New Opportunities for Verification of Enteral Tube Location Project 

As the world leader in clinical nutrition and metabolism, ASPEN launched the NOVEL Project to address an important issue that our members face. Currently, there is no universal approach to verification of enteral tube location in pediatrics and misplacement of these feeding tubes into the lung with inadvertent administration of enteral formula into the lung has resulted in death or serious consequences for the pediatric patient.

Why was the project developed?

There currently isn’t a universal approach to verification of enteral tube location in pediatric patients. Misplacement of these feeding tubes into the lung with inadvertent administration of enteral formula into it has resulted in death and/or serious consequences for the patient. While some hospitals perform an X-ray to confirm the nasoenteric (NG) tube location, there is a strong effort in pediatrics to avoid radiation exposure. In addition, pediatric patients can remove their NG tubes several times per day which would involve repeated X-rays and loss of feeding.

To date, the Task Force has:

In 2012, the American Society for Parenteral and Enteral Nutrition (ASPEN), a world leader in safe nutrition support, created a NOVEL project task force to: 

  1. Work with biomedical engineers and industry to develop non-radiologic method(s) to verify NG tube placement and to allow for re-verification of placement 

  2. Collaborate with specialty nursing organizations to determine best practices for determining NG tube location working with existing technology and accepted procedures such as pH measurements 

  3. Foster the discovery of new knowledge and science and its application to the field of nutrition support (NS) therapy 

  4. Disseminate knowledge that improves clinical practice pertaining to NG tube placement verification 

  5. Advocate on behalf of the field of NS to improve patient outcomes and clinical practice 

  6. Promote consistency of practice among individual nurses and pediatric acute care centers

NOVEL News

Publications and Resources

Get Involved

 

  • 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. Contact Beth Lyman at blyman@cmh.edu