NCPXXX10.1177/0884533614533881Nutrition in Clinical PracticeEditor’s Note
Nutrition in Clinical Practice Volume 29 Number 3 June 2014 263 © 2014 American Society for Parenteral and Enteral Nutrition DOI: 10.1177/0884533614533881 ncp.sagepub.com hosted at online.sagepub.com
One of the core values of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) is quality centered on safe, efficacious, and compassionate patient care. This issue of Nutrition in Clinical Practice (NCP) highlights 2 A.S.P.E.N. articles on safety with enteral feeding tubes and parenteral nutrition (PN). There are potential dangers associated with the placement of nasogastric enteral access devices (NG-EADs) in children at the bedside. A.S.P.E.N. launched a project entitled The New Opportunities for Verification of Enteral Tube Location Project (NOVEL Project). The NOVEL Project team conducted systematic research on placement and verification of NG-EADs in pediatric patients. This article reports their findings and makes recommendations for ensuring safety with placement of NG-EADs in children. The NOVEL report is accompanied by an Invited Commentary that tells the heartwrenching stories of a parent who lost an infant due to a misplaced NG-EAD and a nurse who inadvertently caused a serious event when she placed an NG-EAD into a child’s airway. Similarly, the A.S.P.E.N. PN Safety Committee provides a special report in this issue of NCP on applying the recent A.S.P.E.N. PN Safety Consensus Recommendations in practice. Tools for implementing the recommendations are provided in this article. The bulk of this issue is devoted to the topic of pancreatitis and the nutrition treatment for pancreatitis. I encourage the readers to start out by reading the overview of pancreatitis by Afghani, Sinha, and Singh. This comprehensive article touches on several topics, including incidence, etiology, clinical features,
classification, diagnosis, and treatment of chronic pancreatitis. A table of common nutrient deficiencies in patients with chronic pancreatitis is included. Two common nutrition controversies are covered by 3 articles in this issue. The readers are encouraged to compare and contrast the article on jejunal feeding for pancreatitis (by Semineris and O’Keefe) vs the article on gastric feeding for pancreatitis (by Petrov). Patel and Singh dismiss concerns about providing intravenous fat emulsion to patients with chronic pancreatitis in their article as they review the literature on this topic. I’d like to point out a few additional themed articles in this issue. The first is a comprehensive review on pancreatic enzyme replacement by Amy Berry. This article is a primer on pancreatic exocrine function and malabsorption and use of pancreatic enzymes. The table of currently available products and tips on using pancreatic enzymes concurrently with tube feeding is especially helpful. There is also a study by Duggan et al, who reviewed 128 patients, half of whom have chronic pancreatitis, and evaluated the prevalence of fat-soluble vitamin deficiencies in this issue. Finally, the CAM Corner in this issue appropriately addresses complementary products and therapies such as pancreatic enzymes, traditional Chinese medicine, and acupuncture used by those seeking relief from chronic pancreatitis.
Jeanette M. Hasse, PhD, RD, LD, FADA, CNSC NCP Editor-in-Chief
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