Comparing bedside methods of determining placement of gastric tubes in children

Marsha L Cirgin Ellett, Mervyn D. Cohen, Joseph Croffie, Kathleen A. Lane, Joan K. Austin, Susan Perkins

Research output: Contribution to journalArticle

10 Citations (Scopus)

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 and Methods: 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.

Original languageEnglish
Pages (from-to)68-79
Number of pages12
JournalJournal for Specialists in Pediatric Nursing
Volume19
Issue number1
DOIs
StatePublished - Jan 2014

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Bilirubin
Stomach
Health Personnel
Reading

Keywords

  • Bilirubin
  • Child
  • CO monitoring
  • Nasogastric tube
  • pH

ASJC Scopus subject areas

  • Pediatrics

Cite this

Comparing bedside methods of determining placement of gastric tubes in children. / Ellett, Marsha L Cirgin; Cohen, Mervyn D.; Croffie, Joseph; Lane, Kathleen A.; Austin, Joan K.; Perkins, Susan.

In: Journal for Specialists in Pediatric Nursing, Vol. 19, No. 1, 01.2014, p. 68-79.

Research output: Contribution to journalArticle

Ellett, Marsha L Cirgin ; Cohen, Mervyn D. ; Croffie, Joseph ; Lane, Kathleen A. ; Austin, Joan K. ; Perkins, Susan. / Comparing bedside methods of determining placement of gastric tubes in children. In: Journal for Specialists in Pediatric Nursing. 2014 ; Vol. 19, No. 1. pp. 68-79.
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