Improved radiological assessment of neonatal feeding tubes

Quandt, Daniel; Brøns, Egil A; Schiffer, Philipp Meyer; Schraner, Thomas; Bucher, Hans Ulrich; Mieth, Romaine Arlettaz

doi:10.1136/archdischild-2011-301158

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…The conclusion is the injection of air in the gastric cavity before the radiography significantly improves the evaluation of the exact tube placement. (19) The limitations of the study are the wide variation of characteristics of the tubes that may have influenced the control of the variable, in addition to the partial absence of data regarding height.…”

Section: Discussionmentioning

confidence: 99%

Posicionamento de sonda enteral em neonatos segundo técnica modificada de mensuração

et al. 2017

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Objective: To evaluate the effectiveness of the enteral tube measurement using the modified nose -ear -xiphoid (NEX) technique by disregarding the tube distal orifices for placement in newborns' neonatal gastric cavity. Methods: A prospective study conducted in a neonatal unit of a teaching hospital in the city of São Paulo, based on the radiographic analysis of 60 radiographs of 28 newborns using enteral tubes measured by the modified technique, and who had thoracoabdominal radiography. Results: The correct placement index according to analysis by position was 68.3% and 71.7%, according to evaluators 1 and 2, respectively. In the analysis by vertebrae, 95% of tubes were properly placed in the gastric cavity. There was a statistically significant association between height and location of the enteral tube according to evaluator 2. Conclusion: The evaluated measurement technique presents a risk for inadequate enteral tube placement in newborns, and its application in clinical practice should not be encouraged. ResumoObjetivo: Avaliar a efetividade da mensuração de sonda enteral pela técnica modificada, nariz -orelha -apêndice xifoide, com desconto dos orifícios distais da sonda, para posicionamento na câmara gástrica de neonatos. Métodos: Estudo prospectivo, desenvolvido em unidade neonatal de um hospital de ensino do município de São Paulo, a partir da análise radiográfica de 60 radiografias de 28 neonatos em uso de sonda enteral mensurada pela técnica modificada, submetidos à radiografia toracoabdominal. Resultados: O índice de posicionamento correto, de acordo com a análise por posições, foi de 68,3% e 71,7%, segundo os avaliadores 1 e 2, respectivamente, enquanto na análise por vértebras, 95% das sondas estavam adequadamente locadas na câmara gástrica. Ocorreu associação estatisticamente significante entre estatura e localização da sonda enteral, segundo o avaliador 2. Conclusão: A técnica de mensuração avaliada apresenta risco para posicionamento inadequado da sonda enteral utilizada em neonatos, devendo ser desencorajada sua aplicação na prática clínica.

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Section: Discussionmentioning

confidence: 99%

Posicionamento de sonda enteral em neonatos segundo técnica modificada de mensuração

et al. 2017

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Randomized Clinical Trial Comparing Two Methods of Measuring Insertion Length of Nasogastric Tubes in Newborns

Dias

Jales

Álvares

et al. 2020

J Parenter Enteral Nutr

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IntroductionThe selection of a method for measuring the insertion length of nasogastric tubes in newborns is an important factor in establishing the safe use of this device.ObjectiveThe objective was to verify whether there is a difference in the proportion of correctly placed nasogastric tubes when using the nose, earlobe, mid‐umbilicus (NEMU) method and the weight‐based equation for measuring the insertion length.MethodsThis study is a randomized, controlled, blinded study comparing 2 methods of nasogastric insertion at a neonatal unit, with intensive and intermediate care, on 162 randomized individuals. Radiological assessment and pH test were conducted to verify tube placement. Data were collected on sex, birth weight, gestational age, and days of life. A log‐binomial model was used to verify whether there were placement differences between investigated methods.ResultsOf the patients, 56.1% were male, who had a mean birth weight of 1886.8 g and gestational age of 32.9 weeks and were 10.8 days old. Radiological images demonstrated that tubes were properly placed in the gastric body in 67.5% of patients using the NEMU method and in 91.5% using the weight‐based equation: the weight‐based equation was superior to the NEMU method, with a prevalence ratio of 1.36 (95% CI, 1.15–1.44). There was no difference between the 2 methods, according to pH test (P‐value: .7179).ConclusionBased on radiographic confirmation, the weight‐based equation for measuring the insertion length of the nasogastric tube in newborns resulted in significantly more nasogastric tubes being placed in the correct intragastric location.

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Gastric Tube Use and Care in the NICU

Wallace

Steward

2014

Newborn and Infant Nursing Reviews

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Improved radiological assessment of neonatal feeding tubes

Abstract: Injection of air before taking a radiograph significantly improves the definition of exact gastric feeding tube position in neonates.

Cited by 3 publications

References 5 publications

Posicionamento de sonda enteral em neonatos segundo técnica modificada de mensuração

Posicionamento de sonda enteral em neonatos segundo técnica modificada de mensuração

Randomized Clinical Trial Comparing Two Methods of Measuring Insertion Length of Nasogastric Tubes in Newborns

Gastric Tube Use and Care in the NICU

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