Enteral tube feeding in adults

Enteral tube feeding is usually a relatively straightforward method of nutritional support, and should be facilitated by a multiprofessional team. For short-term use (<4 weeks) a fine bore feeding nasogastric tube is indicated but if longer term feeding is required then a gastrostomy is appropriate, usually inserted endoscopically (a percutaneous endoscopic gastrostomy tube).

Service implications of implementing guidance for oral bowel cleansing agents in colonoscopy

Introduction: Bowel preparation has led to serious adverse events. Consequently, regulatory and advisory bodies have issued guidance, including a risk stratification of patients, aiming to minimise this risk.

Aims: To determine the impact of the new guidance on our current practice of Picolax used in colonoscopy with regard to patient stratification, compliance and service implementation.

Intercostal chest drains: a wake-up call from the National Patient Safety Agency rapid response report

Intercostal chest drains have been well established in the management of pneumothorax and pleural effusion, and explicit guidelines exist for the indications for inserting a chest drain. In May 2008 the UK’s National Patient Safety Agency issued a rapid response report entitled Risks of chest drain insertion, highlighting significant complications directly related to intercostal chest drain insertions.

Service implications of implementing guidance for oral bowel cleansing agents in colonoscopy

Introduction: Bowel preparation has led to serious adverse events. Consequently, regulatory and advisory bodies have issued guidance, including a risk stratification of patients, aiming to minimise this risk.

Aims: To determine the impact of the new guidance on our current practice of Picolax used in colonoscopy with regard to patient stratification, compliance and service implementation.