Inadvertent dislodgement of nasoenteral feeding tubes: incidence and prevention

The introduction of soft, small-bore nasoenteral feeding tubes has improved our ability to provide nutritional support to patients in a more comfortable, safe, and cost-effective manner. A retrospective study reveals, however, that 40% of patients receiving nasoenteral tube feeding experienced inadvertent dislodgement of their feeding tubes. All of the patients with dislodged feeding tubes were confused, disoriented, or obtunded periodically. Various means for preventing this problem are discussed. In view of both the considerable time and effort required to place nasoenteral feeding tubes properly and the potential complications due to inadvertent tubes dislodgement, it is recommended that nasoenteral feeding tubes be secured more effectively, particularly in confused or obtunded patients.