Comparing bedside methods of determining placement of gastric tubes in children.
J Spec Pediatr Nurs
; 19(1): 68-79, 2014 Jan.
Article
in En
| MEDLINE
| ID: mdl-24393228
ABSTRACT
PURPOSE:
The purpose of this study was to compare the accuracy and predictive validity of pH, bilirubin, and CO2 in identifying gastric tube placement errors in children. DESIGN ANDMETHODS:
After the tube was inserted into 276 children, the CO2 monitor reading was obtained. Fluid was then aspirated to test pH and bilirubin.RESULTS:
Lack of ability to obtain tube aspirate was the best predictor of NG/OG placement errors with a sensitivity of 34.9% and a positive predictive value of 66.7%. Measuring pH, bilirubin, and CO2 of tube aspirate was less helpful. PRACTICE IMPLICATIONS Healthcare providers should suspect NG/OG tube misplacement when no fluid is aspirated.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Intubation, Gastrointestinal
Type of study:
Diagnostic_studies
Limits:
Child
/
Humans
Language:
En
Journal:
J Spec Pediatr Nurs
Journal subject:
ENFERMAGEM
/
PEDIATRIA
Year:
2014
Document type:
Article
Affiliation country:
United States
Publication country:
EEUU
/
ESTADOS UNIDOS
/
ESTADOS UNIDOS DA AMERICA
/
EUA
/
UNITED STATES
/
UNITED STATES OF AMERICA
/
US
/
USA