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Safe, timely, convenient, and cost-effective: a single-center experience with bedside placement of enteral feeding tubes by midlevel providers using fluoroscopic guidance.
Am J Surg. 2012 Dec; 204(6):958-62; discussion 962.AJ

Abstract

BACKGROUND

Enteral feeding tube placement has been performed by nurses, gastroenterologists using endoscopy, and interventional radiologists. We hypothesized that midlevel providers placed feeding tubes at bedside using fluoroscopy safely, rapidly, and cost-effectively.

METHODS

We retrospectively analyzed bedside feeding tube placement under fluoroscopy by trained nurse practitioners. We compared charges for this method with charges for placement by other practitioners.

RESULTS

Nurse practitioners placed 632 feeding tubes in 462 patients. Three hundred seventy-nine placements took place in mechanically ventilated placements. Ninety-seven percent of tubes were positioned past the pylorus. The mean fluoroscopy time was 0.7 ± 1.2 minutes. The mean procedure time was 7.0 ± 5.1 minutes. All tubes were placed within 24 hours of the request. There were no complications. Institutional charges for tube placement were $149 for nurse practitioners, $226 for gastroenterologists, and $328 for interventional radiologists.

CONCLUSIONS

The placement of feeding tubes under fluoroscopy by nurse practitioners is safe, timely, and cost-effective.

Authors+Show Affiliations

Department of Surgery, Section of Burns/Trauma/Critical Care, University of Utah Hospitals and Clinics, 30 North 1900 East, SOM 3B310, Salt Lake City, UT 84132, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Evaluation Study
Journal Article

Language

eng

PubMed ID

23022252

Citation

Hauschild, Tricia B., et al. "Safe, Timely, Convenient, and Cost-effective: a Single-center Experience With Bedside Placement of Enteral Feeding Tubes By Midlevel Providers Using Fluoroscopic Guidance." American Journal of Surgery, vol. 204, no. 6, 2012, pp. 958-62; discussion 962.
Hauschild TB, Fu KY, Hipwell RC, et al. Safe, timely, convenient, and cost-effective: a single-center experience with bedside placement of enteral feeding tubes by midlevel providers using fluoroscopic guidance. Am J Surg. 2012;204(6):958-62; discussion 962.
Hauschild, T. B., Fu, K. Y., Hipwell, R. C., Baraghoshi, G., Mone, M. C., Nirula, R., Kimball, E. J., & Barton, R. G. (2012). Safe, timely, convenient, and cost-effective: a single-center experience with bedside placement of enteral feeding tubes by midlevel providers using fluoroscopic guidance. American Journal of Surgery, 204(6), 958-62; discussion 962. https://doi.org/10.1016/j.amjsurg.2012.07.025
Hauschild TB, et al. Safe, Timely, Convenient, and Cost-effective: a Single-center Experience With Bedside Placement of Enteral Feeding Tubes By Midlevel Providers Using Fluoroscopic Guidance. Am J Surg. 2012;204(6):958-62; discussion 962. PubMed PMID: 23022252.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Safe, timely, convenient, and cost-effective: a single-center experience with bedside placement of enteral feeding tubes by midlevel providers using fluoroscopic guidance. AU - Hauschild,Tricia B, AU - Fu,Katy Y, AU - Hipwell,Randall C, AU - Baraghoshi,Gabriele, AU - Mone,Mary C, AU - Nirula,Raminder, AU - Kimball,Edward J, AU - Barton,Richard G, Y1 - 2012/09/28/ PY - 2012/03/13/received PY - 2012/06/11/revised PY - 2012/07/02/accepted PY - 2012/10/2/entrez PY - 2012/10/2/pubmed PY - 2013/2/6/medline SP - 958-62; discussion 962 JF - American journal of surgery JO - Am. J. Surg. VL - 204 IS - 6 N2 - BACKGROUND: Enteral feeding tube placement has been performed by nurses, gastroenterologists using endoscopy, and interventional radiologists. We hypothesized that midlevel providers placed feeding tubes at bedside using fluoroscopy safely, rapidly, and cost-effectively. METHODS: We retrospectively analyzed bedside feeding tube placement under fluoroscopy by trained nurse practitioners. We compared charges for this method with charges for placement by other practitioners. RESULTS: Nurse practitioners placed 632 feeding tubes in 462 patients. Three hundred seventy-nine placements took place in mechanically ventilated placements. Ninety-seven percent of tubes were positioned past the pylorus. The mean fluoroscopy time was 0.7 ± 1.2 minutes. The mean procedure time was 7.0 ± 5.1 minutes. All tubes were placed within 24 hours of the request. There were no complications. Institutional charges for tube placement were $149 for nurse practitioners, $226 for gastroenterologists, and $328 for interventional radiologists. CONCLUSIONS: The placement of feeding tubes under fluoroscopy by nurse practitioners is safe, timely, and cost-effective. SN - 1879-1883 UR - https://www.unboundmedicine.com/medline/citation/23022252/Safe_timely_convenient_and_cost_effective:_a_single_center_experience_with_bedside_placement_of_enteral_feeding_tubes_by_midlevel_providers_using_fluoroscopic_guidance_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9610(12)00453-9 DB - PRIME DP - Unbound Medicine ER -