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Misplacement occurs due to failure to confirm tube position, lack of expertise in interpretation or inability of the confirmation method to differentiate safe placement from misplacement.

Despite the large body of literature, sleep deprivation remains a significant concern in critically ill patients in intensive care unit (ICU).(2008) as a method for reflective lifeworld research.Seven close relatives of critically ill patients cared for at an ICU were interviewed. Results: Being allowed to participate in the care of critically ill patients at an ICU is important for close relatives to the patients.Discussion: Theoretically, X-ray is the gold standard for confirming tube position.However, because X-ray is associated with misinterpretation and delays feeding, it should in most cases be the second-line confirmation technique after other methods fail.

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