Comparing bedside methods of determining placement of gastric tubes in children

被引：21

作者：

Ellett, Marsha L. Cirgin ^{[1
]}

Cohen, Mervyn D.

Croffie, Joseph M. B. ^{[2
]}

Lane, Kathleen A. ^{[3
]}

Austin, Joan K. ^{[1
]}

Perkins, Susan M. ^{[3
]}

机构：

[1] Indiana Univ, Sch Nursing, Indianapolis, IN 46204 USA

[2] Indiana Univ Sch Med, Div Gastroenterol Hepatol & Nutr, Dept Pediat, Indianapolis, IN 46202 USA

[3] Indiana Univ Sch Med, Dept Biostat, Indianapolis, IN 46202 USA

来源：

JOURNAL FOR SPECIALISTS IN PEDIATRIC NURSING | 2014年 / 19卷 / 01期

关键词：

Bilirubin; child; CO2; monitoring; nasogastric tube; pH; FEEDING TUBES; PH MEASUREMENTS; BILIRUBIN; ERRORS;

D O I：

10.1111/jspn.12054

中图分类号：

R47 [护理学];

学科分类号：

101102 [成人与老年护理学];

摘要：

PurposeThe 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 and MethodsAfter the tube was inserted into 276 children, the CO2 monitor reading was obtained. Fluid was then aspirated to test pH and bilirubin. ResultsLack 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 ImplicationsHealthcare providers should suspect NG/OG tube misplacement when no fluid is aspirated.

引用

页码：68 / 79

页数：12

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