Confirmation of Gastric Tube Bedside Placement With the Sky Blue Method

Imamura, Takashi; Maeda, Hajime; Kinoshita, Hidetoshi; Shibukawa, Yasuko; Suda, Kiyomi; Fukuda, Yutaka; Goto, Aya; Nagasawa, Katsutoshi

doi:10.1177/0884533613515932

Cited by 4 publications

(5 citation statements)

References 15 publications

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“…In the study investigating this method 25 , the first passage of GT was always verified by radiological imaging, and subsequent exchanges were performed every three weeks. At the time of each change before the tube was removed, the techniques for verifying the presence of gastric secretion and pH were used to confirm the positioning.…”

Section: Resultsmentioning

confidence: 99%

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: Resultsmentioning

confidence: 99%

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

“…21 However, although radiography is the primary method of confirming the placement of gastric tubes, it may expose children to radiation. 22 The airway auscultation location may also be faulty if the tube is in the third part of the tracheobronchial region. The evaluation of the aspirate of the gastric residue (GR) is also used, however, it can be difficult to identify the aspirate in a NICU, as the salivary and milky residue can be confused with tracheal secretion.…”

Section: Gastric Tubes Their Materials and Use In The Neonatal Intenmentioning

confidence: 99%

“…The pH of the GR may also present errors, as there may be drug interference that changes the pH to greater than 5, in addition to some samples obtaining indefinite pH evaluation. 22 In Japan, indigo-carmine (IC) is used as confirmation of the tube site only during exchange of gastric tubes. The CI is a food coloring dye used in the form of solution, the concentration being 2.6mg in 1000ml of water and that 1ml solution is diluted in 30ml using 2ml/kg of the NB.…”

Section: Gastric Tubes Their Materials and Use In The Neonatal Intenmentioning

confidence: 99%

“…However, this method showed failures in 5.6% of the cases of 55 exchanges of tubes analyzed. 22 With the survival of very low birth weight infants, there is concern and interest in reducing morbidities, with EN being essential for adequate growth and development. 1 Nutritional management includes the type of food, when EN should begin, speed of dietary volume progression, administration techniques, and food tolerance assessment.…”

Section: Gastric Tubes Their Materials and Use In The Neonatal Intenmentioning

confidence: 99%

“…2 Radiography is considered the best way to confirm the positioning of the gastric tube although no method is completely safe. [21][22] One article brought the possibility of using blue dye (IC) when the gastric tube is replaced. 22 It is important to highlight that all methods presented some failure percentage in the identification of the tube positioning, so the combination of techniques can contribute to the reduction of errors.…”

Section: /17mentioning

confidence: 99%

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Care Given to Newborns Fed by Gastric Tube: Concepts and Practices

Nascimento

Santos

Silva

2019

Texto contexto - enferm.

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Objective: to describe the conduct related to feeding care through gastric tube in neonates hospitalized in the Neonatal Intensive Care Unit, from scientific articles published in the last five years. Method: an integrative literature review was developed in the databases: MEDLINE, LILACS, SciELO, CINAHL and BDENF. The search for the studies was carried out in August 2016, in English, Spanish and Portuguese. Results: 33 articles were analyzed. The level of evidence was classified as level IV (30%), level VI (27%), level II (15%), level III (18%), level I, V and VII with 3% each. The analytical categories were: Gastric tubes, their materials and their use in the Neonatal Intensive Care Unit, Nursing care for enteral nutrition through gastric tube in the Neonatal Intensive Care Unit, From the tube the oral route. The time to reach total enteral nutrition is lower, as is the decrease in length of hospital stay. The largest losses of milk fat are during gastroclysis at the expense of gavage. The relationship of food tolerance to dietary dosage form and volumes is not yet conclusive. Nursing stands out: in favor of the bond with the family, in the physical examination and evaluation, in the positioning, in the non-nutritive suction during the diet, in the oral stimulus, in the observation and conduct regarding the gastric residue. Conclusion: due to the heterogeneity of the data, more randomized and qualitative clinical trials are required to better support the conduct and improvement of nursing care.

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Prediction of nasogastric tube position in neonates admitted on a NICU; a comparison of two methods

van Zanten,

Snel-Maat,

Wielenga

2024

Journal of Neonatal Nursing

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Confirmation of Gastric Tube Bedside Placement With the Sky Blue Method

Abstract: Based on the results, the sky blue method can be considered to be reliable method for the confirmation of GT placement. These results also suggest that the number of radiologic evaluations performed to confirm correct replacement of the GT in infants can be reduced in the future.

Cited by 4 publications

References 15 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

Care Given to Newborns Fed by Gastric Tube: Concepts and Practices

Prediction of nasogastric tube position in neonates admitted on a NICU; a comparison of two methods

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