Feeding tube placement in adults: Safe verification method for blindly inserted tubes

American Journal of Critical Care

Volumn 18, Issue 1, 2009, Pages 73-76

  Bourgault, Annette M ^a   Halm, Margo A ^b  

^a MEDICAL COLLEGE OF GEORGIA   (United States)

^b United Hospital   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; DIGESTIVE TRACT INTUBATION; ENTERIC FEEDING; HUMAN; INSTRUMENTATION; INTENSIVE CARE; METHODOLOGY; REVIEW;

ADULT; CRITICAL CARE; ENTERAL NUTRITION; HUMANS; INTUBATION, GASTROINTESTINAL;

EID: 60849110307     PISSN: 10623264     EISSN: None     Source Type: Journal    
DOI: 10.4037/ajcc2009911     Document Type: Article

References (23)

1. Burns SM, Carpenter R, Blevins C, et al. Detection of inadvertent airway intubation during gastric tube insertion: capnography versus a colorimetric carbon dioxide detector. Am J Crit Care. 2006;15(2):188-195.
2. Elpern EH, Killeen K, Talla E, et al. Capnometry and air insufflation for assessing initial placement of gastric tubes. Am J Crit Care. 2007;16(6):544-549.
3. Metheny N, Dettenmeier P, Hampton K, Wiersema L, Williams P. Detection of inadvertent respiratory placement of small-bore feeding tubes: a report of 10 cases. Heart Lung. 1990;19(6):631-638.
4. Neumann MJ, Meyer CT, Dutton JL, Smith R. Hold that xray: aspirate pH and auscultation prove enteral tube placement. J Clin Gastroenterol. 1995;20(4):293-295.
5. Metheny N, Wehrle MA, Wiersema L, Clark J. Testing feeding tube placement: auscultation vs pH method. Am J Nurs. 1998;98(5):37-42.
6. Sorokin R, Gottlieb JE. Enhancing patient safety during feeding-tube insertion: a review of more than 2000 insertions. JPEN. 2006;30(5):440-445.
7. Metheny NA. Inadvertent intracranial nasogastric tube placement. Am J Nurs. 2002;102(8):25-27.
8. Metheny N, Reed L, Berglund B, Wehrle MA. Visual characteristics of aspirates from feeding tubes as a method for predicting tube location. Nurs Res. 1994;43(5):282-287.
9. Joint Commission. Sentinel Event Alert: Operative and postoperative complications: lessons for the future. Joint Commission on Accreditation of Healthcare Organizations. 12; 4 February 2000. www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_12.htm.
10. Metheny NA, Titler MG. Assessing placement of feeding tubes. Am J Nurs. 2001;101(5):36-45. Accessed August 29, 2008.
11. Metheny NA, Clouse RE, Chang YH, Stewart BJ, Oliver DA, Kollef MH. Tracheobronchial aspiration of gastric contents in critically ill tube-fed patients: frequency, outcomes, and risk factors. Crit Care Med. 2006;34(4):1007-1015.
12. Metheny NA, Spies MA, Eisenberg P. Measures to test placement of nasoenteral feeding tubes. West J Nurs Res. 1988;10(4):367-383.
13. Metheny N, Williams P, Wiersema L, Wehrle MA, Eisenberg P, McSweeney M. Effectiveness of pH measurements in predicting feeding tube placement. Nurs Res. 1989;38(5): 280-285.
14. Metheny N, Reed L, Wiersema L, McSweeney M, Wehrle MA, Clark J. Effectiveness of pH measurements in predicting feeding tube placement: an update. Nurs Res. 1993;42(6): 324-331.
15. Metheny NA, Stewart BJ, Smith L, Yan H, Diebold M, Clouse RE. pH and concentrations of pepsin and trypsin in feeding tube aspirates as predictors of tube placement. JPEN. 1997;21(5):279-285.
16. Metheny NA, Stewart BJ, Smith L, Yan H, Diebold M, Clouse RE. pH and concentration of bilirubin in feeding tube aspirates as predictors of tube placement. Nurs Res. 1999;48(4):189-197.
17. Metheny NA, Smith L, Stewart BJ. Development of a reliable and valid bedside test for bilirubin and its utility for improving prediction of feeding tube location. Nurs Res. 2000; 49(6):302-309.
18. Araujo-Preza CE, Melhado ME, Gutierrez FJ, Maniatis T, Castellano MA. Use of capnometry to verify feeding tube placement. Crit Care Med. 2002;30(10):2255-2259.
19. Conner TM, Carver D. The role of gastric pH testing with small-bore feeding tubes in the intensive care unit. Dimens Crit Care Nurs. 2005;24(5):210-214.
20. Classes of recommendations 2000. Part 1: Introduction to the international guidelines 2000 for CPR and ECC. Circulation 2000;102:I-1.
21. American Association of Critical-Care Nurses. Practice alert: Verification of feeding tube placement. www.aacn.org/WD/Practice/Docs/Verification_of_Feeding_Tube_Placement_05 -2005.pdf. Accessed August 29, 2008.
22. Metheny NA, Meert KL, Clouse RE. Complications related to feeding tube placement. Curr Opin Gastroenterol. 2007; 23(2):178-182.
23. Rauen CA, Chulay M, Bridges E, Vollman KM, Arbour R. Seven evidence-based practice habits: putting some sacred cows out to pasture. Crit Care Nurs. 2008;28(2):98-124.