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Accuracy and costs of bedside methods for confirming nasoenteral feeding tube position: a diagnostic accuracy study.
J Ultrasound
October 2024
Ribeirão Preto College of Nursing, University of São Paulo, Avenida dos Bandeirantes, 3900, Campus Universitário, Bairro Monte Alegre, Ribeirão Preto, São Paulo, Brazil.
Aim: To analyze the accuracy and costs of bedside methods for confirming the position of a nasoenteral feeding tube newly inserted blindly by nurses.
Design: Diagnostic accuracy study of three clinical methods (ultrasound, epigastric auscultation, and pH measurement) compared to radiography. The direct costs of each method used to confirm the positioning of the nasoenteral tube were also measured.
Agreement Between Epigastric Auscultation and pH Measurement in the Confirmation of Nasoenteral Tube Placement.
Florence Nightingale J Nurs
October 2023
University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research Development, SP, Brazil.
Aim: This study aimed to evaluate the agreement between epigastric auscultation and pH measurement in the confirmation of nasoenteral tube placement.
Method: A cross-sectional study carried out in a medium-sized private hospital in the interior of the state of São Paulo. Forty-nine patients who were submitted to ninety insertion procedures and confirmation of tube placement.
Effectiveness of techniques for insertion of nasoenteral probe in critical patients: Randomized clinical trial.
Medicine (Baltimore)
May 2023
Department of Nursing, Federal University of Rio Grande do Norte (UFRN), Natal, RN, Brazil.
Introduction: despite being a common procedure, nasally placed small-bowel feeding tube insertion is not risk-free and can compromise patient safety. Due to the fact that nasally placed small-bowel feeding tube is commonly inserted '"blindly," with the patient head in the neutral position, sometimes the process becomes difficult and traumatic, and may present higher level of complexity in physiological or induced coma and intubated patients. Therefore, adverse events (AEs) route errors can occur during this procedure.
View Article and Find Full Text PDFAcute complications associated with bedside placement of feeding tubes.
Nutr Clin Pract
February 2006
University of Illinois College of Medicine at Rockford, 401 Roxbury Road, Rockford, IL 61107-5078, USA.
Several types of feeding tubes can be placed at a patient's bedside; examples include nasogastric, nasointestinal, gastrostomy, and jejunostomy tubes. Nasoenteral tubes can be placed blindly at bedside or with the assistance of placement devices. Nasoenteric tubes can also be placed via fluoroscopy and endoscopy.
View Article and Find Full Text PDFNasoenteric feeding tubes in critically ill patients (fluoroscopy versus blind).
Nutrition
April 2000
Department of Critical Care Services, Providence Hospital, Southfield, MI 48037, USA.
Numerous complications have been encountered with small-bore nasoenteric feeding tubes, some potentially life threatening. Patients particularly at risk are those with anatomic abnormalities, debilitation, or neurologic impairment. Fluoroscopy has been reported to be a safe, efficacious modality for the placement of these tubes.
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