Should ultrasound be routinely used to confirm correct positioning of nasogastric tubes in neonates?

Tamhne, S

doi:10.1136/adc.2005.088476

Cited by 12 publications

(9 citation statements)

References 3 publications

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“…However, all had the gastric position confirmed by the pH test (<5.5) 37 . Considering the small sample size of the cited study and data that contradict promising results in adults, it is necessary to perform more research with ultrasound in NBs.…”

Section: Discussionmentioning

confidence: 90%

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Dias

Emídio

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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Objective:to investigate evidence in the literature on procedures for measuring gastric tube insertion in newborns and verifying its placement, using alternative procedures to radiological examination. Method:an integrative review of the literature carried out in the Cochrane, LILACS, CINAHL, EMBASE, MEDLINE and Scopus databases using the descriptors “Intubation, gastrointestinal” and “newborns” in original articles. Results:seventeen publications were included and categorized as “measuring method” or “technique for verifying placement”. Regarding measuring methods, the measurements of two morphological distances and the application of two formulas, one based on weight and another based on height, were found. Regarding the techniques for assessing placement, the following were found: electromagnetic tracing, diaphragm electrical activity, CO2 detection, indigo carmine solution, epigastrium auscultation, gastric secretion aspiration, color inspection, and evaluation of pH, enzymes and bilirubin. Conclusion:the measuring method using nose to earlobe to a point midway between the xiphoid process and the umbilicus measurement presents the best evidence. Equations based on weight and height need to be experimentally tested. The return of secretion into the tube aspiration, color assessment and secretion pH are reliable indicators to identify gastric tube placement, and are the currently indicated techniques.

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Section: Discussionmentioning

confidence: 90%

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Dias

Emídio

Lopes

et al. 2017

Rev. Latino-Am. Enfermagem

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show abstract

“…Reports of US use in pediatric patients are scarce; only a few articles and two case reports have been published on this topic 9‐12 . A study conducted in a pediatric intensive care unit showed a sensitivity of 100% for NGT placement confirmation, but the procedure was performed by radiologists 9 .…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted in a pediatric intensive care unit showed a sensitivity of 100% for NGT placement confirmation, but the procedure was performed by radiologists 9 . One study suggested that US was unsafe for confirming NGT placement in neonates 11 whereas another prospective study conducted in a neonatal intensive care unit demonstrated a sensitivity of 92.2% for US performed by critical care physicians 10…”

Section: Discussionmentioning

confidence: 99%

“…However, the uncertainty of the techniques, possible misinterpretation of radiographic findings, and concern about radiation exposure continue to make the usefulness of this recommendation in routine clinical practice controversial 6 . While point‐of‐care ultrasound (POCUS) is currently used to confirm NGT insertion, especially in adults 7 and pre‐hospital patients, 8 reports of its use in the pediatric emergency department (ED) are still scarce 9‐12 . The present case series aimed to describe the use of US‐guided NGT placement in a pediatric ED setting.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound‐guided nasogastric tube placement in a pediatric emergency department

Mori

Takei

Ihara

et al. 2020

J of Clinical Ultrasound

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Nasogastric tube (NGT) insertion is commonly performed in pediatric emergency care. Point‐of‐care ultrasound is used for confirming NGT insertion, but reports of its use in the pediatric emergency department (ED) are scarce. We describe our experience of ultrasound‐guided NGT placement in a pediatric ED. The study pool consisted of twelve patients and the NGT tip was successfully visualized in the esophagus and gastric cardia in all cases, demonstrating that ultrasound has the potential to be a useful alternative to conventional methods of NGT insertion in the pediatric ED.

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“…Also the NGT tube should be placed under direct vision using the laryngoscope and we should be cautious in interpreting the chest radiograph for correct placement of NGT in patient with gastric pull up to avoid any missed incidences of perforation injuries. In case NGT is required for a long term, then it will be advisable to introduce NGT under endoscopic or fluoroscopic guidance for its correct placement [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

The Nasogastric Tube in the Thorax after Gastric Pull Up!

Khanna¹,

Garg²,

Singh³

2012

OJAnes

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Should ultrasound be routinely used to confirm correct positioning of nasogastric tubes in neonates?

Cited by 12 publications

References 3 publications

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Procedures for measuring and verifying gastric tube placement in newborns: an integrative review

Ultrasound‐guided nasogastric tube placement in a pediatric emergency department

The Nasogastric Tube in the Thorax after Gastric Pull Up!

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