IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v14y2005i3p238-252.html
   My bibliography  Save this article

Gastric Tube Placement in Young Children

Author

Listed:
  • Marsha L. Cirgin Ellett

    (Indiana University School of Nursing)

  • Joseph M.B. Croffie

    (Riley Hospital for Children, Indiana University School of Medicine)

  • Mervyn D. Cohen

    (Riley Hospital for Children, Indiana University School of Medicine)

  • Susan M. Perkins

    (Indiana University School of Medicine)

Abstract

In this study, the internal position of a nasogastric/orogastric tube was determined in 72 children, prior to an abdominal radiograph, by measuring CO 2 and pH and bilirubin of tube aspirate. Fifteen of the 72 tubes (20.8%) were incorrectly placed on radiograph. Using the suggested adult cutoff of pH 5, pH of aspirate correctly predicted misplacement outside the stomach in 7/28 (25%) of children and correctly predicted correct placement in the stomach in 34 of 40 children (85%). Using the suggested adult cutoff of bilirubin ≥ 5 mg/dL, bilirubin monitoring failed to identify either of two incorrectly placed tubes. In this study, using an algorithm of assuming stomach placement if the pH of aspirate is ≤ 5 and obtaining an abdominal radiograph when either no aspirate is obtained or the pH is >5 would have resulted in 92% accuracy. Alternatively, obtaining an abdominal radiograph would result in nearly 100% accuracy.

Suggested Citation

  • Marsha L. Cirgin Ellett & Joseph M.B. Croffie & Mervyn D. Cohen & Susan M. Perkins, 2005. "Gastric Tube Placement in Young Children," Clinical Nursing Research, , vol. 14(3), pages 238-252, August.
    • Handle: RePEc:sae:clnure:v:14:y:2005:i:3:p:238-252
    DOI: 10.1177/1054773805275121
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/1054773805275121
    Download Restriction: no
    File URL: https://libkey.io/10.1177/1054773805275121?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Thomas E. Currie & Ruth Mace, 2012. "The Evolution Of Ethnolinguistic Diversity," Advances in Complex Systems (ACS), World Scientific Publishing Co. Pte. Ltd., vol. 15(01n02), pages 1-20.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:14:y:2005:i:3:p:238-252. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.