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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Gold Standard Home Nasogastric Tube Feeding for Infants and Children
1, Lina Breik2, Ethan Chaffey3
1SUCCEED, Sydney, New South Wales, Australia.
Abstract:
Paediatric home enteral nutrition (HEN) is becoming more common. Existing research and guidelines point to the importance of carer education. However, ongoing HEN care in the community is not well covered, and many of those caring for children with feeding tubes have insufficient training, contributing to safety incidents in paediatric HEN. This article presents a novel gold standard for home nasogastric tube feeding for infants and children. It is developed through interviews with clinicians (n = 13) and parents (n = 4), and revised in consultation with a wider group of clinicians (n = 22), parents (n = 4), researchers (n = 2) and other professionals involved in supporting families with children who tube feed (n = 2). The gold standard reflects the authors' consensus recommendations. Alignment of its features with peer-reviewed research is highlighted. The gold standard considers NG tube feeding at home as a mealtime (rather than medical procedure) that is safe, responsive to the child's cues, and family friendly. Where weaning is expected, it also prepares the child for this.
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