Initial and Ongoing Verification of Feeding Tube Placement in Adults (applies to blind insertions and placements with an electromagnetic device)

2016 ◽  
Vol 36 (2) ◽  
pp. e8-e13 ◽  
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Electromagnetic Device ◽  
Feeding Tube Placement

Verifying Placement of Small-Bore Feeding Tubes: Electromagnetic Device Images Versus Abdominal Radiographs

2015 ◽  
Vol 24 (6) ◽  
pp. 525-530 ◽  
Author(s):  
Vera Bryant ◽  
Jean Phang ◽  
Kevin Abrams
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Electromagnetic System ◽  
Lower Quadrant ◽  
Feeding Tubes ◽  
Left Lower Quadrant ◽  
Electromagnetic Device ◽  
Abdominal Radiographs ◽  
Feeding Tube Placement ◽  
Optimal Site

Background Clinicians are unsure if radiography is needed to confirm correct positioning of feeding tubes inserted with assistance from an electromagnetic system. Objectives To compare radiographic reports of feeding tube placement with images generated by an electromagnetic feeding tube placement device. Methods The medical records of 200 consecutive patients who had feeding tubes inserted with assistance from an electromagnetic feeding tube placement device were reviewed retrospectively. Radiographic reports of tube site were compared with images generated by the device. Results Radiographic evidence of tube sites was available in 188 cases: 184 tubes were located in portions of the gastrointestinal tract. Ninety of the 188 tubes were situated in the optimal site (distal duodenum or jejunum) radiographically. Images generated by the electromagnetic device were available in 176 cases; of these, 52 tubes appeared to end in the expected left lower quadrant. Tubes shown on radiographs to be in other sites also occasionally appeared to end in the left lower quadrant. Nurses using the device did not recognize 4 of the 188 tubes (2.1%) that were inadvertently placed in the lung. No consistent pattern of quadrant distribution was found for tubes positioned in the stomach or proximal duodenum. Conclusions Images generated by the electromagnetic tube placement device provided inconsistent results regarding tube location. A small percentage of seriously malpositioned tubes were not detected by using the electromagnetic device. These findings do not support eliminating radiographs to confirm correct tube placement following use of an electromagnetic tube placement device.

Cortrak feeding tube placement: accuracy of the ‘GI flexure system’ versus manufacturer guidance

2020 ◽  
Vol 29 (21) ◽  
pp. 1277-1281
Author(s):  
Stephen Taylor ◽  
Alex Manara ◽  
Jules Brown ◽  
Kaylee Sayer ◽  
Rowan Clemente ◽  
...  
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Gastric Body ◽  
Major Morbidity ◽  
System Versus ◽  
Placement Accuracy ◽  
Feeding Tube Placement ◽  
Left Quadrant

Electromagnetic (EM) guided enteral tube placement may reduce lung misplacement to almost zero in expert centres, but more than 60 undetected misplacements had occurred by 2016 resulting in major morbidity or death. Aim: Determine the accuracy of manufacturer guidance in trace interpretation against what is referred to as the ‘GI flexure system’. Methods: The authors prospectively observed the accuracy of the ‘GI flexure system’ of trace interpretation against manufacturer guidance in primary nasointestinal (NI) tube placements. Findings: Contrary to manufacturer guidance, 33% of traces deviated >5 cm from the sagittal midline and 26.5% were oesophageal when entering the lower left quadrant, incorrectly indicating lung and gastric placement, respectively. Conversely, the GI flexure system identified ≥99.4% of GI traces when they reached the gastric body flexure; 100% at the superior duodenal flexure. All lung misplacements were identified by the absence of GI flexures. Conclusion: Current manufacturer guidance should be updated to the GI flexure system of interpretation.

scholarly journals Predicting perioperative feeding tube placement in pancreaticoduodenectomy

HPB ◽  
2017 ◽  
Vol 19 ◽  
pp. S149
Author(s):  
R. Kirks ◽  
P. Lorimer ◽  
Y.E. Warren ◽  
A. Cochran ◽  
M. Fruscione ◽  
...  
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Feeding Tube Placement

Effectiveness of pH Measurements in Predicting Feeding Tube Placement

1989 ◽  
Vol 38 (5) ◽  
pp. 280???285 ◽  
Author(s):  
NORMA METHENY ◽  
PAMELA WILLIAMS ◽  
LAUREL WIERSEMA ◽  
MARY ANNE WEHRLE ◽  
PATRICIA EISENBERG ◽  
...  
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Ph Measurements ◽  
Feeding Tube Placement

Feeding tube placement

1997 ◽  
Vol 4 (12) ◽  
pp. 857-858
Author(s):  
Erik J. Kilgore ◽  
Michael Y. Chen ◽  
David J. Ott ◽  
David W. Gelfand
Keyword(s):  
Feeding Tube ◽  
Tube Placement ◽  
Feeding Tube Placement
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