Using pH testing to confirm nasogastric tube position.
نویسنده
چکیده
In 2004 the MHRA published a directive for all hospitals in the UK to use pH paper in place of litmus paper when testing position of nasogastric tubes (NGT). This article illustrates one trust's implementation of this process of change in order to achieve compliance.
منابع مشابه
Confirming nasogastric tube position: methods & restrictions: A narrative review
Background and Purpose: Inserting a nasogastric tube, though a common clinical procedure with widespread use for critically ill patients, can produce unexpected complications so that tube misplacement into the lungs is a potential complication with serious consequences. The reliability of common bedside methods to differentiate between pulmonary and gastric placement has not been acceptable. Th...
متن کاملReliability of pH measurement and the auscultatory method to confirm the position of a nasogastric tube.
BACKGROUND Blind placement of a nasogastric feeding tube is a common nursing procedure. Confirmation of the correct position in the stomach is warranted to avoid serious complications such as misplacement in the lung. Testing pH of aspirate from a tube is one of the techniques to confirm the tip position. The purpose of this study was to evaluate the auscultatory method and pH measurement with ...
متن کاملRisks of Using Bedside Tests to Verify Nasogastric Tube Position in Adult Patients
Nasogastric (NG) tubes are commonly used for enteral feeding. Complications of feeding tube misplacement include malnutrition, pulmonary aspiration, and even death. We built a Bayesian network (BN) to analyse the risks associated with available bedside tests to verify tube position. Evidence on test validity (sensitivity and specificity) was retrieved from a systematic review. Likelihood ratios...
متن کاملComparison of neck ultrasonography with a pH meter to confirm correct position of nasogastric tube.
PURPOSE The aim of this study was to compare pH meter and neck ultrasonograph for evaluation of nasogastric tube (NGT) position. METHODS A total of 35 adult patients who required NGT insertion were included. The NGT was inserted by an anesthetist after endotracheal intubation, and the transducer was placed transversely on the neck, just superior to the suprasternal notch. The passage of the N...
متن کاملChanging how we confirm ngt placement: impact on nutrition delivered
Introduction Confirming the position of Nasogastric tubes (NGT) in critical care is a controversial area. The National Patient Safety Agency (NPSA) guidance [1] advocates pH testing although use is limited in ICU due to continuous enteral feeding and proton pump inhibitor therapy. Chest X-ray is therefore commonly used with trainee doctors often being responsible for confirming tube position. F...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Nursing times
دوره 101 38 شماره
صفحات -
تاریخ انتشار 2005