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However, post-procedure checks cannot prevent the in-procedure pneumothorax in 0.43% or pneumonia from contamination in 0.20%. Extrapolated for annual Europe + USA tube placements there would be \u223c 71,500 complications.<\/jats:p>\n                  <jats:p>Mid-procedure CO2 checks or guided tube placement can prevent 96\u2013100% of these complications whilst pre-emptive bridle securement reduces risk by 40% by obviating the need for most tube replacements. Together these methods would radically reduce holistic risk and cost.<\/jats:p>\n                  <jats:p>National guidance is obsolete and disincentivises improvements in patient safety. In-procedure tube position checks, pre-emptive bridling and evidence-based training should be recommended.<\/jats:p>","DOI":"10.1177\/09246479261442065","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T21:40:46Z","timestamp":1776116446000},"page":"449-454","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Feeding tube safety: National guidance is unsafe and must change"],"prefix":"10.1177","volume":"37","author":[{"given":"Stephen J","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Nutrition and Dietetics, North Bristol NHS Trust, Bristol, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Energias Market Research. 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