Advertisement
Clinical Practice Guideline| Volume 45, ISSUE 3, P306.e1-306.e19, May 2019

Download started.

Ok

Clinical Practice Guideline: Gastric Tube Placement Verification

      In patients having gastric tubes inserted in the emergency department setting, which bedside technique is best for confirmation of accurate placement immediately after tube insertion compared to radiograph?
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Emergency Nursing
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • American Association of Critical-Care Nurses
        Initial and ongoing verification of feeding tube placement in adults.
        Critical Care Nurse. 2016; 36: e8-e13https://doi.org/10.4037/ccn2016141
        • Anderson O.
        • Carr R.
        • Harbinson M.
        • Hanna G.
        Development and validation of a lipase nasogastric tube position test.
        BMJ Open Gastroenterology. 2016; 3: e000064https://doi.org/10.1136/bmjgast-2015-000064
        • Atalay Y.O.
        • Aydin R.
        • Ertugrul O.
        • Gul S.B.
        • Polat A.V.
        • Pasksu M.S.
        Does bedside sonography effectively identify nasogastric tube placements in pediatric critical care patients?.
        Nutrition in Clinical Practice. 2016; 31: 805-809https://doi.org/10.1177/0884533616639401
        • Boeykens K.
        • Steeman E.
        • Duysburgh I.
        Reliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube.
        International Journal of Nursing Studies. 2014; 51: 1427-1433https://doi.org/10.1016/j.ijnurstu.2014.03.004
        • Burns S.M.
        • Carpenter R.
        • Blevins C.
        • Bragg S.
        • Marshall M.
        • Browne L.
        • Truwit J.D.
        Detection of inadvertent airway intubation during gastric tube insertion: Capnography versus a colorimetric carbon dioxide detector.
        American Journal of Critical Care. 2006; 15: 188-195
        • Chau J.P.
        • Lo S.H.S.
        • Thompson D.R.
        • Fernandez R.
        • Griffiths R.
        Use of end-tidal carbon dioxide detection to determine correct placement of nasogastric tube: A meta-analysis.
        International Journal of Nursing Studies. 2011; 48: 513-521https://doi.org/10.1016/j.ijnurstu.2010.12.004
        • Christensen M.
        Bedside methods of determining nasogastric tube placement: A literature review.
        Nursing in Critical Care. 2001; 6: 192-199
        • Ellett M.L.
        What is known about methods of correctly placing gastric tubes in adults and children.
        Gastroenterology Nursing. 2004; 27: 253-261
        • Ellett M.L.C.
        • Cohen M.D.
        • Croffie J.M.B.
        • Lane K.A.
        • Austin J.K.
        • Perkins S.M.
        Comparing bedside methods of determining placement of gastric tubes in children.
        Journal for Specialists in Pediatric Nursing. 2014; 19: 68-79https://doi.org/10.1111/jspn.12054
        • Ellett M.L.C.
        • Croffie J.M.B.
        • Cohen M.D.
        • Perkins S.M.
        Gastric tube placement in young children.
        Clinical Nursing Research. 2005; 14: 238-252https://doi.org/10.1177/1054773805275121
        • Elpern E.H.
        • Killeen K.
        • Talla E.
        • Perez G.
        • Gurka D.
        Capnometry and air insufflation for assessing initial placement of gastric tubes.
        American Journal of Critical Care. 2007; 16: 544-550
        • Gilbertson H.R.
        • Rogers E.J.
        • Ukoumunne O.C.
        Determination of a practical pH cutoff level for reliable confirmation of nasogastric tube placement.
        Journal of Parenteral & Enteral Nutrition. 2011; 35: 540-544https://doi.org/10.1177/0148607110383285
        • Kim H.M.
        • So B.H.
        • Jeong W.J.
        • Choi S.M.
        • Park K.N.
        The effectiveness of ultrasonography in verifying the placement of a nasogastric tube in patients with low consciousness at an emergency center.
        Scandinavian Journal of Trauma Resuscitation and Emergency Medicine. 2012; 20: 1-6https://doi.org/10.1186/1757-7241-20-38
        • Kearns P.J.
        • Donna C.
        A controlled comparison of traditional feeding tube verification methods to a bedside, electromagnetic technique.
        Journal of Parenteral and Enteral Nutrition. 2001; 25: 210-215https://doi.org/10.1177/0148607101025004210
        • Leschke R.
        Nasogastric intubation.
        in: Reichman E.F. Simon R.R. Emergency Medicine Procedures. McGraw-Hill Professional, New York, NY2003: 413-419
        • Lin T.
        • Gifford W.
        • Yutao L.
        • Xiuqun Q.
        • Xuelian L.
        • Juan W.
        • Ken C.
        Diagnostic accuracy of ultrasonography for detecting nasogastric tube (NGT) placement in adults: A systematic review and meta analysis.
        International Journal of Nursing Studies. 2017; 71: 80-88https://doi.org/10.1016/ijnurstu.2017.03.005
        • Melnyk & Fineout-Overholt
        Evidence-Based Practice in Nursing and Healthcare.
        2nd ed. Wolters Kluwer Health, Philadelphia, PA2015
        • Metheny N.
        • Reed L.
        • Berglund B.
        • Wehrle M.A.
        Visual characteristics of aspirates from feeding tubes as a method for predicting tube location.
        Nursing Research. 1994; 43: 282-287https://doi.org/10.1097/00006199-199409000-00005
        • Metheny N.A.
        • Smith L.
        • Stewart B.J.
        Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location.
        Nursing Research. 2000; 49: 302-309https://doi.org/10.1097/00006199-200011000-00002
        • Metheny N.A.
        • Stewart B.J.
        • Mills A.C.
        Blind insertion of feeding tubes in intensive care units: A national survey.
        American Journal of Critical Care. 2012; 21: 352-360https://doi.org/10.4037/ajcc2012549
        • Metheny N.A.
        • Stewart B.J.
        • Smith L.
        • Yan H.
        • Diebold M.
        • Clouse R.E.
        pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement.
        Journal of Parenteral and Enteral Nutrition. 1997; 21: 279-285https://doi.org/10.1177/0148607197021005279
        • Metheny N.A.
        • Stewart B.J.
        • Smith L.
        • Yan H.
        • Diebold M.
        • Clouse R.E.
        pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement.
        Nursing Research. 1999; 48: 189-197https://doi.org/10.1097/00006199-199907000-00001
        • Metheny N.A.
        • Titler M.G.
        Assessing placement of feeding tubes.
        American Journal of Nursing. 2001; 101: 36-46https://doi.org/10.1097/00000446-200105000-00017
        • Phang J.S.
        • Marsh W.A.
        • Barlows T.G.
        • Schwartz H.I.
        Determining feeding tube location by gastric and intestinal pH values.
        Nutrition in Clinical Practice. 2004; 19: 640-644https://doi.org/10.1177/0115426504019006640
        • Rulli F.
        • Galatà G.
        • Villa M.
        • Maura A.
        • Ridolfi C.
        • Grande M.
        • Farinon A.M.
        A simple indicator of correct nasogastric suction tube placement in children and adults.
        Endoscopy. 2007; 39: E237-E238https://doi.org/10.1055/s-2007-966613
        • Stock A.
        • Gilbertson H.
        • Babl F.E.
        Confirming nasogastric tube position in the emergency department: pH testing is reliable.
        Pediatric Emergency Care. 2008; 24: 805-809https://doi.org/10.1097/PEC.0b013e31818eb2d1
        • Taylor S.J.
        • Clemente R.
        Confirmation of nasogastric tube position by pH testing.
        Journal of Human Nutrition and Dietetics. 2005; 18: 371-375https://doi.org/10.1111/j.1365-277X.2005.00635.x
        • Tobin R.W.
        • Gonzales A.J.
        • Golden R.N.
        • Brown M.C.
        • Silverstein F.E.
        Magnetic detection to position of human nasogastric tubes.
        Biomedical Instrumentation and Technology. 2000; 34: 432-436
        • Yardley I.E.
        • Donaldson L.J.
        Patient safety matters: Reducing the risks of nasogastric tubes.
        Clinical Medicine. 2010; 10: 228-230https://doi.org/10.7861/clinmedicine.10-3-228