{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:44:43Z","timestamp":1787237083525,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,12,12]],"date-time":"2017-12-12T00:00:00Z","timestamp":1513036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Challenges for bedside placement of small\u2010bore feeding tube (SBFT) include iatrogenic injury, multiple exposures to x\u2010rays, and prolonged placement times. In 2011, the study facility began a feeding tube placement team (FTPT) using the CORTRAK system (CS) in the adult intensive care unit (ICU) and medical\u2010surgical populations. In 2013, a protocol was implemented using the CS to determine final SBFT location.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Serial retrospective reviews were done of patients with SBFT placement by the FTPT during July 2011\u2013December 2012 and 2015. Measures included pulmonary deviation, tube location, placement agreement beyond chance for CS tracing and confirmation radiography (CR), x\u2010ray frequency, and placement time intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 6290 SBFT placements were completed for 4239 patients. First\u2010attempt SBFT locations were 12.78% gastric, 13.39% first through fourth portion of duodenum, and 73.83% ligament of Treitz\/jejunum, with zero placements in esophagus or lung. In 2015, staff avoided 68 lung placements by recognizing proximal pulmonary deviation. X\u2010ray preprotocol vs protocol (mean [SD]: 1.02 [0.15] vs 0.26 [0.44]) resulted in 74% x\u2010ray reduction and cost avoidance of $346,000. Time intervals (mean [SD]; N = 6290) were 14.90 (12.74) minutes for insertion, 46.04 (13.80) minutes for placement event, and 3.85 (2.23) hours for consult conclusion. Agreement for n = 1692 placements was 85.28%, with\n                      <jats:italic>k<\/jats:italic>\n                      score of 0.622 (95% confidence limit: 0.582, 0.661;\n                      <jats:italic>P<\/jats:italic>\n                      = .0005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Team management of SBFT placement using the CS optimizes patient safety, standardizes practice, and decreases cost. Using the CS to determine final SBFT location is a safe alternative to CR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jpen.1015","type":"journal-article","created":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T16:34:56Z","timestamp":1556642096000},"page":"247-254","source":"Crossref","is-referenced-by-count":38,"title":["Feeding Tube Insertion and Placement Confirmation Using Electromagnetic Guidance: A Team Review"],"prefix":"10.1002","volume":"42","author":[{"given":"Kevin P.","family":"McCutcheon","sequence":"first","affiliation":[{"name":"UF Health Shands Hospital  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanda L.","family":"Whittet","sequence":"additional","affiliation":[{"name":"UF Health Shands Hospital  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie L.","family":"Kirsten","sequence":"additional","affiliation":[{"name":"UF Health Shands Hospital  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John L.","family":"Fuchs","sequence":"additional","affiliation":[{"name":"UF Health Shands Hospital  Gainesville Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,12]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1177\/0115426507022004412","article-title":"Devices and techniques for bedside enteral feeding tube placement","volume":"2","author":"Roberts S","year":"2007","journal-title":"Nutr Clin Pract"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.046"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01256961-200607000-00003"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3233\/THC-120704"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318208f550"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2009.01010.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0884533616682683"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-015-9607-4"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0b013e31819a3668"},{"issue":"1","key":"e_1_2_7_11_1","first-page":"23","article-title":"The use of the Cortrak Enteral Access System\u2122 for post\u2010pyloric (PP) feeding tube placement in a Burns Intensive Care Unit","volume":"9","author":"Hemington\u2010Gorse SJ","year":"2014","journal-title":"J Hosp Med"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2016.224"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000000940"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000000448"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2017202"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607110387436"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2013755"},{"issue":"1","key":"e_1_2_7_18_1","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3109\/08941939.2013.826310","article-title":"The application of electromagnetically guided post\u2010pyloric feeding tube placement in critically ill patients","volume":"27","author":"Xang X","year":"2014","journal-title":"J Invest Surg"},{"key":"e_1_2_7_19_1","first-page":"436","article-title":"Bedside electromagnetic\u2010guided feeding tube placement: an improvement over traditional placement technique?","volume":"22","author":"Gray R","year":"2007","journal-title":"JPEN J Parenter Enteral Nutr"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115575034"},{"key":"e_1_2_7_21_1","unstructured":"U.S. Food and Drug Administration.510(k) Premarket notification. Cortrak enteral access device.https:\/\/www.accessdata.fda.gov\/scripts\/cdrh\/cfdocs\/cfpmn\/pmn.cfm?ID=K113351. Updated October 16 2017. Accessed March 8 2017."},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2015493"},{"issue":"2","key":"e_1_2_7_23_1","doi-asserted-by":"crossref","first-page":"157","DOI":"10.4037\/ajcc2017390","article-title":"Update on effectiveness of an electromagnetic feeding tube placement device in detecting respiratory placements","volume":"26","author":"Metheny NA","year":"2017","journal-title":"Am J Crit Care"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2017369"},{"key":"e_1_2_7_25_1","unstructured":"U.S. Food and Drug Administration (FDA).Manufacturer and User Facility Device Experience (MAUDE) Database.http:\/\/www.fda.gov\/MedicalDevices\/DeviceRegulationandGuidance\/PostmarketRequirements\/ReportingAdverseEvents\/ucm127891.htm. Updated March 8 2017. Accessed April 7 2017."},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607110386047"},{"key":"e_1_2_7_27_1","article-title":"Fleiss kappa using SPSS statistics","author":"Laerd Statistics.","year":"2015","journal-title":"Statistical Tutorials and Software Guides"},{"key":"e_1_2_7_28_1","article-title":"Chi\u2010square test for association using SPSS statistics","author":"Laerd Statistics.","year":"2016","journal-title":"Statistical Tutorials and Software Guides"},{"key":"e_1_2_7_29_1","article-title":"One\u2010way ANOVA using SPSS statistics","author":"Laerd Statistic","year":"2015","journal-title":"Statistical Tutorials and Software Guides"},{"key":"e_1_2_7_30_1","article-title":"Kruskal\u2010Wallis H test using SPSS statistics","author":"Laerd Statistics","year":"2015","journal-title":"Statistical Tutorials and Software Guides"}],"container-title":["Journal of Parenteral and Enteral Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjpen.1015","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jpen.1015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:51:19Z","timestamp":1760863879000},"score":1,"resource":{"primary":{"URL":"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1002\/jpen.1015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,12]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1002\/jpen.1015"],"URL":"https:\/\/doi.org\/10.1002\/jpen.1015","archive":["Portico"],"relation":{},"ISSN":["0148-6071","1941-2444"],"issn-type":[{"value":"0148-6071","type":"print"},{"value":"1941-2444","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,12]]}}}