The Use of Ultrasonography for Verifying Gastric Tube Placement in Newborns

Dias, Flávia de Souza Barbosa; Álvares, Beatriz Regina; Jales, Rodrigo Menezes; Franco, Amanda Gonçalves; Silva, Jessica Emile Fabri da; Fabene, Suelen Mara Silva; Caldas, Jamil Pedro de Siqueira; Carmona, Elenice Valentim

doi:10.1097/anc.0000000000000553

Cited by 13 publications

(35 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, ultrasonography can also confirm tip location of the inserted tube. Studies have demonstrated good diagnostic accuracy of ultrasonography in the confirmation of appropriate tube placement [12,13]. Our observation also confirmed the effectiveness of ultrasonography both under favorable and unfavorable imaging conditions.…”

Section: Discussionsupporting

confidence: 82%

Bedside Ultrasonography-Guided Nasogastric Tube Placement in COVID-19 Patients

Gao¹,

Gao²,

Huang³

et al. 2020

Advanced Ultrasound in Diagnosis and Therapy

View full text Add to dashboard Cite

Protective measures that are needed when treating patients with highly contagious severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) add difficulty when performing interventional procedures in isolation wards. We describe two cases of ultrasonography-guided nasogastric tube placement in severe COVID-19 patients, both disabled elderly patients who were unconscious and had complicated underlying diseases. The first is an 83-year-old patient with Alzheimer's, hemiplegia, and epilepsy; the second is a 67-year-old patient with hemiplegia and thoracic deformity. Nasogastric tube indwelling for severe patients like this was essential but challenging. With the help of ultrasonography, intubation proceeded successfully and rapidly.Operator's confidence of appropriate placement was established because of definite tube visualization. These cases demonstrated that bedside ultrasonography in isolation wards can not only facilitate diagnosis but also assist interventional operations.

show abstract

Section: Discussionsupporting

confidence: 82%

Bedside Ultrasonography-Guided Nasogastric Tube Placement in COVID-19 Patients

Gao¹,

Gao²,

Huang³

et al. 2020

Advanced Ultrasound in Diagnosis and Therapy

View full text Add to dashboard Cite

show abstract

“…23 Results of this systematic review suggest that ultrasound may be an accurate method to verify correct gastric tube position in infants and children. [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.…”

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%

Ultrasound to Verify Gastric Tube Position in Infants and Children

Manzo

Marcatto²,

Ribeiro³

et al. 2022

Advances in Neonatal Care

Self Cite

View full text Add to dashboard Cite

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.

show abstract

“…Bedside ultrasound can be used to help confirm proper nasogastric tube (NGT) or orogastric tube (OGT) placement in infants utilising the same high-frequency linear transducer. 23,24 Ultrasound use can decrease repetitive radiation exposure, especially with repeated NGT/OGT dislodgment, and has a sensitivity of 92.2-98% with a positive predictive value of 0.99-1. 25 Ideally, the tip of the NGT/OGT should be visualised in the body or the antrum of the stomach for proper placement.…”

Section: Nasogastric Tube/orogastric Tube Placement and Gastrostomy T...mentioning

confidence: 99%

Neonatal and paediatric point‐of‐care ultrasound review

Pan

Lin

Tsui

2022

Australas J Ultrason Med

View full text Add to dashboard Cite

Purpose Point‐of‐care ultrasound (POCUS) examinations for children and newborns are different from POCUS exams for adults due to dissimilarities in size and body composition, as well as distinct surgical procedures and pathologies in the paediatric patient. This review describes the major paediatric POCUS exams and how to perform them and summarizes the current evidence‐based perioperative applications of POCUS in paediatric and neonatal patients. Method Literature searches using PubMed and Google Scholar databases for the period from January 2000 to November 2021 that included MeSH headings of [ultrasonography] and [point of care systems] and keywords including “ultrasound” for studies involving children aged 0 to 18 years. Results Paediatric and neonatal POCUS exams can evaluate airway, gastric, pulmonary, cardiac, abdominal, vascular, and cerebral systems. Discussion POCUS is rapidly expanding in its utility and presence in the perioperative care of paediatric and neonatal patients as their anatomy and pathophysiology are uniquely suited for ultrasound imaging applications that extend beyond the standard adult POCUS exams. Conclusions Paediatric POCUS is a powerful adjunct that complements and augments clinical diagnostic evaluation and treatment.

show abstract

The Use of Ultrasonography for Verifying Gastric Tube Placement in Newborns

Cited by 13 publications

References 28 publications

Bedside Ultrasonography-Guided Nasogastric Tube Placement in COVID-19 Patients

Bedside Ultrasonography-Guided Nasogastric Tube Placement in COVID-19 Patients

Ultrasound to Verify Gastric Tube Position in Infants and Children

Neonatal and paediatric point‐of‐care ultrasound review

Contact Info

Product

Resources

About