{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T19:29:26Z","timestamp":1791401366531,"version":"4.3.3"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T00:00:00Z","timestamp":1529452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Cardinal Health"}],"content-domain":{"domain":["aspenjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Parenter Enteral Nutr"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background<\/jats:italic>: Enteral feeding via feeding tube (FT) provides essential nutrition support to critically ill patients or those who cannot intake adequate nutrition via the oral route. Unfortunately, 1%\u20132% of FTs placed blindly at bedside enter the airway undetected (as confirmed by x\u2010ray), where they could result in adverse events. Misplaced FTs can cause complications including pneumothorax, vocal cord injury, bronchopleural fistula, pneumonia, and death. X\u2010ray is typically performed to confirm FT placement before feeding, but may delay nutrition intake, may not universally identify misplacement, and adds cost and radiation exposure. <jats:italic>Methods<\/jats:italic>: A prospective case series was conducted to evaluate a novel FT with a camera to provide real\u2010time visualization, guiding placement. The primary end point was the clinician's ability to identify anatomical markers in the gastrointestinal tract and\/or airway using the camera. <jats:italic>Results<\/jats:italic>: The Kangaroo Feeding Tube with IRIS Technology tube was placed in 45 subjects with 1 misplaced tube; 3 placements were postpyloric, with the remainder gastric. Clinicians correctly identified the stomach in 44 of 45 placements at a median depth of 60.0 cm (range 45.0\u201385.0 cm). A stomach image was obtained in 42 subjects (93.3%). Agreement between camera image and radiographic confirmation of placement was 93% (<jats:italic>P<\/jats:italic> = .014) with small deviations in recognizing stomach vs small bowel. No device\u2010related adverse events occurred. <jats:italic>Conclusions<\/jats:italic>: Direct visualization of the stomach using a camera\u2010equipped FT can assist with FT placement, help avoid misplacements, and with further studies to evaluate the safety of eliminating confirmatory x\u2010ray before feeding, could potentially preclude the need for radiographic confirmation.<\/jats:p>","DOI":"10.1002\/jpen.1313","type":"journal-article","created":{"date-parts":[[2018,6,20]],"date-time":"2018-06-20T12:33:25Z","timestamp":1529498005000},"page":"118-125","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Successful Identification of Anatomical Markers and Placement of Feeding Tubes in Critically Ill Patients via Camera\u2010Assisted Technology with Real\u2010Time Video Guidance"],"prefix":"10.1002","volume":"43","author":[{"given":"Paul E.","family":"Wischmeyer","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Surgery Duke University  Durham North Carolina USA"},{"name":"Duke Clinical Research Institute  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle M.","family":"McMoon","sequence":"additional","affiliation":[{"name":"Advanced Practice and Nutrition Support Team Duke Regional Hospital  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan H.","family":"Waldron","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Duke University  Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth J.","family":"Dye","sequence":"additional","affiliation":[{"name":"Clinical Operations Cardinal Health Patient Recovery  Mansfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607115621863"},{"issue":"8","key":"e_1_2_9_3_1","first-page":"CD008875","article-title":"Post\u2010pyloric versus gastric tube feeding for preventing pneumonia and improving nutritional outcomes in critically ill adults","author":"Alkhawaja S","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2016.06.011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-016-1298-1"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2016.28"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.42.3.431"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00455-015-9607-4"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607110370976"},{"key":"e_1_2_9_10_1","first-page":"32","article-title":"Blind bedside placement of feeding tubes: treatment or threat","volume":"35","author":"Krenitsky J.","year":"2011","journal-title":"Pract Gastroenterol"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318208f550"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0148607111413898"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.11124\/jbisrir-2015-1609"},{"key":"e_1_2_9_14_1","volume-title":"The A. 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