(1st September 2015 – 30th April 2016)
Funded by: NIHR CLAHRC Evidence Based Transformation with the NHS theme, and Yorkshire and Humber Academic Health Science Network Proof of Concept Fund.
Nasogastric (NG) tubes (a tube passed through a patient’s nostril into their food pipe and then stomach, secured to the patient’s cheek with tape) are widely used in the NHS for adult and child patients to provide enteral feeds or medicines for patients who cannot swallow or tolerate feeds by mouth, or patients requiring intensive care/surgery.
There are patient safety concerns if a NG-tube becomes misplaced into the patient’s lung during insertion or moves out of the patient’s stomach at a later stage, which can result in serious consequences for the patient or even death if feeding occurs through a misplaced NG tube. The current procedure for testing correct placement of an NG-tube relies upon obtaining gastric aspirate for testing with pH paper, but only 65% success rates are reported for obtaining aspirate. Then X-rays are used to verify NG-tube position; X-rays are costly and inconvenient for patients, and also subject to misinterpretation. Something better is needed.
Our research aimed to develop a different, innovative solution. Working in collaboration with two commercial partners we have successfully demonstrated our proof of concept and are now working towards the development of a new device for verifying the correct position of an NG-tube. This project builds upon our previous behaviour change work to improve NG-tube testing, and utilises our team’s expertise in device-development, user-centred design, and the implementation and adoption of innovative solutions in healthcare.
For further information please contact Angela Grange at email@example.com