Does Bedside Sonography Effectively Identify Nasogastric Tube Placements in Pediatric Critical Care Patients?

Atalay, Yunus Oktay; Aydin, Recep; Ertugrul, Omer; Gul, Selim Baris; Polat, Ahmet Veysel; Paksu, Muhammet Şükrü

doi:10.1177/0884533616639401

Cited by 26 publications

(36 citation statements)

References 28 publications

(80 reference statements)

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“…The efficacy and sensitivity of BUSG in verifying gastric tube location has been reported in both adult and pediatric ICU patients. [ 14 15 16 33 ] Despite its efficacy, the routine use of ultrasonography requires additional equipment, which may delay the process when the equipment is located outside of the intensive care unit. However, as BUSG has seen increased use in the ICU setting for several indications, routine availability of equipment is being more common.…”

Section: Discussionmentioning

confidence: 99%

“…[ 13 14 15 ] We have previously shown that bedside ultrasonography (BUSG) can confirm NOGT location in patients in the pediatric intensive care unit when performed by a radiologist. [ 16 ] The current study prospectively evaluates the efficacy of BUSG when determining NOGT location in neonates. Since it is not always feasible to consult a radiologist to perform BUSG for the verification of the NOGT location, we also investigated whether a critical care physician could perform BUSG.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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“…The use of ultrasound technology as a noninvasive substitute for radiologic imaging to verify NGT placement shows promise. A recent study in a pediatric intensive care unit demonstrated 100% sensitivity with the use of ultrasound for correct placement of NGTs at the bedside when operated by a radiologist . Further investigation into the feasibility and applicability of ultrasound to verify NGT location in children at the bedside by nonradiologists is needed.…”

Section: Current Practicementioning

confidence: 99%

Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project

et al. 2018

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The placement of a nasogastric tube (NGT) in a pediatric patient is a common practice that is generally perceived as a benign bedside procedure. There is potential risk for NGT misplacement with each insertion. A misplaced NGT compromises patient safety, increasing the risk for serious and even fatal complications. There is no standardized method for verification of the initial NGT placement or reverification assessment of NGT location prior to use. Measurement of the acidity or pH of the gastric aspirate is the most frequently used evidence-based method to verify NGT placement. The radiograph, when properly obtained and interpreted, is considered the gold standard to verify NGT location. However, the uncertainty regarding cumulative radiation exposure related to radiographs in pediatric patients is a concern. To minimize risk and improve patient safety, there is a need to identify best practice and to standardize care for initial and ongoing NGT location verification. This article provides consensus recommendations for best practice related to NGT location verification in pediatric patients. These consensus recommendations are not intended as absolute policy statements; instead, they are intended to supplement but not replace professional training and judgment. These consensus recommendations have been approved by the American Society for Parental and Enteral Nutrition (ASPEN) Board of Directors.

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“…A recent report from Turkey looked at the use of ultrasound to verify NG tube placement in critically ill children 19 . This concept is intriguing because it is noninvasive and similar to procedures used in percutaneous intravenous (IV) central catheter placement.…”

Section: Temporary Enteral Access Devicesmentioning

confidence: 99%

Pediatric Enteral Access Device Management

2016

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Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues.

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Does Bedside Sonography Effectively Identify Nasogastric Tube Placements in Pediatric Critical Care Patients?

Abstract: Bedside sonography performed by a radiologist is an effective and sensitive diagnostic procedure for confirming the correct NGT position in patients in the pediatric critical care unit.

Cited by 26 publications

References 28 publications

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

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

Pediatric Nasogastric Tube Placement and Verification: Best Practice Recommendations From the NOVEL Project

Pediatric Enteral Access Device Management

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