Colorimetric carbon dioxide detector to determine accidental tracheal feeding tube placement

Howes, Daniel; Shelley, E. S.; Pickett, William

doi:10.1007/bf03016289

Cited by 29 publications

(12 citation statements)

References 8 publications

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“…Investigators have shown that a carbon dioxide detector may help determine if a blindly inserted tube has taken the wrong course into the trachea [18,19]. It cannot determine, however, if the tip of the tube ends in the esophagus; further it cannot distinguish between placement in the stomach or the small bowel (an important distinction in patients with significantly delayed gastric emptying).…”

Section: Determining Location Of a Newly Inserted Tubementioning

confidence: 98%

Complications related to feeding tube placement

Metheny

Meert

Clouse

2007

Current Opinion in Gastroenterology

147

122

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Section: Determining Location Of a Newly Inserted Tubementioning

confidence: 98%

Complications related to feeding tube placement

Metheny

Meert

Clouse

2007

Current Opinion in Gastroenterology

147

122

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“…For these reasons, abdominal roentgenography remains the gold standard for confirmation. Many institutions have adopted a 2‐step radiographic approach to confirm the placement of feeding tubes, wherein one radiograph is taken after advancing the tube 30 cm to confirm esophageal placement and a second radiograph after further advancement to confirm final position 104 , 105 . More recently, capnography has emerged as a potential alternative to radiological examination for confirmation of placement.…”

Section: Confirmation Of Placementmentioning

confidence: 99%

“…In a recent prospective study of 100 nasogastric tube insertions, radiography showed 11 tracheobronchial malpositions, all of which also displayed a normal capnogram 105 . Similarly, a colorimetric CO 2 detector correctly identified 8 of 9 (89%) malpositions in ventilated ICU patients 104 . It has been postulated that CO 2 detection could take the place of the initial roentgenogram in the 2‐step approach to confirm enteral intubation.…”

Section: Confirmation Of Placementmentioning

confidence: 99%

Methods and Complications of Nasoenteral Intubation

Halloran

Grecu²,

Sinha

2010

J Parenter Enteral Nutr

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Nasoenteral intubation is among the most common procedures performed by clinicians across all medical specialties. The most common technique for nasoenteral intubation is blind passage, as it does not require the use of sophisticated or expensive medical equipment. Unfortunately, blind placement too frequently results in trauma and is a source of significant morbidity and mortality. It is apparent that altered mental status, a preexisting endotracheal tube, and critical illness put a patient in a higher risk group for malposition and complications. Nasoenteral intubation should be attempted only with an understanding of the possibility for difficult placement and the potential complications that can arise from trauma or malposition.

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“…However, this test is inappropriate in patients who are administered antacids and many of such subjects are treated in ICUs. Other diagnostic possibilities include fluoroscopy, endoscopy and direct visualization of the tube [10], but all these procedures are relatively complicated, time-consuming, and cost-prohibitive to verify the proper placement of the gastric tube.…”

mentioning

confidence: 99%