The importance of chest X-ray during nasogastric tube insertion

Gachabayov, Mahir; Кубачев, К. Г.; Neronov, Dmitriy

doi:10.4103/2229-5151.195453

Cited by 3 publications

(2 citation statements)

References 4 publications

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“…1,4 A malpositioned NG tube is the commonest complication and can lead to lung perforation, oesophageal perforation, pneumonia and pneumothorax. 5,6…”

Section: Tracheal and Oesophageal Tubes And Linesmentioning

confidence: 99%

Chest radiographs of cardiac devices (Part 1): Lines, tubes, non-cardiac medical devices and materials

Mathew

Alexander

Patel

et al. 2019

South African Journal of Radiology

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Chest radiographs (CXRs) are the most common imaging investigations undertaken because of their value in evaluating the cardiorespiratory system. They play a vital role in intensive care units for evaluating the critically ill. It is therefore very common for the radiologist to encounter tubes, lines, medical devices and materials on a daily basis. It is important for the interpreting radiologist not only to identify these iatrogenic objects, but also to look for their accurate placement as well as for any complications related to their placement, which may be seen either on the immediate post-procedural CXR or on a follow-up CXR. In this article, we discussed and illustrated the routinely encountered tubes and lines that one may see on a CXR as well as some of their complications. In addition, we also provide a brief overview of other important non-cardiac medical devices and materials that may be seen on CXRs.

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“…1,4 A malpositioned NG tube is the commonest complication and can lead to lung perforation, oesophageal perforation, pneumonia and pneumothorax. 5,6…”

Section: Tracheal and Oesophageal Tubes And Linesmentioning

confidence: 99%

Chest radiographs of cardiac devices (Part 1): Lines, tubes, non-cardiac medical devices and materials

Mathew

Alexander

Patel

et al. 2019

South African Journal of Radiology

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“…Confirmation of correct NGT placement is best done via radiography, which is accepted as the gold standard (evidence level: A) for verifying correct NGT placement (Gachabayov et al, 2016; Mordiffi et al, 2016). However, radiological confirmation has several disadvantages such as high cost, risk of radiation exposure, incorrect interpretation and a delay in patient feeding that can increase the risk of malnutrition (Fan et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of auscultatory, colorimetric capnometry and pH measurement methods to confirm placement of nasogastric tubes: A methodological study

TAŞKIRAN

Sarı

2022

Int J of Nursing Practice

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Aim: To determine the effectiveness of auscultatory, colorimetric capnometry and pH measurement methods for confirmation of correct nasogastric tube placement in critically ill patients.Background: Incorrect nasogastric tube placement causes serious complications.Design: This was a methodological and comparative study. Methods:The study sample consisted of 88 new insertions of nasogastric feeding tubes between April 2018-2019. Results from the 'auscultatory', 'pH' and 'colorimetric capnometry' methods were compared with the location of the nasogastric tube as determined through radiography. Descriptive statistics, Eta analysis and the Cohen kappa compliance test as well as sensitivity and specificity were conducted.Results: There was a weak agreement (26.3%) between the auscultation and radiological evaluation for confirming nasogastric tube placement. The pH measurement and colorimetric capnometry methods were not correlated with radiological evaluation. Stomach pH increased as patient age increased and use of the colorimetric capnometry method failed to confirm the oesophageal and duodenal location. The specificity of the auscultation was low, and both the specificity and sensitivity pH methods were low. Conclusion:It was determined that auscultation, measuring pH and colorimetric capnometry were unreliable methods for confirming placement of nasogastric tubes.It is recommended to confirm initial placement of the nasogastric tube with radiography and to develop effective and reliable non-radiological measurement methods that can be performed at the bedside.

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Abdominal and pelvic radiographs of medical devices and materials—Part 1: gastrointestinal and vascular devices and materials

Mathew

Sam

Alexander

et al. 2020

Diagn Interv Radiol

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The importance of chest X-ray during nasogastric tube insertion

Cited by 3 publications

References 4 publications

Chest radiographs of cardiac devices (Part 1): Lines, tubes, non-cardiac medical devices and materials

Chest radiographs of cardiac devices (Part 1): Lines, tubes, non-cardiac medical devices and materials

The effectiveness of auscultatory, colorimetric capnometry and pH measurement methods to confirm placement of nasogastric tubes: A methodological study

Abdominal and pelvic radiographs of medical devices and materials—Part 1: gastrointestinal and vascular devices and materials

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