Nasogastric/nasoenteric tube-related adverse events: an integrative review

Ana Paula Gobbo Motta, Mayara Carvalho Godinho Rigobello, Renata Cristina de Campos Pereira Silveira, Fernanda Raphael Escobar Gimenes, Ana Paula Gobbo Motta, Mayara Carvalho Godinho Rigobello, Renata Cristina de Campos Pereira Silveira, Fernanda Raphael Escobar Gimenes

Abstract

Objective: to analyze in the scientific literature the evidence on nasogastric/nasoenteric tube related adverse events in adult patients.

Method: integrative literature review through the search of publications in journals indexed in PubMed/MEDLINE, CINAHL, LILACS, EMBASE and Scopus, and hand searching, was undertaken up to April 2017.

Results: the sample consisted of 69 primary studies, mainly in English and published in the USA and UK. They were divided in two main categories and subcategories: the first category refers to Mechanical Adverse Events (respiratory complications; esophageal or pharyngeal complications; tube obstruction; intestinal perforation; intracranial perforation and unplanned tube removal) and the second alludes to Others (pressure injury related to fixation and misconnections). Death was reported in 16 articles.

Conclusion: nasogastric/nasoenteric tube related adverse events are relatively common and the majority involved respiratory harm that resulted in increased hospitalization and/or death. The results may contribute to healthcare professionals, especially nurses, to develop an evidence-based guideline for insertion and correct positioning of bedside enteral tubes in adult patients.

Figures

Figure 1. Identification and selection flow of…
Figure 1. Identification and selection flow of articles included in the integrative review, through database search. Ribeirão Preto, SP, Brazil, 2018( 16 )

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