDA to bring awareness to the NOVEL Project.
  • Recruit Biomedical Engineering Colleges to collaborate on this project. Confirmation from the following schools: Massachusetts Institute of Technology (MIT), Stanford University, University of Pennsylvania (UPENN), and University of Cincinnati.


How can people get involved? 

  • Contact Beth Lyman or call 816-855-1766 for a copy of the protocol on Prevalence of Nasogastric Tube Use and obtain IRB permission to participate.
  • Serve as local consultants to biomedical engineering schools who have expressed an interest in working on the NOVEL Project.
  • Analyze your own institution and how nasogastric tube location is determined. 
  • Volunteer to help as needed in work groups.

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