Bedside ultrasonography for the confirmation of gastric tube placement in the neonate

Atalay, Yunus Oktay; Polat, Ahmet Veysel; Özkan, Elif; Tomak, Leman; Aygün, Canan; Tobias, Joseph D.

doi:10.4103/sja.sja_413_18

Cited by 22 publications

(23 citation statements)

References 35 publications

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“…[20][21][22][23] Ultrasound frequency used in the included studies varied and included 4 to 8 MHz, 12 MHz, 5 to 8 MHz, and 5 MHz. [20][21][22][23] When using ultrasound for diagnostic purposes, the range of frequency is generally between 4 and 12 MHz, with lower frequencies associated with less resolution but greater penetration depth. 16 Ultrasound transducers can be linear or curvilinear with curvilinear transducers being better at visualizing deeper tissue and organs while linear transducers are more effective for superficial visualization.…”

Section: Resultsmentioning

confidence: 99%

“…All included studies were prospective crosssectional cohort studies. [20][21][22][23] Sample sizes ranged from 21 to 159, with 2 studies including critically ill infants in a NICU, 21,22 1 study including children in a pediatric intensive care unit, 20 and 1 study conducted on a pediatric floor of a tertiary care children's hospital. 23 Results of this systematic review suggest that ultrasound may be an accurate method to verify correct gastric tube position in infants and children.…”

Section: Resultsmentioning

confidence: 99%

“…[20][21][22][23] Overall, the reported sensitivity of ultrasound to verify gastric tube placement ranged from 0.88 to 1.00. [20][21][22][23] However, none of the included studies reported on specificity and only 1 study reported positive predictive value of 0.99. 22 Ultrasound was performed by a pediatric radiologist in all included studies.…”

Section: Resultsmentioning

confidence: 99%

“…Variations in the physical characteristics of the tube, such as the width, and composition can influence the ability to visualize the tube on ultrasound. [20][21][22][23][24] Thus, further research is needed to investigate which tube characteristics may influence ultrasound visualization. In all included studies, a radiologist performed the ultrasound, which may not be the standard practice in most units or clinical scenarios and could limit the clinical usefulness of this verification method due to time delays.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound to Verify Gastric Tube Position in Infants and Children

Manzo

Marcatto²,

Ribeiro³

et al. 2022

Advances in Neonatal Care

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Background: Placement of gastric tubes is commonly performed in infants and children but malpositioning is common and is associated with significant complications. Objective: The aim of this systematic review is to identify the evidence on the use of ultrasound to verify correct gastric tube placement in infants and children and gaps in the research. Methods: This review was performed using CINAHL, PUBMED, EMBASE and Web of Science databases. Studies were included if they used an empirical study design, were published in English, included infants or children, and evaluated the use of ultrasound to verify correct gastric tube placement compared to radiograph. Sensitivity, specificity, positive and negative predictive values were evaluated. Results: Four articles were included in the review. Sensitivity estimates were 0.88 to 1.00 and a positive predictive value of 0.99 was reported in one study. Specificity was not reported in any of the included studies. Ultrasound may be an important method to correctly identify gastric tube placement in infants and children with less radiation exposure and cost. Implications for Practice: Ultrasound could be a used to verify gastric tube positioning in infants and children for both initial placement and continued verification leading to reduced radiation exposure and cost. Implications for Research: Research should focus on evaluating ultrasound specificity and the clinical feasibility of using ultrasound as a standard practice, including cost and time required to complete the exam, as well as the ability of ultrasound to verify gastric tube placement in infants weighing less than 1500 grams.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Ultrasound to Verify Gastric Tube Position in Infants and Children

Manzo

Marcatto²,

Ribeiro³

et al. 2022

Advances in Neonatal Care

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“…For preterm or critically ill infants, feeding tubes were used to deliver enteral nutrition [5]. Orogastric (OG) or nasogastric (NG) tubes are inserted through the mouth or nose into the stomach [6,7]. As newborns have small nasal passages, feeding tubes squeezed through the nose cavity may cause partial nasal obstruction, increasing the incidence of apnea of prematurity, the amount of energy consumed for breathing and airway resistance [8].…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with the initial unplanned removal of orogastric tubes in NICU: A Single Center Study in China

Fang

Dai

Liu

et al. 2023

Preprint

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Background: Newborns, in particular, are at higher risk for unplanned removal of orogastric tubes (UROGTs). Because there is a lack of studies identifying the incidence and risk factors for UROGTs in China, we designed this case‒control study to investigate them. Method: This study was conducted in China. A total of 111 neonates who received orogastric tubes between October 2022 and February 2023 were analyzed. Univariate and multivariate logistic models were used for risk factor analyses. Results: The rate of UROGTs was 56.8%, and the incidence was 7.2 per 100 tube days. An increased risk of UROGTs was associated with higher agitation scores (OR=17.82, P=0.001), no oral feeding (OR=0.02, P=0.007), fixation tape loosening (OR=22.75, P=0.027) and tape wetting (OR=12.6, P=0.021). Conclusions: The incidence of UROGTs was found to be significantly higher than that of endotracheal tube extubation. The risk factors were higher agitation scores, no oral feeding, fixation tape loosening and tape wetting.

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