Visual Characteristics Of Aspirates from Feeding Tubes as a Method for Predicting Tube Location

Metheny, Norma A.; Reed, Lisa; Berglund, Barbara A.; Wehrle, Mary Anne

doi:10.1097/00006199-199409000-00005

Cited by 70 publications

(38 citation statements)

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“…105 In adults, aspirates from the stomach are usually cloudy and green, tan, or offwhite and sometimes bloody or brown, whereas aspirates from the small bowel are more often clear and yellow or bile stained. 136 Studies in infants and children support these findings for color. 124, 129 Westhus 129 noted that most gastric aspirates in fasting children are clear (Table 3).…”

Section: Implications For Practice: Predicting Insertion Lengthmentioning

confidence: 85%

Examining the Evidence to Guide Practice: Challenging Practice Habits

Makic

Rauen

Watson

et al. 2014

Critical Care Nurse

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I n 2001, the Institute of Medicine challenged all health care professionals to decrease variation in practice through adoption of practice interventions based on best evidence to improve patients' outcomes.1 Current reviews of clinical practice suggest that only 10% to 15% of clinicians consistently implement evidence-based care 2 and indicate that it may take up to 2 decades for original research to be put into routine clinical practice.3 It is well established that evidence-based practice (EBP) is associated with higher quality care and better outcomes for patients than care that is steeped in tradition. 4 Yet at times, clinicians continue to practice on the basis of tradition.

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Section: Implications For Practice: Predicting Insertion Lengthmentioning

confidence: 85%

Examining the Evidence to Guide Practice: Challenging Practice Habits

Makic

Rauen

Watson

et al. 2014

Critical Care Nurse

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“…26 Aspirates from tubes with pulmonary placement are yellow and serous or off-white/tan and mucous. 26 In 1 study, 26 aspirate from a number of feeding tubes with pulmonary placement resembled the color and consistency of gastric aspirate, and nurses accurately identified tubes with pulmonary placement only 57% of the time.…”

Section: Discussionmentioning

confidence: 99%

Methods Used by Critical Care Nurses to Verify Feeding Tube Placement in Clinical Practice

Bourgault

Heath

Hooper

et al. 2015

Critical Care Nurse

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“…1,2,4,8,[12][13][14][15][16][17][18][19] A variety of methods were used to evaluate tube placement: 7 studies evaluated pH, 3 used capnography/capnometry, 3 used auscultation, 2 measured bilirubin levels, 1 measured enzyme levels, and 1 used visual inspection. Five of the 12 studies used multiple methods.…”

Section: Resultsmentioning

confidence: 99%

“…8 However, visual inspection had only 57% accuracy for proper identification of the fluid source for tubes with pulmonary placement. …”

Section: Visual Inspectionmentioning

confidence: 99%

“…3 Adding confusion, aspirated fluids that resemble gastric fluids have been obtained from tubes placed in the lungs. 8 Malpositioned tubes may cause pneumonia, pneumothorax, perforations, empyema, and bronchopleural fistula-events that can lead to death in rare cases. 6 The Joint Commission 9 identified pulmonary malposition of nasogastric tubes as one of the most frequent procedural complications that result in postoperative sentinel events.…”

mentioning

confidence: 99%

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