Esophageal Nasogastric Tube Misplacement in an Infant Following Laser Supraglottoplasty

Crisp, Cheryl

doi:10.1016/j.pedn.2006.07.001

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…Literature describes misplacement of feeding tubes including its location in the respiratory tract and pleural space (1), upper oesophagus (causing perforation) (2), or past the pylorus (3,4). Most descriptions of placement errors are single case reports (5), suggesting a low prevalence of placement errors in neonates. Up until now, there is little evidence of the exact prevalence of improperly placed tubes (6,7), especially in neonates.…”

mentioning

confidence: 99%

Malposition of Feeding Tubes in Neonates: Is It an Issue?

Quandt

Schraner

Bucher

et al. 2009

J. pediatr. gastroenterol. nutr.

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mentioning

confidence: 99%

Malposition of Feeding Tubes in Neonates: Is It an Issue?

Quandt

Schraner

Bucher

et al. 2009

J. pediatr. gastroenterol. nutr.

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“…Complications in adult patients related to NGT placement can be found from the 1970s through the present day . Similar reports of misplaced NGTs in children describe insertions into the esophagus, pylorus, pharyngeal mucosa, intracranium, and most commonly the respiratory tract . Both gastric and bladder perforation related to NGT misplacement have been described in children .…”

Section: Introductionmentioning

confidence: 79%

Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project

et al. 2018

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The placement of a nasogastric tube (NGT) in a pediatric patient is a common practice that is generally perceived as a benign bedside procedure. There is potential risk for NGT misplacement with each insertion. A misplaced NGT compromises patient safety, increasing the risk for serious and even fatal complications. There is no standardized method for verification of the initial NGT placement or reverification assessment of NGT location prior to use. Measurement of the acidity or pH of the gastric aspirate is the most frequently used evidence-based method to verify NGT placement. The radiograph, when properly obtained and interpreted, is considered the gold standard to verify NGT location. However, the uncertainty regarding cumulative radiation exposure related to radiographs in pediatric patients is a concern. To minimize risk and improve patient safety, there is a need to identify best practice and to standardize care for initial and ongoing NGT location verification. This article provides consensus recommendations for best practice related to NGT location verification in pediatric patients. These consensus recommendations are not intended as absolute policy statements; instead, they are intended to supplement but not replace professional training and judgment. These consensus recommendations have been approved by the American Society for Parental and Enteral Nutrition (ASPEN) Board of Directors.

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“…For instance, lung perforations leading to hydrothorax and pneumothroax have been reported due to the mistaken placement of the NGT into a pleural cavity [2][3][4]. The inadvertent insertion of an NGT into the oesophagus and nasopharynx has occurred and caused mediastinal complications [5] and pneumonia [6], or even massive bleeding due to the puncturing of the oesophagus and intra-thoracic large vessels [7]. Meningitis, neurological damage, and death caused by the accidental insertion of NGT into the cranium, e.g.…”

Section: Introductionmentioning

confidence: 99%

A virtual reality based simulator for learning nasogastric tube placement

Choi

Chiang

et al. 2015

Computers in Biology and Medicine

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Nasogastric tube (NGT) placement is a common clinical procedure where a plastic tube is inserted into the stomach through the nostril for feeding or drainage. However, the placement is a blind process in which the tube may be mistakenly inserted into other locations, leading to unexpected complications or fatal incidents. The placement techniques are conventionally acquired by practising on unrealistic rubber mannequins or on humans. In this paper, a virtual reality based training simulation system is proposed to facilitate the training of NGT placement. It focuses on the simulation of tube insertion and the rendering of the feedback forces with a haptic device. A hybrid force model is developed to compute the forces analytically or numerically under different conditions, including the situations when the patient is swallowing or when the tube is buckled at the nostril. To ensure real-time interactive simulations, an offline simulation approach is adopted to obtain the relationship between the insertion depth and insertion force using a non-linear finite element method. The offline dataset is then used to generate real-time feedback forces by interpolation. The virtual training process is logged quantitatively with metrics that can be used for assessing objective performance and tracking progress. The system has been evaluated by nursing professionals. They found that the haptic feeling produced by the simulated forces is similar to their experience during real NGT insertion. The proposed system provides a new educational tool to enhance conventional training in NGT placement.

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Esophageal Nasogastric Tube Misplacement in an Infant Following Laser Supraglottoplasty

Cited by 5 publications

References 8 publications

Malposition of Feeding Tubes in Neonates: Is It an Issue?

Malposition of Feeding Tubes in Neonates: Is It an Issue?

Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project

A virtual reality based simulator for learning nasogastric tube placement

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